Significant Improvement in Sensory Nerve Function with Electroacupuncturein Diabetic Peripheral Neuropathy: A Case Report

Abstract

Diabetic Peripheral Neuropathy (DPN) affects up to 50% of diabetics, resulting in severe complications and significantly impacting quality of life. Current treatments often provide incomplete relief and fail to address underlying nerve dysfunction. This case report evaluates the efficacy of electroacupuncture as a complementary therapy for improving sensory function in DPN. A 56 year old male with a 6 year history of type 2 diabetes presented with worsening numbness in both feet, impacting his daily activities. Clinical examination revealed significantly altered sensations, including diminished protective sensation, impaired vibration perception, and abnormal thermal thresholds. The patient underwent a 12 day electroacupuncture intervention consisting of 20 minute sessions on alternate days that targeted specific acupuncture points related to nerve function and circulation in the lower extremities. Post intervention assessments showed notable improvements across multiple sensory modalities There was a 29.86% improvement in protective sensation, a 40.97% decrease in vibration perception threshold, and a 14.37% improvement in hot perception threshold.
Cold perception showed a minimal improvement of 3.50%. These outcomes align with recent literature suggesting
electroacupuncture's potential to enhance nerve function through improved microcirculation, neuropeptide modulation, and anti inflammatory effects. While individual responses may vary, this case study, supported by emerging research, suggests that electroacupuncture could be an effective complementary approach to managing sensory deficits associated with DPN. Further large scale clinical trials are required to establish its efficacy and optimise treatment protocols.