Abstract
A 10year old female with polyneuropathy associated with chronic kidney disease presented with knee joint pain, bilateral ankle joint stiffness, numbness in distal extremities and had difficulty in walking without assistance. She was on maintenance hemodialysis twice a week. Her comorbidity included hypertension. She was almost bed bound and dependent with respect to all activities of daily living. Examinations revealed generalized muscle weakness, poor balance and diffused DTRs. The NCV study showed motor sensory axonal neuropathy. Polyneuropathies could be a consequence of systemic illness. In case like such coordination of clinical care becomes the crucial component in management. Multifactorial exercise rehabilitation improved muscle strength, functional ability and fatigue along with pain relief. Exercise is a supportive therapy for neuropathic patients associated with CKD that ought to be viewed more in a serious way. KEY WORDS: Polyneuropathy, Chronic kidney disease, Physical exercise.
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