Diabetes complications

Assessing the Effects of Pulsed Electromagnetic Therapy on Painful Diabetic Distal Symmetric Peripheral Neuropathy: A Double-Blind Randomized Controlled Trial

J Diabetes Sci TechnolPublished Randomised controlled trial

Authors' conclusion

Pulsed electromagnetic field therapy appears effective as a nonpharmacological means for reduction of pain associated with diabetic peripheral neuropathy and holds promise for improvement of vascular physiology in microcirculatory dysfunction associated with diabetic peripheral arterial disease.

Study context

Population
Subjects with diabetes and confirmed diabetic symmetric peripheral neuropathy (DSPN) with foot pain
Participants
182 subjects
Comparison
Active PEMF vs nonactive sham
Methodological detailssham-controlled, double-blind, 18-week trial period, Some active-arm patients had a transient low field strength notification (LFSN) due to improper pad placement
  • Sham-controlled
  • Double-blind
  • 18-week trial period
  • Some active-arm patients had a transient low field strength notification (LFSN) due to improper pad placement

Primary result

As reported in the abstract

Pain reduction from baseline
  • Active PEMF vs Sham: P < 0.05
  • Patients in the active arm who did not receive an LFSN

Further findings

Skin perfusion pressure (SPP)

SPP in the active group trended toward improvement vs sham, not statistically significant

Original publication

Assessing the Effects of Pulsed Electromagnetic Therapy on Painful Diabetic Distal Symmetric Peripheral Neuropathy: A Double-Blind Randomized Controlled Trial. J Diabetes Sci Technol. Published 4 August 2023. doi:10.1177/19322968231190413

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