Burning Feet: Causes and Seeking the Right Specialist

Burning sensation in the soles of the feet?

I constantly feel a burning sensation in the soles of my feet, and they become sore and weak after standing for a long time.
I have consulted many specialties, but no cause has been identified.
Could you please advise if there might be an issue, or which specialty I should consider for further examination? Thank you.

Su, 50~59 year old female. Ask Date: 2022/06/22

Dr. Jiang Junyi reply Neurology

Dear Ms.
Su,
You mentioned that you feel a constant burning sensation in the soles of your feet, which is indicative of peripheral neuropathy.
Symptoms of peripheral nerve compression include: 1.
Pain characterized by burning and tingling sensations.
2.
Symptoms that have a specific band-like distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle weakness and fatigue.

Blood tests should include differential diagnosis for possible complications such as anemia, hyperthyroidism/hypothyroidism, diabetes, autoimmune diseases, and neurosyphilis, among others.
Peripheral nerve examinations typically utilize electrophysiological methods to assist in diagnosis.

Nerve conduction studies assess the conduction velocity and waveform of large fiber nerves.
Electromyography evaluates the muscle response in the areas supplied by the affected nerves.

I recommend that you visit a neurology clinic for further examination and follow-up.
Thank you for your inquiry, and feel free to discuss any related questions!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2022/06/22

More Info

Burning feet, or a sensation of heat in the soles of the feet, can be a perplexing and uncomfortable condition. It is often associated with various underlying causes, and understanding these can help in seeking the right medical specialist for diagnosis and treatment.

One of the most common causes of burning feet is peripheral neuropathy, which is damage to the peripheral nerves. This condition can result from a variety of factors, including diabetes, alcohol abuse, vitamin deficiencies (especially B vitamins), and certain medications. Diabetic neuropathy is particularly prevalent, as high blood sugar levels can damage nerves over time. If you have a history of diabetes or other metabolic disorders, this could be a significant factor.

Another potential cause of burning feet is poor circulation. Conditions such as peripheral artery disease (PAD) can restrict blood flow to the extremities, leading to sensations of heat, pain, or cramping, especially after prolonged standing or walking. If you experience symptoms like leg pain or cramping during activity, it may be worth investigating your vascular health.

Additionally, burning feet can be a symptom of conditions such as multiple sclerosis, hypothyroidism, or even certain infections. Inflammatory conditions like rheumatoid arthritis can also lead to nerve damage and burning sensations in the feet.
Given that you have already consulted multiple specialists without a clear diagnosis, it may be beneficial to consider a neurologist, as they specialize in nerve-related issues. A thorough neurological examination can help determine if there is any nerve damage or dysfunction contributing to your symptoms. Additionally, a podiatrist may also be helpful, especially if your symptoms are related to foot mechanics or structural issues.

In terms of diagnostic tests, your healthcare provider may recommend nerve conduction studies or electromyography (EMG) to assess the function of your nerves and muscles. Blood tests can also help identify underlying conditions such as diabetes, vitamin deficiencies, or thyroid dysfunction.

Lifestyle factors can also play a role in the sensation of burning feet. For instance, wearing tight shoes or standing for long periods can exacerbate discomfort. Ensuring proper footwear and taking breaks to rest your feet can provide some relief.
In summary, burning feet can stem from a variety of causes, including peripheral neuropathy, poor circulation, and other systemic conditions. It is essential to work closely with a healthcare provider to explore these possibilities and receive appropriate testing. A neurologist or podiatrist may be the most suitable specialists to consult for further evaluation and management of your symptoms. Remember, addressing any underlying conditions and making lifestyle adjustments can significantly improve your quality of life.

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