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What Causes Burning Pain On Feet?

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Posted on Mon, 9 Feb 2015
Question: I have terrible burning an pain in my hole feet started in the bottom. Now I have shooting pains in legs also. Half my hand an fingers feel the same way . The heads ip here is I have 3 Dr.s that don'.t agree 2 are neuraliogst 1 primary care . 1 ruled out neuraphaty1 says that I have homocystenie primary goes with neuraphaty. Can you please advise?
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Answered by Dr. Ajay Panwar (35 minutes later)
Brief Answer:
It appears to be very classical of peripheral neuropathy.

Detailed Answer:
Hi XXXX
Thanks for being on Healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

Burning pain in feet and legs;fingers and hands-is very classical,rather hallmark of length dependent peripheral neuropathy. Common causes are-
1)Diabetes

Please get a blood sugar(fasting and post prandial) levels done.

2)Vitamin B12 deficiency-

If low vitamin B12 levels are detected along with increased serum homocysteine levels-then it confirms vitamin B12 deficiency(This probably is the case with you if you have elevated homocysteine levels).

Some other common causes can be drugs induced(if you have some medication history except gabapentin,please tell here),smoking or alcohol induced.

Nerve conduction studies can be done to establish the diagnosis of peripheral neuropathy.

Meanwhile you can continue with Gabapentin.If symptoms not controlled-amitriptyline or duloxetine can be added(UNDER YOUR PHYSICIAN'S SUPERVISION).Methylcobalamin will also be of help.

Hope I have answered your query.If you have follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Ajay Panwar

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Practicing since :2007

Answered : 1827 Questions

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What Causes Burning Pain On Feet?

Brief Answer: It appears to be very classical of peripheral neuropathy. Detailed Answer: Hi XXXX Thanks for being on Healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. Burning pain in feet and legs;fingers and hands-is very classical,rather hallmark of length dependent peripheral neuropathy. Common causes are- 1)Diabetes Please get a blood sugar(fasting and post prandial) levels done. 2)Vitamin B12 deficiency- If low vitamin B12 levels are detected along with increased serum homocysteine levels-then it confirms vitamin B12 deficiency(This probably is the case with you if you have elevated homocysteine levels). Some other common causes can be drugs induced(if you have some medication history except gabapentin,please tell here),smoking or alcohol induced. Nerve conduction studies can be done to establish the diagnosis of peripheral neuropathy. Meanwhile you can continue with Gabapentin.If symptoms not controlled-amitriptyline or duloxetine can be added(UNDER YOUR PHYSICIAN'S SUPERVISION).Methylcobalamin will also be of help. Hope I have answered your query.If you have follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review. Dr.Ajay Panwar, MD,DM(Neurology)