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What Causes Painful Lower Legs And Feet At Night?

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Posted on Tue, 14 Oct 2014
Question: my feet and lower legs begin to burn very much late at night when I am in bed. lately right to next morning. today I noticed swelling behind my knees. it looked like there was some lymph note swelling. please help. pretty scary.
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Answered by Dr. Mukesh Chugh (27 minutes later)
Brief Answer:
It is must to rule out diabetes

Detailed Answer:
Hi
Thanks for writing
The burning sensation in your feet may be caused by any disease which interferes with the blood and nerve supply of the legs. Although many medical conditions can cause burning feet, Diabetes is the most common cause leading to nerve damage that is neuropathy.
In neuropathy, the leg nerves tend to become damaged first, at their furthest ends in the feet. This leads to tingling and numbness in the feet as well.
Do you smoke and take alcohol because there consumption may lead to burning sensation in feet.
Beside diabetes other common causes are-
Chronic kidney disease (uraemia)
Vitamin deficiency (vitamin B12 and occasionally vitamin B6)
Alcohol abuse
Low thyroid hormone levels
Vasculitis (inflammation of blood vessels)

My advice for you would be get following blood test done to find out the cause -
Fasting and after meal(pp) blood sugar test, Urine routine and microscopic test, Thyroid profile, Level of vitamin B12,Blood urea and serum creatinine level.
As far as swelling behind knee is concerned,is it painful to touch? It could be inflammation of lymph nodes secondary to infection.
Take care and I shall be glad to answer any further query
Regard
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Mukesh Chugh

Orthopaedic Surgeon, Joint Replacement

Practicing since :1997

Answered : 1619 Questions

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What Causes Painful Lower Legs And Feet At Night?

Brief Answer: It is must to rule out diabetes Detailed Answer: Hi Thanks for writing The burning sensation in your feet may be caused by any disease which interferes with the blood and nerve supply of the legs. Although many medical conditions can cause burning feet, Diabetes is the most common cause leading to nerve damage that is neuropathy. In neuropathy, the leg nerves tend to become damaged first, at their furthest ends in the feet. This leads to tingling and numbness in the feet as well. Do you smoke and take alcohol because there consumption may lead to burning sensation in feet. Beside diabetes other common causes are- Chronic kidney disease (uraemia) Vitamin deficiency (vitamin B12 and occasionally vitamin B6) Alcohol abuse Low thyroid hormone levels Vasculitis (inflammation of blood vessels) My advice for you would be get following blood test done to find out the cause - Fasting and after meal(pp) blood sugar test, Urine routine and microscopic test, Thyroid profile, Level of vitamin B12,Blood urea and serum creatinine level. As far as swelling behind knee is concerned,is it painful to touch? It could be inflammation of lymph nodes secondary to infection. Take care and I shall be glad to answer any further query Regard