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What Causes Burning Feet And Numbness Below Knees While Weaning Off Methadone?
Question: I have been on methadone for 35 years I jumped at 6mil and am 10 days into wd. I have developed burning feet and numbness from my knees down. very painful! Is there any chance this will get better or is this nerve damage permanent? This started 2 years before I started withdrawl.
Brief Answer:
Cause of neuropathy has to be evaluated and treatment modified
Detailed Answer:
Hello Piezinski,
I have gone through your question and understand your concerns.
Painful neuropathy in lower limbs has to be evaluated properly.
At this age many causes are there for neuropathy like diabetic , toxin, myeloma, vitamin deficiency, vasculitis.
You need to be investigated on lines of neuropathy.
You should get nerve conduction studies, blood tests for renal function, liver function, immunoelectrophoresis for myeloma, ANA for vasculitis.
Nerve biopsy may be required later on.
Consult a neurologist for proper examination, evaluation and treatment accordingly.
For neuropathic pain you can take pregabalin, gabapentin, amitryptylline, topiramate. Opioids can also be used.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Cause of neuropathy has to be evaluated and treatment modified
Detailed Answer:
Hello Piezinski,
I have gone through your question and understand your concerns.
Painful neuropathy in lower limbs has to be evaluated properly.
At this age many causes are there for neuropathy like diabetic , toxin, myeloma, vitamin deficiency, vasculitis.
You need to be investigated on lines of neuropathy.
You should get nerve conduction studies, blood tests for renal function, liver function, immunoelectrophoresis for myeloma, ANA for vasculitis.
Nerve biopsy may be required later on.
Consult a neurologist for proper examination, evaluation and treatment accordingly.
For neuropathic pain you can take pregabalin, gabapentin, amitryptylline, topiramate. Opioids can also be used.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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