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In addition to the standard questions in the history (nature, location, duration, onset, course, aggravation and treatment or NLDOCAT), some practitioners find value in incorporating a standardized questionnaire such as the Michigan Neuropathy Screening Instrument. 7 Once again, uniformity will aid the clinician when it comes to diagnosing this condition successfully. The recommended physical examination includes a comprehensive dermatologic exam including evaluation of dyshidrosis, callosities, ulcerations and other abnormalities. One should also note any deformed or limited joints, abnormal gait and evaluate the type of footwear worn by the patient. When You Need To Go Beyond The History And Physical Exam One can augment patient history and the physician exam with available diagnostic testing (objective) such as the Peripheral Specified Sensory Device.