The current study aims to investigate the effects of hydrotherapy compared to land-based training on patients with diabetic peripheral neuropathy. It will evaluate hydrotherapy's impact on pain relief, sensation improvement, balance, and overall quality of life for these patients.
Diagnosis of diabetic peripheral neuropathy due to type 2 diabetes mellitus of both sex Patients must have confirmed diagnosis of diabetic peripheral neuropathy based on clinical symptoms (E.G, numbness, tingling and burning pain) and diagnostic test such as nerve conduction studies
Chronicity of type 2 diabetes mellitus more than 10 years
Age range: between 40-65years old
Stable Blood Glucose Levels HbA1c (≤5.7)
Severe Renal Impairment.
Uncontrolled cardiovascular diseases
Pregnancy
Neurological or musculoskeletal conditions