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Rehabilitation guides
NeurologicalActive referenceUnder clinical review

Peripheral Neuropathy Activity

Foot-protective balance, strength, and sensorimotor plan for peripheral neuropathy. Daily foot checks; high-impact and barefoot training avoided.

Condition: Peripheral Neuropathy (Foot)

25

Minutes / session

10

Weeks

3

Phases

15

Outcome measures

Under clinical review

At least one module, condition, or outcome record is not marked approved. Treat this page as educational reference material, not an individualized prescription.

Safety rules and escalation

Review these module-specific checks before considering any exercise phase.

Non-bypassable platform pain rules

  • Pain at or above 6/10 requires an exercise substitution.
  • Pain at or above 8/10 stops the workout and surfaces emergency-stop guidance.

Red-flag screening

  • Do you have a new foot wound, blister, or pressure sore?

    Urgent Care · Please see a clinician — exercise on an unhealed wound risks infection.

  • Have you noticed a new severe loss of sensation in your feet or legs?

    Urgent Care · Please see a clinician for evaluation before exercising.

  • Are you experiencing severe burning or shooting pain (DN4 >= 4) right now?

    Require Clearance · Severe neuropathic pain warrants clinical review before continuing.

Clearance and monitoring checks

  • Did you complete your daily foot inspection?

    Monitoring · Inform

Phases and exercise prescriptions

Phase 1 · T0

Protect & Inspect

3 weeks

Goals

  • Daily foot inspection
  • Sit-to-stand x5

Precautions

  • Always wear supportive shoes
  • Avoid hot/cold extremes
Active Toe Extension

Activation · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Active Toe Extension

Mobility · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Weight Shifts (Foot Awareness)

Balance · T0 · Beginner

2 sets · 10 reps · 120 sec · 30 sec rest

Recorded pain ceiling: 4/10
Active Toe Flexion

Activation · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Active Toe Flexion

Mobility · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Weight Shifts (Front/Back, Side/Side)

Balance · T0 · Beginner

2 sets · 15 reps · 60 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Alphabet (ABCs)

Activation · T0 · Beginner

2 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Adductor Stretch (Butterfly)

Mobility · T0 · Beginner

2 sets · 10 reps · 90 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Circles

Activation · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Alphabet (ABCs)

Mobility · T0 · Beginner

2 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Dorsiflexion Rock (Knee-to-Wall)

Activation · T0 · Beginner

2 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Circles

Mobility · T0 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Pumps

Activation · T0 · Beginner

2 sets · 30 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Dorsiflexion Rock (Knee-to-Wall)

Mobility · T0 · Beginner

2 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Phase 2 · T1

Mobilise & Strengthen

5 weeks

Goals

  • Single-leg stance 10s each side
  • Calf raises x10

Precautions

  • Have support within reach
  • Stop if foot wound or burning
Band 4-Way Ankle

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Clock Taps (Simple)

Balance · T1 · Beginner

2 sets · 2 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Dorsiflexion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Foam Pad Balance (Double to Single Leg)

Balance · T1 · Intermediate

2 sets · 1 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Eversion (Peroneals)

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Heel-to-Toe Walk

Balance · T1 · Beginner

2 sets · 20 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Inversion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Marching in Place

Balance · T1 · Beginner

2 sets · 1 reps · 45 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Plantarflexion

Strength · T1 · Beginner

2 sets · 15 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Single-Leg Balance

Balance · T1 · Beginner

2 sets · 10 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Banded Knee Extension (Seated)

Strength · T1 · Beginner

2 sets · 12 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Single-Leg Balance on Foam

Balance · T1 · Intermediate

2 sets · 10 reps · 30 sec · 30 sec rest

Recorded pain ceiling: 4/10

Phase 3 · T2

Strengthen & Sustain

2 weeks

Goals

  • Tandem walk 10 steps
  • Step-ups with support

Precautions

  • No barefoot training
  • Avoid impact landings
Ankle Eversion Walk

Strength · T2 · Intermediate

3 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Alphabet on Single Leg

Balance · T2 · Intermediate

3 sets · 1 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Ankle Eversion Walk

Endurance · T2 · Intermediate

3 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Inversion Walk

Strength · T2 · Intermediate

3 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Balance Pad Stand

Balance · T2 · Intermediate

3 sets · 10 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Ankle Inversion Walk

Endurance · T2 · Intermediate

3 sets · 1 reps · 30 sec · 45 sec rest

Recorded pain ceiling: 4/10
Arch Doming with Ball Under Foot

Strength · T2 · Intermediate

3 sets · 8 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Clock Reaches

Balance · T2 · Intermediate

3 sets · 8 reps · 0 sec · 45 sec rest

Recorded pain ceiling: 4/10
Arch Doming with Ball Under Foot

Endurance · T2 · Intermediate

3 sets · 8 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Big Toe Abduction

Strength · T2 · Intermediate

3 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Grapevine Walk

Balance · T2 · Intermediate

3 sets · 20 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Big Toe Abduction

Endurance · T2 · Intermediate

3 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Big Toe Flexion

Strength · T2 · Intermediate

3 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Hip Airplane

Balance · T2 · Advanced

3 sets · 6 reps · 0 sec · 60 sec rest

Recorded pain ceiling: 4/10
Band Big Toe Flexion

Endurance · T2 · Intermediate

3 sets · 15 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Resisted Hip IR/ER (Standing)

Strength · T2 · Intermediate

3 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Hip Airplane (Assisted)

Balance · T2 · Intermediate

3 sets · 5 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10
Band Resisted Hip IR/ER (Standing)

Endurance · T2 · Intermediate

3 sets · 12 reps · 0 sec · 30 sec rest

Recorded pain ceiling: 4/10

Outcome measures

These are the measures linked to this module's current public record.

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Pain Numeric Rating (0-10)

Simple · Optional

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence
Weekly
Scale
0–10 score
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Optional

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
End Of Phase
Scale
0–10 score
Scoring direction
Lower Better

Pain Numeric Rating (0-10)

Simple · Required

Under clinical review

Patient-rated pain intensity over the last 24 hours.

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Weekly Session Count

Simple · Optional

Under clinical review

Sessions completed in the last 7 days.

Cadence
Weekly
Scale
0–14 sessions
Scoring direction
Higher Better

Timed Up & Go (seconds)

Functional · Optional

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence
End Of Phase
Scale
0–60 seconds
Scoring direction
Lower Better

Functional Limitation (0-10)

Simple · Required

Under clinical review

Self-rated difficulty performing daily tasks.

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

DN4 Neuropathic Pain Score

Prom · Required

Under clinical review

DN4 questionnaire total (>=4 suggests neuropathic pain).

Cadence
Baseline
Scale
0–10 score
Scoring direction
Lower Better

Borg Rating of Perceived Exertion

Simple · Optional

Under clinical review

Patient-reported exertion during a typical session.

Cadence
Weekly
Scale
6–20 RPE
Scoring direction
Lower Better

DN4 Neuropathic Pain Score

Prom · Required

Under clinical review

DN4 questionnaire total (>=4 suggests neuropathic pain).

Cadence
End Of Program
Scale
0–10 score
Scoring direction
Lower Better

Timed Up & Go (seconds)

Functional · Required

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence
Baseline
Scale
0–60 seconds
Scoring direction
Lower Better

Timed Up & Go (seconds)

Functional · Required

Under clinical review

Seconds to rise from chair, walk 3m, turn, return, sit.

Cadence
End Of Program
Scale
0–60 seconds
Scoring direction
Lower Better

Modified Falls Efficacy Scale (mFES)

Prom · Required

Under clinical review

Modified FES total score (higher = more confident).

Cadence
Baseline
Scale
14–140 score
Scoring direction
Higher Better

Modified Falls Efficacy Scale (mFES)

Prom · Required

Under clinical review

Modified FES total score (higher = more confident).

Cadence
End Of Program
Scale
14–140 score
Scoring direction
Higher Better

Guide questions

What is the Peripheral Neuropathy Activity guide?

Foot-protective balance, strength, and sensorimotor plan for peripheral neuropathy. Daily foot checks; high-impact and barefoot training avoided.

Is this an individualized treatment plan?

No. This page is a public educational reference. Individualized use belongs in the authenticated safety-screening and clinician workflow.

Does this module require medical clearance?

Yes. The Peripheral Neuropathy (Foot) record requires medical clearance before the interactive workflow can progress.

Has this guide completed clinical review?

No. One or more of the module, condition, or listed outcome measures is not marked approved, so this page is labelled under clinical review.

How is this rehabilitation pathway organized?

The current record contains 3 phases, a typical session length of 25 minutes, and an overall duration of 10 weeks.