What causes burning, tingling and numbing pain in feet?

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Posted on Wed, 25 Feb 2015 in Brain and Spine
Question: I am a 67 yrs old male with no diabetes but a slight hypertension (140/80). For the past 2 years I have developed burning, tingling, numbness & pain in the feet. I also have sciatica with pain in the lower back, buttocks, hamstring & calves. My thyroid tests & Vit B12 level are normal. could my problem be related to a deficiency in Vit B1 due to alcohol consumption (I am a light drinker).
doctor
Answered by Dr. Ajay Panwar 1 hour later
Brief Answer:
Vitamin B1 deficiency can commonly cause these symptoms.

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

If you would have presented to me as an outpatient,I would have told you that 'Yes-Chronic alcohol abuse very commonly cause peripheral neuropathy due to thiamine(vitamin B1) deficiency'. Its classical presentation is burning dysesthesias in toes and feet along with cramping pain in legs.This can be a likely cause in your case,if you have history of alcohol intake.

However,sciatica with pain in lower back,buttocks and calves, may be due to a separate etiology.Regarding this,please consult a spine specialist and get a Magnetic resonance imaging(MRI) of lumbosacral(L-S) spine done.This may be due to some degenerative process in spine.

For now ,you need to stop alcohol,start therapy with tab.optineuron and keep under observation.PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.

Hope I have answered your query.If you have some queries,please follow-up else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Ajay Panwar 1 hour later
Is Optineuron the same as Neurobion Forte ? What is the dosage I need to take ? Are oral pills ok or do I need to take injections ?
doctor
Answered by Dr. Ajay Panwar 21 minutes later
Brief Answer:
Neurobion forte is fine.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

Neurobion forte is fine.
It is preferable to get intramuscular injections of Neurobion forte once a day for initial 7 days,and then once a week for 6 weeks.After initial 7 days, you should start taking Tab. Neurobion forte once a day.

Stop taking alcohol.PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.
Hope I have answered your query.If you have some queries,please follow-up else,please close the thread-rate it and write a review.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1794 Questions

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