Neurologist Questions Neurologist

Burning sensation in sole of both feet?

For the last year and a half, I have been suffering from a burning sensation in the sole of both feet. The neurologist diagnosed me with sural neuropathy. The medication is not giving much relief. It aggravates me in the summer months. Will acupressure slippers help?

Male | 65 years old

11 Answers

Idiopathic Neuropathy symptoms may presents with either burning, tingling, numbness, pin & needles, pressure. Were any test like an EMG or NVC tests ordered? Next, an epidermal nerve fiber density biopsy may need to be performed to rule out the possibility of a condition of " Small fiber Density Neuropathy of either and/or the Delta A fibers myelinated and C fibers unmyelinated have decreased in size, and quantity, and/or morphology of the these nerves in the skin. A punch biopsy is beneficial in help to make the diagnosis. There are several cause of neuropathic pain such as but not limited to Discussed the possible etiological factors/origins of the Peripheral Neuropathy possibly secondary to: arthritic joint, Spinal Stenosis, Radiculopathy, abnormal gait, Diabetes, Alcohol abuse, Vitamin B deficiencies, Autoimmune diseases, such as rheumatoid arthritis and lupus, in which the immune system attacks your own tissues, or Kidney, liver or thyroid disorders.
Discussed the various conservative treatment options: taping, massage, supportive shoe, therapeutic steroid injections, orthotics, physical therapy, limit activities, avoid barefoot ambulation, NSAID, pain meds, Anti-seizure medications such as gabapentin (Neurontin), topiramate (Topamax), pregabalin (Lyrica), carbamazepine (Tegretol) and phenytoin (Dilantin). Antidepressants medications such as Tricyclic antidepressant medications, such as amitriptyline and nortriptyline (Pamelor). Food Supplements: 1. Benfotiamine 150mg) + 2. Vitamin B Complex . Take one tablet once daily. 3. Acetyl L Carnitine 400mg . Take one tablet once daily with meals. 4. Alpha Lipoic acid 200 mg. Take one tablet once daily with meals.
Recommend an Epidermal Nerve Fiber Density Biopsy to be scheduled if the patient symptoms worsen.
Recommend Neurologist Consultation with NCV and EMG studies if the patient symptoms worsen. .
Discussed the benefits of food supplements and vitamins in the treatment of neuropathy affecting the lower extremity:

1. The patient may benefit from taking the following Dietary Food Supplements: Recommend continue Diabetic Nerve Rejuvenator . Disp: #90. Sig: Take 1 PO twice daily for treatment of neuropathy affecting the feet, and lower extremity, bilateral.

2. Discussed the major components Benfotiamine which is the folic acid portion helps in improving oxygen saturation of the red blood cell there by decrease the ischemic affect of the nerve and soft tissue, whereas the B6 and B12 components may help to repair the damage nerve(s) of the lower extremity. Alpha Lipoic Acid may help to reduce symptoms of numbness, burning, pins & needles, tingling, and prickling pain in the feet and legs. Acetyl L –Carnitine may help in decreasing pain, nerve regeneration, and improve vibratory perception in patients with chronic neuropathy, and/or diabetic neuropathy. The information I have provided in attempting to answer your question can be discussed by a foot specialist -podiatrist who is comfortable in treating this condition. Also, if you have diabetic induced neuropathy then there are several medications that your primary care provider can prescribed for the treatment of neuropathy pain (Lyrica, Gabapentin, Cymbalta) . I hope that my information help you but without talking to you to gather more health information I just decided to talk about idiopathic neuropathy. Seek the professional care of a foot specialist whom is comfortable in treating neuropathy of the feet and lower extremity.

I would suggest researching peripheral neuropathy for supplements and available treatments. Make sure you do not have diabetes or bad circulation.Stay away from Neurontin as there are many side effects
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Depends on your diagnosis. This could be due to diabetes as peripheral neuropathy. Or vascular compression or impingement of a nerve. Might need neurontin after a nerve conduction study.
Probably not. You may want to consider some physical therapy to address the sural neuropathy.
Acupressure may help but I would discuss with your neurologist about adjustment of the medication you are taking, as changing the dose may give you relief
I would think that they probably wouldn’t do anything except lighten your wallet. I would seek an opinion from a neurosurgeon or pain specialist. This may be your lower spine or Charcot Marie Tooth disease. This is easy to diagnose.
Acupuncture with an expert may help. Slippers will not. There are some medications that can help with the pain. A pain management doctor could help you.

I'm not sure that sural neuropathy would cause burning in the sole of your foot. The posterior tibial nerve innervates the sole of your foot. I would see a foot specialist to see if you have tarsal tunnel syndrome.
Acupressure slippers may help. Ask your neurologist if they think IV Immunoglobulin therapy might help with your problem. It does not work for everything but sometimes is miraculous. Also, Capsaicin creams may help if you use them correctly. Orally, you can take gabapentin or Lyrica for the pain. If it is only numbness and there is no pain associated with the problem, you may not find relief. Neuropathy pain is sometimes treatable. The numbness usually is not correctable.
Hi, when it comes to neuropathy, it is very important to find out the reason for the neuropathy. neuropathy means the nerve is loosing the feeling and function of what it suppose to do. Burning sensation is the symptom of your body telling you the nerve is abnormal. Causes can be numerous from diabetes, alcohol, lead, trauma, injury etc... Ones the cause is found and addressed, then the treatment options can begin to help. To address your question, accupuncture slippers can help with the symptoms, but may not help the cause of your neuropathy.
You must be evaluated there is no fast answer