The bottom of feet Tingling and Burning sensation is the feeling of heat in the bottom of your feet. It could be due to fatigue, skin infection, or certain micronutrient deficiencies. The persons affected with the condition are supposed to feel like the bottom of their feet is swollen and getting red with pain even though there is no infection due to heat that feels like burning.

The feeling of tingling and numbness in the feet is felt continuously as well. Most people also claim that their feet are more sensitive to even touch, it could be minor to severe depending on the cause of the disease. It is often felt during a long walk or walking for too long, but it’s not the real cause. It is the most irritating condition and here in this article, you will learn how to get rid of it.

Symptoms

The most common symptoms include:

• Sensations of heat or burning, often worsening at night
• Numbness in the feet or legs
• Sharp or stabbing pain
• A feeling of heaviness in the feet
• Dull ache in the feet
• Skin redness or excess warmth
• Prickling or tingling or a feeling of “pins and needles”

Causes

The bottom of feet tingling and burning sensation may be caused by nerve damage in the legs also known as Neuropathy. It could be due to exposure to certain toxins, or deficiency of vitamin B, chronic alcohol use, HIV infection, and many chronic diseases like:

1. Diabetes mellitus
2. chronic kidney disease (uremia)
3. Small fiber neuropathy
4. Vitamin deficiency, folate, and occasional vitamin B
5. Low or high thyroid hormone
6. Lyme disease
7. Amyloid polyneuropathy
8. Drug side effects, including chemotherapy drugs, vitamin B6 overdose, amiodarone, isoniazid, metformin, and others
9. Erythromelalgia
10. Heavy metal poisoning (lead, mercury, arsenic)
11. Vasculitis (inflammation of blood vessels)
12. Sarcoidosis
13. Guillain-Barre syndrome (GBS)
14. Chronic inflammatory demyelinating polyneuropathy (CIDP)

Neuralgia of the periphery

 This is one of the most typical causes of feet problems. Damage to the peripheral sensory nerves that carry signals from the spinal cord to the extremities causes this condition. Peripheral neuropathy is more likely to occur in those with long-term diabetes or poorly regulated blood sugar levels. Peripheral neuropathy associated with diabetes develops gradually and may get worse with time. Chemotherapy, inherited illnesses, auto-immune disorders (including rheumatoid arthritis), exposure to toxic chemicals, infections, kidney failure, alcoholism, and dietary imbalances are other possible conditions that can result in peripheral neuropathy (vitamin B deficiency, malabsorption syndrome).

Tarsal tunnel disorder

 A small area inside the ankle, close to the ankle bones is called the tarsal tunnel. Parts of the foot may experience burning, or discomfort if the posterior tibia nerve, which runs behind the largest long bone of the lower leg, is compressed or squeezed inside the tarsal tunnel. It can also affect the inner ankles and calf muscles of the legs.

Nerve entrapment or injury

Nerve injury could have a variety of reasons. It can be brought on by several illnesses, surgeries, the use of chemotherapy treatments or other medications, exposure to chemicals, back trauma, or the progressive deterioration (degenerative alterations) of the spine.

Metabolic or endocrine problems of diabetes

Both type 1 and type 2 diabetes have the potential to impact the body’s peripheral nerves, particularly the sensory nerves in the feet and legs. Peripheral nerve injury can occur as a result of high glucose levels or poorly managed diabetes, especially in the long run. High blood sugar levels can weaken blood vessel walls and impair how these neurons transmit impulses.

Hypothyroidism

Along with weight gain, dry skin, or weariness, an underactive thyroid gland can result in burning and tingling of the feet.

Infections

Runner’s Foot- The fungi that cause this fungal infection, known as dermatophytes, thrive in warm, moist areas of the skin and resemble mold. The fungi can develop in humid conditions, on wet shoes and socks, and in other places.

Burning and tingling can also be brought on by neuropathy, infections, and foot inflammation. The most typical of them is athlete’s foot, a fungus-based skin illness. Burning feet are other common symptoms of peripheral artery disease (PAD). Foot soreness, and tingling, are common symptoms of inadequate blood flow to the feet, especially when walking. Some sufferers of gastric bypass surgery report foot burning weeks or months after the procedure. After a gastric bypass, poor B vitamin absorption can result in neuropathy in the legs and the feeling of burning feet.

Diagnostic criteria for bottom of feet tingling and burning

Most patients who have burning feet have a known reason, such as diabetes. For some persons, a simple diagnosis of burning feet brought on by neuropathy eliminates the need for additional testing.

Further testing could be required in a small number of cases where the burning sensation is abrupt, quickly getting worse, or has no apparent cause. These tests may consist of the following:

• Electromyography (EMG) (EMG). an examination of muscle performance using recordings of internal muscle electrical activity. For an EMG test, a probe may be applied to the skin or a needle may be injected into the muscle.
• study of nerve conduction. The ability of nerves to convey impulses is examined during a nerve conduction investigation. When a neuron is stimulated, the muscle it controls responds, and the response is then measured.

Tests in the lab conducted for spinal fluid, urine, or blood may occasionally be advised to assist identify the cause of burning feet. A quick blood test can be used to determine vitamin levels in the.

Neuro biopsy Rarely, a doctor can advise removing some nerve tissue and analyzing it under a microscope.

Treatment of the burning and tingling of the feet

The main goal of treatment for neuropathy-related burning feet is to stop any further nerve damage. In certain instances, treating the underlying illness will help with neuropathy and other symptoms. When there is no known cause for another condition, such as tiny fiber neuropathy, the doctor will concentrate on treating the patient’s symptoms.

Treatment for diabetic neuropathy involves maintaining normal blood sugar levels. In most cases, this calls for dietary adjustments, oral medication, and frequent insulin injections. Preventing additional nerve damage is crucial for those who have various types of neuropathy that cause burning feet.

The following conditions and their therapies are specific:

• vitamin shortage and deficiency can cause the bottom of the feet to tingle and burn. Specifically, vitamins B1, B2, B6, and B12 are responsible for neuronal health and the prevention of the tingling of the feet bottom.
• Limiting alcohol use helps nerve repair and prevents chronic renal disease. Kidneys are used to remove the toxins that are causing the symptoms of neuropathy and the burning of feet.
• Hypothyroidism may also be linked with bottom of feet tingling and burning. Oral thyroid hormone therapy diminishes low thyroid levels and frequently reverses neuropathy and burning foot symptoms.
• Highly specialized therapies include immune globulin treatment or plasma exchange (plasmapheresis). Treatments for feet may include addressing the discomfort and disconcerting feelings neuropathy causes.

Most common medications used to treat the bottom of feet tingling and burning

• Amitriptyline
• Carbamazepine (Tegretol)
• Desipramine (Norpramin)
• Duloxetine (Cymbalta)
• Gabapentin (Neurontin)
• Pregabalin (Lyrica)
• Venlafaxine with topiramate (Topamax) (Effexor XR)

To lessen the intense suffering of burning and tingling of feet that some people face frequently, more painkillers may be required.

Many patients who experience burning feet might get relief from pain using over-the-counter medications such as Advil, Aleve, Motrin IB, and Tylenol. For severe pain, prescription painkillers like tramadol (Ultram) or low-dose opiates (narcotics) may be required.

Antifungal medications can treat the fungus that is causing burning feet brought on by an athlete’s foot and lessen the symptoms of the condition. First, try over-the-counter medications like miconazole (Micatin) or terbinafine. Fluconazole (Diflucan), itraconazole, and other prescription antifungals.

Must consult a physician for proper treatment of the disease or disorders.

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