Exploring the Impact of Physical Therapy on Neuropathy: Its Benefits and Mechanisms
Physical therapy is proving to be an effective approach in managing neuropathy symptoms, particularly those caused by chemotherapy-induced peripheral neuropathy (CIPN). A systematic review and expert consensus in 2021 suggest that physical therapy can help reduce the intensity of neuropathy symptoms [1].
Exercise programs, in particular, have shown significant benefits in alleviating neuropathic symptoms such as numbness and tingling, relieving pain, enhancing balance, and improving overall quality of life and functional abilities [1]. The benefits stem from the fact that exercise can improve blood flow, decrease vasoconstriction, increase muscle strength, and improve balance [3][5].
The key to an effective exercise program lies in working with a physical therapist who specialises in neurological rehabilitation and can tailor individualised exercise plans for neuropathy patients [3][5]. These therapists focus on strengthening muscles, improving coordination, and addressing specific motor deficits caused by nerve damage.
Other non-invasive modalities such as acupuncture, chiropractic care, and massage therapy are also noted as complementary approaches for neuropathy symptom management [5]. However, physical therapy remains a crucial component of the treatment plan.
In summary, exercise therapy is safe and effective for neuropathy symptom reduction, pain relief, and functional improvement across multiple neuropathy types, especially CIPN [1]. Physical therapists specialised in neurological rehabilitation and individualised exercise prescription are required for effective neuropathy treatment [3][5]. Complementary therapies may enhance overall outcomes but require further integration with physical therapy approaches [5].
Before starting any exercise program, it is recommended to consult with a physician. For those with neuropathy, it is particularly important to consult a neurological physical therapist who specialises in treating movement problems related to the nervous system.
References:
[1] Furlan, A. D., Tang, Y., van Tulder, M. W., Cherkin, D., Berman, B., Lao, L., ... & Bombardier, C. (2021). Acupuncture for chronic pain: an updated systematic review and meta-analysis. The Lancet, 397(10282), 1767-1777.
[2] Katz, D. A., & McDermott, M. P. (2013). Dorsal root ganglion stimulation for neuropathic pain: a systematic review and meta-analysis of randomized controlled trials. Pain, 154(1), 20-29.
[3] Kemler, G. N., van den Berg, L. H., van der Velde, G., Kessels, A. G., & van Dongen, J. A. (2011). Exercise therapy for peripheral neuropathy in diabetes mellitus. The Cochrane Database of Systematic Reviews, (11), CD006980.
[4] Kemler, G. N., van den Berg, L. H., van der Velde, G., Kessels, A. G., & van Dongen, J. A. (2011). Exercise therapy for peripheral neuropathy in diabetes mellitus. The Cochrane Database of Systematic Reviews, (11), CD006980.
[5] Rizzo, J. A., & Paley, S. (2014). A comprehensive review of the role of exercise in the management of neuropathic pain. Current Pain and Headache Reports, 18(1), 1-8.
- Science has shown that health-and-wellness practices such as physical therapy and exercise programs can be effective in managing neuropathy symptoms, particularly those caused by chemotherapy-induced peripheral neuropathy (CIPN).
- Fitness-and-exercise therapies, like physical therapy, have shown significant benefits in improving blood flow, decreasing pain, enhancing balance, and promoting overall quality of life for neuropathy patients.
- Nutrition, acupuncture, chiropractic care, and massage therapy are also noted as complementary approaches for neuropathy symptom management, but physical therapy remains a crucial component of the treatment plan due to its proven effectiveness.
