To evaluate the efficacy of vagus nerve stimulation in reducing neuropathic pain, symptom severity, electrophysiological studies and functional outcomes in patients with diabetic peripheral neuropathy.
Thirty patients diagnosed with diabetic neuropathy of both genders.
Age range between 45 and 60 years.
Presence of numbness and/or pain in the feet with no other identifiable cause.
Pain characterized as stabbing, electric shock-like, or burning in nature.
Implantation of cardiac pacemakers or other electrical stimulation devices.
Presence of sinus bradycardia, sick sinus syndrome, or other cardiac arrhythmias.
Lumbar radiculopathy.
Psychiatric or mental disorders or history of seizures.