Neuropathy and Burning Feet

What is peripheral neuropathy?

Peripheral neuropathy means that nerves outside the brain and spinal cord are not working normally. Symptoms often begin in the toes and feet. Diabetes is a common cause, but vitamin problems, nerve compression, medicines, alcohol use, and other conditions can also contribute.

Common symptoms

• Burning, tingling, or pins and needles
• Numbness or reduced temperature awareness
• Sharp, electric, or sensitive pain
• Balance problems or weakness
• Symptoms that are worse at night

Some people have nerve damage without noticeable symptoms. Reduced feeling can allow a blister or wound to worsen before it is discovered.

Why it happens

The cause may involve diabetes, circulation concerns, vitamin deficiency, kidney disease, medication effects, back or nerve compression, injury, or an inherited condition.

How we evaluate burning or numb feet

We check sensation, reflexes, strength, skin, circulation, and balance. EMG and NCV testing may be recommended to study nerve and muscle function. Blood work or coordination with another clinician may help identify the cause.

Treatment options

Treatment focuses on the cause, symptom relief, and protection of the feet. It may include:

• Medical management of the underlying condition
• Medication or topical treatment when appropriate
• Protective shoes or custom inserts
• Balance and fall prevention strategies
• Regular skin and nail checks
• Treatment of a focal nerve entrapment when identified

Numbness is not harmless. Daily foot checks help find cuts, blisters, or pressure areas early.

When to schedule an appointment

Schedule care for persistent burning, tingling, numbness, weakness, or balance change. Seek prompt care for a new wound, spreading infection, or sudden weakness.

Frequently asked questions

Does neuropathy always mean diabetes?

No. Diabetes is common, but there are many possible causes. Evaluation helps guide appropriate testing.

Can damaged nerves recover?

Recovery depends on the cause and how long the nerve has been affected. Treatment may reduce symptoms and prevent further injury even when sensation does not fully return.

Why do my feet need regular checks?

Reduced feeling can hide injuries. Finding skin changes early lowers the chance that a small problem becomes serious.

How to prepare for your appointment

Bring a medication list, relevant glucose information, prior circulation or nerve test results, and the shoes you wear most often. Tell us about previous wounds, infections, or changes in sensation.

Related care

You may also want to explore diabetic foot care, neuropathy, and wound care.

Foot and ankle care close to home

Signature Foot and Ankle provides personalized care at our Boynton Beach and Loxahatchee offices. Call 561 203 9285 or request an appointment online.