Objective: Diabetes is a global epidemic and one of the most leading complications of diabetes is peripheral neuropathy. Recent research and clinical practice focus is on symptomatic or painful diabetic peripheral neuropathy (PDPN). The objective of this paper was to review the physiotherapy management methods for symptomatic management in PDPN patients. Methods: The therapeutic modalities reported in MEDLINE, EMBASE, SCOPUS, Ovid, CINAHL and Google Scholar were searched independently and 29 suitable trials were identified and reviewed. The selected studies were grouped under each treatment method and were described under exercise therapy, electrotherapy, actinotherapy and manual therapy in the review. Results: The physiotherapy management of PDPN patients includes transcutaneous electrical nerve stimulation, pulsed electromagnetic energy, frequency-modulated electromagnetic neural stimulation, electrical stimulation, photon stimulation, monochromatic near-infrared (anodyne) light therapy, static magnetic fields, and acupuncture. One study studied combined efficacy of electrotherapy with pharmacotherapy in PDPN patients. Conclusion: The review findings would facilitate clinicians, researchers and stakeholders to understand the established physiotherapy treatment options for symptomatic management of patients with painful diabetic peripheral neuropathy, and also rehabilitation clinicians and therapists to develop better treatment methods in the future.