The Michigan Neuropathy Screening Instrument (MNSI)

The Michigan Neuropathy Screening Instrument helps clinicians detect nerve damage in diabetic patients. It pairs a survey with a foot exam to identify risks early.

Michigan Neuropathy Screening Instrument (MNSI) PDF questionnaire for diabetic neuropathy
MNSI

Michigan Neuropathy Screening Instrument (MNSI)

The Michigan Neuropathy Screening Instrument (MNSI) is a two-part tool used to screen for diabetic neuropathy. Combining a questionnaire with a physical foot exam, it helps clinicians spot nerve damage early. It’s a key test for preventing serious complications like foot ulcers in diabetic patients.

Category

Diagnostic
Physical health
Sensory

Disease

Assessment
Diagnostics
Clinical Care

Source

(Herman et al., 2012)

Author Name

Feldman, E.L., Stevens, M.J., Thomas, P.K., Brown, M.B., Canal, N. & Greene, D.A. (1994)

What is Michigan Neuropathy Screening Instrument (MNSI)

The Michigan Neuropathy Screening Instrument (MNSI) is a trusted tool for checking diabetic peripheral neuropathy and spotting nerve damage early on. This assessment splits into two distinct sections. The first part is a self-administered questionnaire, while the second involves a detailed physical foot exam. Patients answer fifteen simple Yes or No questions about leg sensations plus pain. Afterward, a healthcare pro checks foot appearance, ulceration risk, ankle reflexes, and vibration perception to build a complete clinical picture for the patient file. It is quick to use in busy clinics and does not hurt at all. Doctors use it often for diabetes care to stop foot ulcers before they start. It is really useful for tracking changes over time and making sure treatment plans work well for long-term patient health outcomes in daily clinical practice.

MNSI Scoring

The Michigan Neuropathy Screening Instrument can be scored using two main approaches: a survey and a physical exam.1. Questionnaire: Patients answer 15 yes or no questions about leg and foot sensation. We tally abnormal responses to get a total out of 13, as two questions generally do not count. A score of 7 or higher indicates trouble.2. Physical Assessment: A clinician inspects the feet for deformities, dry skin, and ulcers. They also test ankle reflexes and vibration perception. Each foot earns points for deficits, summing to a max score of 10. A score greater than 2 typically flags diabetic neuropathy.

View scoring form

Advantages

Diagnostic accuracy

Enables precise identification of patient health status.

Efficient collection

Streamlines research data gathering process.

15
Minutes
20
Questions

Streamline Michigan Neuropathy Screening Instrument assessments with WeGuide

Digitise your neuropathy screening workflow. Automate MNSI collection and track patient foot health over time.

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