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Burning Foot Dyndrome

Burning feet are a common condition and difficult to reach the bottom of and difficult to deal with as it can typically not really be clear why you have the symptoms. The burning feet syndrome is generally characterised by a strange experience of burning and heaviness that occurs from the legs and feet. In the past, it was first written about by Grierson in 1826 who had been the first person to report the symptoms of burning feet. A far more comprehensive explanation was offered by Gopalan in 1946, so sometimes the burning feet syndrome had also been termed Grierson-Gopalan syndrome.

You can find frequently simply no particular aetiology or reason behind burning feet syndrome and the cause is frequently idiopathic or unknown. It is usually linked to nutritional or endocrine causes such as a vitamin B deficiency, the painful neuropathy occurring in diabetes mellitus, in those with kidney failure particularly if on renal dialysis, or in hypothyroidism. It is more common in people older than 50 years but it could and does occur at all ages. The symptoms are typically characterised by a burning feeling, a heaviness, a numbness or a dull ache that occurs mainly in the foot. It is usually only on the bottom of the feet but may rise to include the dorsum of the feet, ankles or up the lower legs sometimes. The forearms and palms of the hands are usually not affected, but in the event that they can be, then this has to be investigated further. Sometimes people could report of 'pins and needles' or tingling type of experience in the feet. Normally, the signs and symptoms are more intense at night and they are relatively better during the day time. They're also not made more painful with additional levels of exercise or weightbearing which may signal a musculoskeletal condition instead of the neurological involvement in burning feet syndrome. Evaluation of the feet and legs by a doctor typically finds no objective signs and symptoms. A selection of investigations, particularly blood tests are generally often carried out to look for any of the particular problems that could cause the condition.

The therapy for burning foot syndrome can both have particular measures that are aimed at the cause (eg diabetic neuropathy, pinched nerves, thyroid conditions) and general actions that can be useful in some cases. These types of general methods include the using of open and comfortable footwear, perhaps those having arch supports, and also using cotton socks is oftentimes effective. Respite from the symptoms can be brought about by the immersing your feet in cooler water for approximately 15 minutes. It's also vital that you stay away from exposing the feet to sources of heating. There are pharmacological therapies which include tricyclic antidepressants and membrane layer stabilising substances (such as carbamazepine or gabapentin) which have been utilized in the more significant situations. You can find side affects connected with these medications, but they are significant at offering reduction for the symptoms when it's necessary. Even with the use of drugs, the management of the symptoms could be a problematic and some individuals will should be evaluated by a expert pain center and given strategies to help live with the pain sensation.