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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Pain And Tingling Sensation In The Feet Be Treated?

i have had forefoot pain for approx. 4 years. one year ago I had a small neuroma removed by an orthopedic. it was not successful as continue experiencing pain. pain includes tingling, burning and discomfort if standing long periods. often feels like pressure inside forefoot at night. I am now having similar pain in other forefoot. H1C levels are normal as my PCP checks 3-4x a year. any suggestions or assistance appreciated. thanks
Wed, 6 Jun 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Burning and tingling are possibly due to neuropathy, which refers to abnormal function of the nerves in the area.

There are different possible causes including-
(1) low vitamin B12 or folate levels
(2) abnormal levels of vitamin B6
(3) diabetes
(4) liver or kidney disease
(5) thyroid disease
(6) due to mass compressing a nerve or other trauma to a nerve
(7) exposure to toxins
(8) neurological conditions such as multiple sclerosis or stroke

Blood tests and imaging of the spine may be needed to find the exact cause but there are medication that can help e.g. Tegretol, Lyrica, Amitriptyline, etc.

I hope this helps.
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How Can Pain And Tingling Sensation In The Feet Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Burning and tingling are possibly due to neuropathy, which refers to abnormal function of the nerves in the area. There are different possible causes including- (1) low vitamin B12 or folate levels (2) abnormal levels of vitamin B6 (3) diabetes (4) liver or kidney disease (5) thyroid disease (6) due to mass compressing a nerve or other trauma to a nerve (7) exposure to toxins (8) neurological conditions such as multiple sclerosis or stroke Blood tests and imaging of the spine may be needed to find the exact cause but there are medication that can help e.g. Tegretol, Lyrica, Amitriptyline, etc. I hope this helps.