Reflexology in Managing 58 Patients With Diabetic Neuropathy

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Determination of Efficacy of Reflexology in Managing Patients With Diabetic Neuropathy: A Randomized Controlled Clinical Trial



The restricted usage of existing pharmacological methods which do not seem to provide the treatment of diabetic neuropathy may lead to exploring the efficacy of a complementary therapy. In this context, this paper was devoted to evaluate the efficacy of foot reflexology. This health science works on the hypothesis that the dysfunctional states of body parts could be identified by observing certain skin features and be rectified by stimulating certain specific areas mapped on feet.


Subjects (N = 58) with diagnosed diabetic neuropathy were randomly distributed into reflexology and control groups in which both group patients were treated with ongoing pharmacological drugs. Reflexology group patients were additionally treated holistically with the hypothesis that this therapy would bring homeostasis among body organ functions. This was a caregiver-based study with a follow-up period of 6 months. The outcome measures were pain reduction, glycemic control, nerve conductivity, and thermal and vibration sensitivities. The skin features leading to the detection of the abnormal functional states of body parts were also recorded and analyzed.


Reflexology group showed more improvements in all outcome measures than those of control subjects with statistical significance.


This study exhibited the efficient utility of reflexology therapy integrated with conventional medicines in managing diabetic neuropathy.


Dalal K, Maran VB, Pandey RM, Tripathi M. Determination of efficacy of reflexology in managing patients with diabetic neuropathy: a randomized controlled clinical trial. Evid Based Complement Alternat Med. 2014;2014:843036. doi:10.1155/2014/843036

Actionable Information for Reflexologists

In this section you will find how this research paper enacted reflexology to produce these results. We at Reflexology.Report distilled the Methodology portion of this research paper and we are presenting you with:

  • General methods used
  • Organization and duration of sessions
  • Reflexology points

The purpose of this section is to make this research paper useful to all reflexologists. This is a tool developed by the Center of Reflexology and Research (Κέντρο Ρεφλεξολογίας και Έρευνας) in Greece and supervised volunteers from across the world.

A step-by-step procedure was followed: energy balance , lymphatic system, solar plexus, adrenal glands, spine, urinary system, digestive system, brain, other endocrine glands, sciatic nerve, knee and hip. The hypothesis of this protocol was that stimulations on these specific areas would establish homeostasis in the functional status of the lymphatic, urinary, digestive and immunity systems together with releasing the mental stress, improving the diabetic control and increasing the lower limb activities.

Ακολουθήθηκε η εξής διαδικασία: ενεργειακή ισορροπία, λεμφικό σύστημα, ηλιακό πλέγμα, επινεφρίδια, σπονδυλική στήλη, ουροποιητικό σύστημα, πεπτικό σύστημα, εγκέφαλος, άλλοι ενδοκρινείς αδένες, ισχιακό νεύρο, γόνατο και ισχίο. Η υπόθεση αυτού του πρωτοκόλλου ήταν ότι οι διεγέρσεις σε αυτές τις συγκεκριμένες περιοχές θα καθιερώσουν ομοιόσταση στη λειτουργική κατάσταση του λεμφικού, ουροποιητικού, πεπτικού και ανοσοποιητικού συστήματος μαζί με την απελευθέρωση του ψυχικού στρες, τη βελτίωση του διαβητικού ελέγχου και την αύξηση της δραστηριότητας των κάτω άκρων.

Full pdf of the research paper

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