Tibial Nerve Mobilization Versus Multisensory Exercises in Patients With Diabetic Foot Ulcer

Inclusion Criteria: * Adults aged 55-75 years * Diagnosed cases of Type 2 Diabetes Mellitus by clinical and laboratory tests. * Both male and female participants. * Grade 0 and Grade 1 diabetic foot ulcers, as classified by the Wagner Ulcer Classification. * Participants must have poor glycemic control according to HbA1c ≥ 7.5 % or Fasting Blood Glucose ≥ 130 mg/dl or Random Blood Glucose ≥ 200 mg/dl. * Patient with healed ulcer or in last stage of healing duration \>1 to 2 weeks * Absence of active infection. * No cognitive impairments that would affect participation. * Diabetes duration of less than 10 years. * Able to perform the exercises and participate in physical therapy sessions. * No history of amputation above the metatarsophalangeal joint. Exclusion Criteria: * Presence of other systemic diseases apart from diabetes, such as autoimmune diseases or rheumatoid arthritis. * Foot ulcers that are classified as Grade 2 or higher using the Wagner Ulcer Classification. * Recent fractures, or trauma leading to nerve injuries in the last year. * Neurological disorders including Parkinson's disease, stroke, multiple sclerosis, or neuropathy from other causes. * Visual impairments or cognitive disorders that could affect participation. * History of recent vascular complications, surgical procedures for lower limbs in the last 6 months, or amputation above the metatarsophalangeal joint. * Severe DPN with Michigan Diabetic Neuropathy Score (MDNS) above 30, or abnormal nerve conduction studies. * Pregnancy or unwillingness to participate.