Use of Alpha Lipoic Acid in Physical Therapy

As specialists in Physical Medicine and Rehabilitation, our primary goal is to both reduce patients’ symptoms and enhance their quality of life throughout the treatment process. In recent years, one of the supportive therapies that has drawn increasing attention in our clinical practice is alpha lipoic acid. Known for its antioxidant properties, this natural compound has found its place in treatment protocols due to its benefits across various fields.

What is Alpha Lipoic Acid?

Alpha lipoic acid is a powerful antioxidant involved in cellular energy production and is also naturally synthesized in the body. Thanks to its solubility in both fat and water, it can act effectively in cell membranes as well as within the intracellular fluid. This characteristic provides broader protection compared to many other antioxidants.

Effects on Metabolism and Blood Sugar Regulation

Alpha lipoic acid is especially used as an adjunct treatment in diabetic patients due to its blood sugar-regulating effects. By helping glucose enter the cells more efficiently, it increases insulin sensitivity. This contributes to the prevention of blood sugar fluctuations and reduces diabetes-related complications.

Moreover, by regulating metabolism, it enhances the efficiency of energy production processes. As a result, its ability to accelerate weight loss has also been reported. In individuals with obesity and metabolic syndrome, supplementation with alpha lipoic acid, combined with lifestyle modifications, has shown positive outcomes.

Use in Neuropathy and Nerve Compression

In our clinical practice, one of the most prominent uses of alpha lipoic acid is in the treatment of neuropathies. Especially in diabetic neuropathy or in cases of nerve compression that cause numbness, burning sensations, and pain, alpha lipoic acid provides benefits through its neuroprotective and regenerative effects.

By reducing oxidative stress in the nerves with its antioxidant effect and improving blood circulation, it alleviates pain and decreases numbness. For this reason, it is widely used as a supportive therapy in both diabetic neuropathy patients and in nerve compressions caused by lumbar or cervical disc herniations.

Longevity and Healthy Aging

Alpha lipoic acid is not only a therapeutic option for specific diseases but also stands out in the field of longevity and healthy aging. By reducing the impact of free radicals at the cellular level, it prevents premature tissue damage. With regular use, it helps prevent age-related metabolic disorders, musculoskeletal pain, and neural degeneration.

Intravenous Administration

Alpha lipoic acid can be used orally as a supplement; however, in patients with more severe symptoms, it may also be administered intravenously. Intravenous treatment provides faster relief and is especially beneficial for patients with severe neuropathic pain. We integrate this application into our practice for suitable patients alongside other therapeutic methods.

Conclusion

In summary, alpha lipoic acid is an important complementary treatment option that:

• Regulates blood sugar,
• Balances metabolism and accelerates weight loss,
• Reduces complaints caused by neuropathy and nerve compression,
• Relieves pain and numbness,
• Contributes to healthy aging and vitality,
• Can be enhanced through intravenous administration.

As Physical Medicine and Rehabilitation specialists, our aim is to use alpha lipoic acid in appropriate patients to increase treatment success and help our patients achieve a better quality of life.

Dr. Elif Berber, M.D.
Assistant Professor of Physical Medicine and Rehabilitation