There are various possibilities according tto your history.
1) Peripheral neuropathy (can occur without
diabetes.)
2)
Vitamin deficiency
3) Erythromelalgia
Next Steps
Assuming normal: CBC, ESR, Folate,
Vitamin D,
LFT.
Following test can be done.
ANA
Nerve conduction studies (NCS)
EMG (electromyography)
Vitamin B12 and other micronutrient levels
Thyroid profile (
TSH, T3, T4)
Serum protein electrophoresis (to rule out certain immune causes)
Possibly skin biopsy if small fiber neuropathy is suspected
Health Tips
Capsaicin tropical cream to be applied twice daily in moderation for 5 days.
Avoid alcohol.
Follow up with reports