Do you feel a burning sensation in your feet at night? Does the burning pain give you long, uncomfortable days and sleepless, agonising nights? Show
You could be suffering from burning feet syndrome. This foot problem is characterised by a sensation of burning in the feet that can either be periodic or constant. Moreover, the level of pain can be mild during the day and severe during the night. But why do your feet feel uncomfortably hot, especially at night? In this post, we’ll share the different causes of burning feet syndrome that we see and help with here at Adelaide Foot and Ankle. Contents hide 1 What causes burning feet? 1.1 1.Foot Posture and Other Foot Problems 1.2 2.Athlete’s Foot 1.3 3.Too much alcohol consumption 1.4 4.Vitamin Deficiencies 1.5 5.Diabetic Peripheral Neuropathy 1.6 6.Small Fiber Neuropathy 1.7 7.Tarsal Tunnel Syndrome (Nerve Compression or Entrapment) 1.8 8.Charcot Marie Tooth Disease (CMT) 1.9 9.Morton’s Neuroma 1.10 10.Kidney Disease 1.11 11.Complex Regional Pain Syndrome 1.12 12.Erythromelalgia 1.13 13.Hypothyroidism 1.14 14.Peripheral Artery Disease 2 How is the burning sensation in the feet diagnosed? 3 How is burning feet syndrome treated? 4 Worried About Burning Feet Syndrome? We Can Help What causes burning feet?Burning feet or Grierson-Gopalan Syndrome typically affects the elderly. Nevertheless, it can affect anyone for several reasons. Whilst the common cause of burning feet syndrome is nerve damage that is often associated with diabetes, there are other causes. Hence, it’s essential to ascertain the cause to receive the appropriate treatment. Some causes of burning feet can be due to wearing ill-fitting shoes or a fungal infection like athlete’s foot, which can be remedied at home. For burning feet with severe pain, it is necessary to seek help from your foot doctor or podiatrist to detect the underlying cause of your foot problem. 1.Foot Posture and Other Foot ProblemsFoot posture can affect how your feet handle pressure every time you walk. Whilst your body weight is evenly distributed as you walk, certain arches of the foot can make you prone to experiencing localised pressure. Consequently, it can lead to redness and a burning sensation. Considered the opposite of flat feet, high-arched feet are the most common example of bad foot posture that can lead to burning feet syndrome. Heel Pain or plantar fasciitis concept. Hand on foot as suffer from inflammation feet problem of Sever’s Disease or calcaneal apophysitis.
For this type of foot arch, weight distribution is concentrated on the heel and the ball of the foot. These areas of the foot take an excessive amount of pressure when you’re walking or standing. Likewise, walking can place tremendous pressure on other foot problems such as prominent swollen joints, warts, corns and calluses, which can potentially result in burning sensations. 2.Athlete’s FootTinea pedis, more commonly known as Athlete’s foot, is a contagious fungal infection that produces a temporary burning sensation on the feet. This foot problem is caused by dermatophytes, mould-like fungi that thrive in the skin’s moist, warm areas. Humid environments such as damp shoes and socks allow the growth and spread of fungi. If you have athlete’s foot, you may experience itching, stinging or burning sensation between the soles of the feet and between your toes. Other symptoms of athlete’s foot include:
The burning sensation you experience is due to the dermatophytes feeding on keratin, a type of fibrous protein found in our hair, nails and the outer layer of our skin. Fortunately, athlete’s foot can be treated with antifungal products and other home remedies. 3.Too much alcohol consumptionDrinking too much alcohol can put you at risk of alcoholic neuropathy, a type of nerve damage that can cause weakness, tingling and burning feet. Other symptoms of alcoholic neuropathy include:
Treatment for alcoholic neuropathy includes stopping alcohol use and eating a well-balanced diet. When following a balanced diet, make sure you’re getting the right nutrients, especially B vitamins. 4.Vitamin DeficienciesAccording to a report, malnutrition can also cause a burning sensation in the feet. A deficiency of certain B vitamins can lead to the bottom of the foot burning at night. Additionally, it can cause problems with muscle coordination. Older people who lack certain B vitamins (vitamin B-6, B-9 (folate) & B-12) in their diet are at risk of nerve damage. Anemia caused by the lack of healthy red blood cells may also be caused by deficiencies in B vitamins. Common symptoms of vitamin deficiency anemia are shortness of breath, dizziness and fatigue. 5.Diabetic Peripheral NeuropathyWikimedia
Peripheral neuropathy is one of the common symptoms of diabetes that causes numbness, weakness and short bursts of pain. It often occurs in the hands and feet. Diabetic peripheral neuropathy is the result of nerve damage in the brain and spinal cord. You are more likely to develop this type of peripheral neuropathy if you have had diabetes for a long time. You can also develop diabetic neuropathy if you haven’t been controlling your blood glucose levels for several years. According to a report, lower limb nerve damage affects around 13% of Australians with diabetes. Elevated blood sugar levels that are uncontrolled over a prolonged period can lead to peripheral nerve damage or diabetic neuropathy. Treatment for diabetic neuropathy includes:
6.Small Fiber NeuropathySmall fiber neuropathy (small fibre neuropathy) is another type of peripheral neuropathy that involves nerve damage leading to burning feet syndrome. It is often the result of a damaged myelin sheath, a protective covering of the peripheral nerves. When the myelin sheath weakens, it slows down the transmission of electrical impulses. This creates changes to the sensations in the feet. Further, the ongoing nerve damage can turn a burning feet sensation into a numbing sensation over time. The most common symptom of small fibre neuropathy is nerve pain. The other symptoms are:
Risk factors of small fibre neuropathy include:
The underlying disease will be the basis in treating this type of peripheral neuropathy. For instance, if the small fibre neuropathy is caused by diabetes, treatment would include maintaining a healthy weight and controlling blood sugar levels. 7.Tarsal Tunnel Syndrome (Nerve Compression or Entrapment)Tarsal tunnel: Wikimedia
Tarsal tunnel syndrome is a form of nerve damage inside a small, narrow tunnel that runs from the ankle to the foot. The tarsal tunnel is a thick, protective ligament that houses the tendons, veins, arteries and nerves. When the posterior tibial nerve inside the tarsal tunnel is compressed or squeezed, it can lead to sensations of burning in the feet. Oftentimes, the sensation is a sharp, radiating foot pain that affects certain parts of the lower legs such as the inner ankles and calves. About 43% of patients with tarsal tunnel syndrome have been found to have some sort of injury or trauma. Compression of the posterior tibial nerve often activates the production of neural symptoms such as the sensation of burning feet. Here are possible causes of tarsal tunnel syndrome:
Here at Adelaide Foot and Ankle, we give our patients orthotics and shoe inserts. Wearing these devices can give more room around the tunnel thereby reducing the likelihood of compression or entrapment of the nerves. 8.Charcot Marie Tooth Disease (CMT)Charcot Marie Tooth disease is also known as hereditary motor & sensory neuropathy and peroneal muscular atrophy. It is a progressive neurological disorder that causes injury to the peripheral nerves, particularly in the lower legs. What makes Charcot Marie Tooth disease different from other neurological disorders is that it is inherited. Additionally, the nerve damage worsens over time. CMT affects the nerves and muscles of the hands and feet. Often, the muscles become abnormally weak. Also, abnormal stresses can cause small cracks in the bone. Treatment may require the use of orthotics to reduce the risk of further injuries. Weakness or paralysis in the hands and feet are some of the early symptoms of CMT. A patient may also experience cramping pain that can range from mild to severe. Moreover, some patients may develop a high-stepping gait or have difficulty lifting their feet. Eventually, loss of muscle mass (muscle atrophy) may develop as well. 9.Morton’s NeuromaEvery nerve that leads to the toes is surrounded by nerve tissue. When such a tissue thickens, it compresses (or squeezes) the nerve and causes a sharp, burning sensation in the ball of the foot. You may either have numbness or a burning sensation in the affected toes. Wearing tight, narrow footwear has been known to aggravate Morton’s neuroma. The toe bones get compressed, pinching the nerve. But wearing high-heeled shoes seems to be the leading cause since this condition affects more women than men. Whilst there are no outward signs of Morton’s neuroma, you may experience certain symptoms such as:
Treatment for Morton’s neuroma includes:
10.Kidney DiseaseBurning feet is also one of the complications of kidneys that have stopped functioning properly. Kidney failure causes the build-up of toxins in the blood. Around 10% of patients with kidney disease have tenderness and swelling in the lower legs, not to mention the sensation of burning feet. Dialysis is a common treatment for kidney diseases. However, it involves removing waste products and excess fluids from your body. Consequently, dialysis also removes vitamin B1 (thiamine) from the blood. As a result, a patient may experience pain and burning in the feet due to nutritional deficiencies. Even so, such a case is rare since dialysis patients receive vitamin B1 supplements during treatment. Common complications of kidney failure include:
11.Complex Regional Pain SyndromeWikimedia Complex regional pain syndrome (CRPS) is a rare disorder that brings severe pain in a limb. More often than not, an injury or surgery can trigger this disorder, which involves damage to the nerves of the brain and spine. The symptoms of complex regional pain syndrome include:
Whilst injury or surgery has caused over 90% of CRPS cases, such a disorder is rare, which suggests that genetic factors could also be involved. 12.ErythromelalgiaErythromelalgia (or Erythermalgia) is a condition that can be mistaken for CRPS since it also presents redness of the skin and intense burning pain. It is a rare condition that can make walking, sleeping and other tasks challenging. Erythromelalgia is also a chronic condition, which means it stays with the affected person for life. Additionally, the symptoms of a burning sensation may worsen over time. Erythromelalgia typically affects the feet but it may occur on the:
The underlying cause of Erythromelalgia is still unknown. But it is thought to have something to do with a certain dysfunction in the blood vessels that causes abnormal blood flow to the extremities. The main symptoms of Erythromelalgia include:
13.HypothyroidismHypothyroidism is a common disorder of the endocrine system that may induce neurological disorders in the early stage of the disease. Also referred to as underactive thyroid, Hypothyroidism is a condition where the thyroid gland is not producing enough thyroid hormone to be released into the bloodstream. Nerve damage is one of the symptoms of an underactive thyroid, which may also include burning feet syndrome. According to a study, peripheral neuropathy is more likely an early symptom of Hypothyroidism. An underactive thyroid can slow down your metabolism. As a result, you always feel tired, you’ll gain weight and are unable to tolerate cold temperatures. 14.Peripheral Artery Disease
Peripheral Artery Disease (PAD) is a disorder involving the blood vessels that run from the heart to the legs. PAD is the narrowing of the artery or blood vessel walls as a result of plaque build-up. This type of peripheral neuropathy causes foot pain that is often triggered by walking or exercising. The narrowing or blocking of blood flow deprives the lower limbs of oxygen, resulting in pain and burning sensation in the feet. Symptoms of PAD typically appear during walking or exercise and may go away after a few minutes of rest. The symptoms of PAD are:
How is the burning sensation in the feet diagnosed?When you have burning sensations in the feet, it is best to see your doctor to prevent further nerve damage. Your doctor will perform a physical exam to indicate that you have:
Also, you will be asked about your medical history, which may include any pain medications you’re taking and about the symptoms you’re experiencing. You might also undergo blood tests for:
How is burning feet syndrome treated?Treatment for burning feet will depend on the underlying cause of the patient’s medical conditions. Certain treatments can be straightforward. For instance, your doctor may prescribe antifungal products if you have an athlete’s foot. Podiatrists may recommend remedies such as:
For diabetic neuropathy, a change in your diet may be required. Certain drugs may also be prescribed to alleviate nerve pain. A study suggests that electrical nerve stimulation can be an effective alternative treatment for patients with diabetic peripheral neuropathy. Home remedies:
Worried About Burning Feet Syndrome? We Can HelpThe best way to manage the pain and burning in feet at night is to undergo a proper diagnosis of the cause. At Adelaide Foot & Ankle, our podiatrists carry out thorough assessments to determine the cause of the burning feet sensation you’re experiencing. We apply evidence-based procedures from the first-class services we have available. We have helped residents in the inner north and northwestern parts of Adelaide, and we’d love to help you too. Request an appointment today! How do I stop my feet from burning in my bed?How do I stop my feet from burning in my bed?. Soak your feet for at least 15 minutes in cool water. This could give you some temporary relief.. Heat should not be applied to your feet.. Raise your legs and feet.. Take over-the-counter pain medicines (analgesics). .... Apply topical creams and ointments.. Should I be worried about burning feet?Schedule an office visit if you:
Continue to experience burning feet, despite several weeks of self-care. Notice that the symptom is becoming more intense and painful. Feel the burning sensation has started to spread up into your legs. Start losing the feeling in your toes or feet.
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