Introduction: Diabetic neuropathies are among the most common and disabling complications of diabetes mellitus, leading to sensory impairment, muscle weakness, balance dysfunction, gait abnormalities, and increased risk of falls. While pharmacological treatment primarily targets glycemic control and neuropathic pain, physiotherapy rehabilitation plays a crucial role in addressing functional limitations.

Methods: A narrative review of literature was conducted using PubMed, Scopus, PEDro, and Google Scholar. Studies published in English between 2000 and 2024 focusing on physiotherapy or exercise-based rehabilitation in adults with diabetic neuropathies were included. Randomized controlled trials, observational studies, and relevant reviews were analyzed.

Results: The literature demonstrates that therapeutic exercise, balance training, gait training, sensory re-education, and pain-modulating modalities significantly improve muscle strength, balance, mobility, pain, and functional independence in individuals with diabetic neuropathies.