Burning feet are a frequent issue and difficult to get to the bottom of and hard to deal with because it can often not really be apparent what is causing the symptoms. The burning feet syndrome is usually described by an unusual experience of burning and heaviness that happens from the feet and legs. In the past, it was first explained by Grierson in 1826 who had been the first person to record the signs and symptoms of burning feet. A more detailed account was recorded by by Gopalan in 1946, so sometimes the burning feet syndrome was also often known as Grierson-Gopalan syndrome.
There is typically virtually no particular aetiology or reason for burning feet syndrome and the reason is frequently idiopathic or unidentified. It may be linked to nutritional or endocrine causes such as a vitamin B insufficiency, the painful neuropathy occurring in type 2 diabetes, in people that have kidney failure especially if on dialysis, or with hypothyroidism. Burning feet are more common in those older than 50 years however it can and does occur at all ages. The symptoms are usually described by way of burning feeling, a heavy feeling, a numb feeling or a boring ache that happens mainly in the foot. It is almost always only on the soles of the feet but might rise to include the top of the feet, ankles or on the lower legs in some instances. The arms and palms of the hands are normally not impacted, but in the event that they may be, then this really should be looked into further. Sometimes individuals could complain of 'pins and needles' or prickling kind of feeling in the feet. Usually, the signs and symptoms are generally more serious through the night and are relatively improved during the day time. Also, they are not made more intense with increased levels of exercise or weightbearing which will signal an orthopaedic condition as opposed to the neurological involvement in burning feet syndrome. Assessment of the feet and lower limbs by a health professional frequently sees no objective signs and symptoms. A variety of investigations, especially blood tests are generally frequently carried out to look for some of the distinct problems that could cause the condition.
The therapy for burning feet syndrome may either have particular actions that are directed at the source (eg diabetic neuropathy, pinched nerves, thyroid gland conditions) and general measures which might be helpful in all cases. These types of common options include the using of open and comfortable shoes, maybe those with arch supports, and also putting on natural cotton socks is oftentimes beneficial. Relief from the signs and symptoms could be brought about by the immersing the feet in cooler water for around fifteen minutes. Additionally it is essential to stay away from exposing the feet to sources of warmth. There are drug therapies including tricyclic antidepressants and membrane layer stabilising chemicals (such as carbamazepine or gabapentin) which are used in the much more serious conditions. You will find side affects associated with these medications, but they are important at offering relief for the signs and symptoms when it is required. Even with the usage of medicines, the management of the signs and symptoms could be a tough and some people will should be assessed by a expert pain clinic and given strategies to help deal with the pain sensation.