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What Causes Burning Sensation On Both The Foot For More Than A Year In A Diabetic Leading To Difficulty In Walking?

Posted on Fri, 6 Oct 2023

Question: My Father is 72 yrs old, having diabetic for about 15yrs and on insulin for about 4yrs. He has been complaining of burning sensation on both the foot for more than a year. Doctors advised when the blood sugar is under control the burning sensation will go away. however , there is no relief as of now. Because of this burning sensation there is a difficulty in walking. Is there any cure for this or any way to reduce the burning sensation ?

Answered by Dr. Neeraj Kumar (8 hours later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
Burning pain in a diabetes is most likely due to diabetic neuropathy.
Other possibilities may be vitamin B 12 deficiency or lumbar canal stenosis.
He can take pain modulator like pregabalin,gabapentin, nortriptyline or duloxetine.
Palmiges is a new drug and can be taken twice daily.
Get advice from a neurologist too.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Neeraj Kumar (3 hours later)

Any screening test is required to identify the symptom ? please suggest.

Answered by Dr. Neeraj Kumar (21 hours later)

Brief Answer:
Get nerve conduction testing done

Detailed Answer:
Hello,
You can get a nerve conduction testing done.
The amount of nerve involvement can be ascertained.
Other blood investigations can be planned later on.
Regards
Dr Neeraj Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Kampana