Diabetes mellitus is the most common, non-communicable, heterogeneous metabolic disorder which is characterized by hyperglycemia and has attained epidemic proportions worldwide. Long standing Diabetes mellitus leads to various musculoskeletal and systemic complications which most commonly include peripheral neuropathy and foot conditions leading to loss of protective sensation, limited joint movement, atrophy of intrinsic muscles of foot, decreased strength of lower limbs due to affliction of both large and small diameter afferent as well as efferent axons causing impaired balance and postural stability. It has been reported in various studies that diabetes mellitus patients have impaired foot-ankle muscle strength as assessed via hallux grip force, hallux plantar strength and manual muscle testing. Patients with decreased hallux grip force are shown to have diminished foot-ankle muscle strength and associated impairment in balance and postural stability. Also, alterations in muscle activity have been found in patients with diabetes.