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What Causes Severe Pain In The Heel?

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Posted on Thu, 20 Oct 2016
Question: I am having irritating pain in the bottom of both of my feet. Feels like they are hot and sensitive.
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Answered by Dr. Scott Rebich (2 hours later)
Brief Answer:
Peripheral neuropathic pain

Detailed Answer:
Hi there,

This sounds like you might have neuropathy or neuropathic pain involving your feet. Neuropathic pain is not itself a disease, but rather a symptom that is associated with multiple different diseases. Thus it is not enough to define its presence without searching for a cause. It is defined as the sensation derived from the abnormal discharges of impaired or injured neural structures in either the peripheral or central nervous system. The most common diseases are diabetes and AIDS. It is almost always described by burning, hot or cold, “icy hot,” “pins and needles,” stinging, lancinating, sharp, shooting in any area that resembles a sock or glove (if hands are involved).

I would recommend getting routine screeningblood work done which includes electrolyte, metabolic, endocrine, and infectious causes. Anerve biopsy can be done, but is usually not needed if there is an abnormality on your labs.

At the same time, your doctor will be able to give you medication that is specific and very effect for the neuropathic pain. Peripheral neuropathy in diabetics increases the risk of foot ulcerationand infections by sevenfold.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Scott Rebich

Internal Medicine Specialist

Practicing since :2015

Answered : 283 Questions

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What Causes Severe Pain In The Heel?

Brief Answer: Peripheral neuropathic pain Detailed Answer: Hi there, This sounds like you might have neuropathy or neuropathic pain involving your feet. Neuropathic pain is not itself a disease, but rather a symptom that is associated with multiple different diseases. Thus it is not enough to define its presence without searching for a cause. It is defined as the sensation derived from the abnormal discharges of impaired or injured neural structures in either the peripheral or central nervous system. The most common diseases are diabetes and AIDS. It is almost always described by burning, hot or cold, “icy hot,” “pins and needles,” stinging, lancinating, sharp, shooting in any area that resembles a sock or glove (if hands are involved). I would recommend getting routine screeningblood work done which includes electrolyte, metabolic, endocrine, and infectious causes. Anerve biopsy can be done, but is usually not needed if there is an abnormality on your labs. At the same time, your doctor will be able to give you medication that is specific and very effect for the neuropathic pain. Peripheral neuropathy in diabetics increases the risk of foot ulcerationand infections by sevenfold.