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Burning sensation in feet
Non diabetic, no bp issue. Regular jogger since last 20 yrs. Steps abt 20K a day. Walk 30 mts after food ( 3 times a day ). Do regular stretching exercises. Inspite of this getting lot of burning sensation in feet. Subsides if use Ice pack 2-3 times a day. Normal feet sole structure. Vit D3, B12, Thyroid profile, sugar profile, Liver, lipid, kidney profile normal. Most blood parameters are normal. Kindly suggest some remedial measures. I cannot do away with my running regime. Pl do the needful.
BV Sreedhar
Answers (12)
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Avoid fried and spicy food
Water intake more
Do connect and consult
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✓Normal routine labs with
Marked relief with ice/cooling ,indicates
Most likely it's
Small nerve fiber neuropathy ..
Next Steps
✓include a multivitamin that includes
Benfotiamine (B1)
Alpha-lipoic acid
Magnesium glycinate (night)
Omega-3 fatty acids
Health Tips
consult with your neurologist
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion*
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Not sure if you are aware. Foot crush haemolysis etc are very common in runners. So just carry on. Medications are not recommended.
All the best.
J G S R clinic
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Lot of advise u got from lot of doctors.
Definitely change shoes as advised.
Use of ice is also good.
Treatment
Gabapentine300 two times a day after food for five days.
Neurokind od after dinner for 3to5 weeks.
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Given your age, high daily step count, long-term jogging history, normal metabolic tests, and relief with ice packs, the most likely causes are overuse-related nerve irritation, exercise-induced small-fiber neuropathy, or plantar nerve compression (burning feet syndrome) rather than diabetes or vitamin deficiency. This is commonly seen in highly active older adults with sustained repetitive foot impact.
Next Steps
Review and upgrade footwear to well-cushioned, shock-absorbing running shoes with adequate forefoot space
• Use gel or silicone insoles to reduce plantar nerve stress
• Reduce impact load without stopping activity: mix jogging with brisk walking or cycling on some days
• Continue post-exercise ice application, which is clearly helping
• Add calf, plantar fascia, and intrinsic foot muscle strengthening exercises
• A short, low-dose neuropathic pain modulator may help if symptoms persist, under medical guidance
Health Tips
• Avoid ignoring progressive burning, numbness, or night pain
• If symptoms worsen or start affecting sleep, a nerve conduction study / small-fiber neuropathy evaluation may be needed
• Avoid barefoot walking on hard surfaces
• Do not keep increasing mileage until symptoms are controlled
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Review the jogging shoes, should be thick, feet well enclosed and comfortable.
If results are normal, take tab gabba pentin 300mg one morning and one evening for 15 days.
Tab neurobion forte one daily for 15 days.
Reduce amt of running for some time.Once you get relief, resume and then increase gradually.
Connect online after 2 weeks. Treatment can be reviewed after 2 weeks.
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This appears more consistent with overuse-related or small-fiber neuropathic pain rather than systemic disease. With shoe correction, surface modification, neuropathic support, and load adjustment, most runners can continue activity safely with good symptom control.
Next Steps
lower limb doppler scan to ruled out Deep vein thrombosis (DVT).
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Sir get lower limb arterial and venous Doppler and then consult a local physician. We need to rule out DVT
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Get nerve conduction study done and have a follow up
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Do yoga
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