Comparitive study of Low Level Laser Therapy and Short Wave Diathermy in the management of Peripheral Diabetic Neuropathy of the Lower Extremity

Diabetic peripheral neuropathy is characterized by discomfort, reduced sensations, and/or numbness. There have also been reports of painful symptoms like burning, pins and needles, shooting pain, and hyper-aesthesia. Pain is often worst at night and might keep a patient from sleeping through the night.:Nonpharmacologic therapies, such as low-intensity laser therapy (LLLT), is  effective adjunctive or alternative treatments for painful Diabetic Sensory Polyneuropathy with avoidance of systemic drug adverse effects.(3) LILT has been linked to biologic benefits such as quicker trauma recovery.Shortwave diathermy (SWD) is a treatment that uses high-frequency electromagnetic radiation to treat diabetic neuropathy and other conditions. SWD can help with diabetic neuropathy by: Reducing pain: SWD can help with neuropathy pain by modulating pain impulses to the brain. Increasing circulation: SWD can increase vascular circulation and change tissue temperature .Accelerating healing: SWD can help with chronic inflammation by reducing pain, swelling, and accelerating tissue healing.   The study is an experimental study to see the effect of Low Level LASER therapy and Short Wave Diathermy in Diabetic Neuropathy Patients who complaint of pain, numbness in the lower extremity. It is a 3 day interventional study in which patients will be categorized in 2 groups. Group A consist of the patients who will be treated with Low Level LASER, on the other hand Group B consists of patients who will be treated with Short Wave diathermy. On day 1 of the study, the patients with diabetic neuropathy will be given a questionnaire consisting of their demographic data, according to the intensity of pain they are experiencing by Numerical Pain Rating Scale (NPRS), Strength Duration Curve using Electrical stimulator, and through an outcome measure that is a Treatment induced Neuropathic Assessment Scale (TNAS). After the treatment is continued for 3 days, the same outcome measure will be re-assessed and the pain, strength-duration and the level of neuropathy will be compared between Group  and , Group B Group C. The study concludes by a data analysis of the difference between the day 1 and day 3 of the therapy in a patient treated with Low level Laser therapy and Short wave diathermy.