Download FREE Practo app
Get ₹200 HealthCash
Burning feet from 5 years
I have been experiencing a severe burning sensation in both feet, usually starting in the evening and becoming much worse at night. The burning is sometimes so severe that I am unable to sleep properly and it is affecting my quality of life.
I have consulted multiple doctors and was finally referred to a neurologist. I have undergone ECG, Echo, NCS/nerve conduction study, physical neurological examination, ferritin, iron profile, Vitamin B12 and Vitamin D tests. All the reports were normal, and the neurologist said that there was no obvious nerve-related problem on examination. However, the exact cause of the burning could not be identified.
The neurologist prescribed Cap Aton 300 mg to be taken daily at around 7 PM, but I have not noticed any improvement.
Answers (11)
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Let others know if this answer was helpful
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Let others know if this answer was helpful
I can understand how distressing this is when it disturbs your sleep. Burning feet with a normal nerve conduction study is usually a small fibre neuropathy, which the routine NCS cannot pick up, so a normal report does not mean nothing is wrong. Common causes worth excluding again are prediabetes (please get fasting sugar, post meal sugar and HbA1c, not just fasting), thyroid function, kidney function, HbA1c along with vitamin B6 excess from supplements, alcohol intake, and rarely coeliac disease. Restless legs, plantar fasciitis, tarsal tunnel compression and simple footwear related pressure also give evening burning. About your treatment, Aton 300 mg is pregabalin, and for small fibre pain the dose usually needs slow upward titration under your neurologist's guidance rather than being abandoned as ineffective, so please go back to him and discuss increasing it or adding duloxetine or nortriptyline instead of stopping on your own. Meanwhile keep the feet cool, avoid hot water soaks, wear soft wide cushioned footwear, do not walk barefoot on hot floors, avoid alcohol, and stop any high dose vitamin B6 supplement. Please seek prompt review if you develop weakness of the feet, foot drop, ulcers, colour change of the toes or bladder symptoms. You are welcome to consult me here with all your reports (fee Rs 500) or at Synergy Multispeciality Hospital, Miraj.
Answered
Let others know if this answer was helpful
Articles you may like
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.