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Diabetes complications

Peripheral neuropathy: assessment and support in Perth

Numbness, tingling, burning or poor balance in your feet are worth taking seriously, especially if you live with diabetes.

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Understanding the condition

Peripheral neuropathy is nerve damage that usually starts in the feet. It is one of the most common complications of diabetes, and it can reduce feeling, cause pain and affect balance.12

Damaged nerves usually cannot be repaired, but good glucose management can help slow the damage, and the right care protects your feet, improves balance and lowers the risk of falls and injury.3 Our podiatrists, physiotherapists, exercise physiologists and diabetes educators share one plan.

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Peripheral neuropathy: assessment and support in Perth

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Numbness or pins and needles in the feet or hands
  • Burning or shooting pain, often worse at night
  • Feeling unsteady or losing your balance
  • More sensitivity to touch
  • Injuries you do not notice happening

How our team helps

  • Neuropathy screening and monitoring as part of your diabetes foot assessment
  • Podiatry care to protect feet with reduced feeling
  • Physiotherapy and exercise physiology for balance, strength and falls prevention
  • Practical strategies for daily life: footwear, skin checks, and care with heat and cold
  • Working with your GP on pain relief and medicine options
  • Support with glucose management, which helps slow progression

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Podiatry
Podiatry
Allied health team
Podiatry
Comprehensive foot assessments and diabetes-related foot care from experienced podiatrists.
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Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

Terms explained

Plain English explanations for this condition are being added.
See all conditions

Sources and clinical review

Our neuropathy care follows the 2021 Australian evidence-based guidelines for diabetes-related foot disease and the RACGP and Diabetes Australia handbook Management of type 2 diabetes.

  1. The Royal Australian College of General Practitioners and Diabetes Australia. Management of type 2 diabetes: a handbook for general practice. East Melbourne, Vic: RACGP; 2024 (web edition, updated August 2025).
  2. Lazzarini PA, Raspovic A, Prentice J, et al. Australian evidence-based guidelines for the prevention and management of diabetes-related foot disease: a guideline summary. Med J Aust. 2023;219(10). doi:10.5694/mja2.52136
  3. Kaminski MR, et al. Australian guideline on prevention of foot ulceration: part of the 2021 Australian evidence-based guidelines for diabetes-related foot disease. J Foot Ankle Res. 2022;15:53. doi:10.1186/s13047-022-00534-7
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Common questions

Can peripheral neuropathy be cured?
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Established nerve damage generally cannot be reversed. Good glucose management can help slow it, and its consequences, such as wounds, falls and loss of fitness, are largely preventable with the right care.

Why do I need to see more than one clinician?
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Because neuropathy affects more than one thing: feeling (podiatry), balance and strength (physiotherapy and exercise physiology), and the underlying diabetes (diabetes education). At PDC these clinicians share one care plan, so you are not repeating your story.

Can the pain be treated?
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Yes. Painful neuropathy has recognised medicine and non-medicine options. We work with your GP on the medical side and support the rest. Activity, sleep and pacing all influence nerve pain.

Does numbness mean I will get foot ulcers?
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Not necessarily, but reduced feeling raises your risk, which is why regular foot checks and protective habits matter. Our assessment gives you a clear risk level and plan.

Can I still exercise with peripheral neuropathy?
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Yes, and it helps. Balance, strength and supervised exercise lower falls risk and support your overall health. Our exercise physiologists adapt programs to your feeling and balance, with foot protection built in.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.