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A burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. Although many medical conditions can cause burning feet, diabetes is the most common. Most burning feet treatments focus on preventing further nerve damage and reducing pain.
Most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound.
In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling.
Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Many other conditions can cause neuropathy or a burning sensation in the feet:
Weeks or months after gastric bypass surgery, some people experience a burning feet sensation. Poor absorption of B vitamins after gastric bypass can cause neuropathy in the legs and a sensation of burning feet.
Most people who have burning feet have a likely cause (such as diabetes) that can be identified. For these people, the diagnosis of burning feet due to neuropathy is straightforward, and additional testing is not needed.
In a few people whose burning sensation is sudden, rapidly worsening, or has no explainable cause, further testing may be needed to make a correct diagnosis. These tests may include:
The most important treatment for burning feet due to neuropathy is to stop any ongoing nerve damage. In some cases treatment of the underlying disease will improve the neuropathy and symptoms. In other situations, like a small fiber neuropathy, where no cause can be identified, the physician will focus on treating the person’s symptoms.
For people with other forms of neuropathy that cause burning feet, preventing further nerve damage is equally important. Specific conditions and their treatments include:
Burning feet treatments include treating the pain and abnormal sensations created by neuropathy. Some commonly prescribed medications for burning feet include:
Other pain medications may be necessary to reduce the severe discomfort some people experience from burning feet. Over-the-counter medicines like Advil, Aleve, Motrin IB, and Tylenol control pain in many people with burning feet. Prescription pain relievers like tramadol (Ultram) or low-dose opiates (narcotics) may be necessary for severe pain.
For burning feet caused by athlete’s foot, antifungal drugs can cure the fungal infection and relieve burning feet symptoms. Over-the-counter medicines like miconazole (Micatin) or terbinafine (Lamisil AT) should be used first. Prescription antifungals like fluconazole (Diflucan), itraconazole (Sporanox), and naftifine (Naftin) are also available.
Originally Published By WebMD.com