Neuropathy in your feet and how to treatment in Dallas & Plano; Peripheral neuropathy is a condition that commonly affects the legs and arms. Neuropathy in your feet is when the nerves that carry pain signals from your feet to your brain gets damaged or affected.
When this happens, you may start feeling pain, numbness, or tingling in your feet. You may feel pain in your feet even when there is no injury or trauma causing the pain. The nerves in your feet begin to malfunction and your brain begins to receive wrong pain signals.
Neuropathy in your feet prevents you from making good use of your feet. You may be unable to stand, walk, or run with your feet. It affects your daily use of your legs and ultimately affects your general wellbeing.
Symptoms of neuropathy pain in the feet
The symptoms of neuropathy pain in the feet may slightly defer from person to person. This means that the symptoms one person experiences may be slightly different from the symptoms another person experiences.
Common symptoms include:
- Shooting, burning or stabbing pain
- Tingling and numbness
- Spontaneous pain
- Pain that occurs without a trigger
- Evoked pain, or pain caused by events that are normally not painful
- Chronic sensation of feeling unpleasant or abnormal
- Difficulty sleeping or resting
- Emotional problems and loss of sleep
- Constant pain may occur intermittently
- Sharp pain or cramps
- Reduced ability to feel pain or numbness
- Changes in body temperature
- The weakness of the muscles
- Loss of reflexes
- Increased skin sensitivity
- Severe foot problems
- Bone or joint pain
- Loss of balance
- Excessive sweating
- Heat intolerance
- Changes in blood pressure
- Nausea or vomiting
- Abdominal bloating
- Blurred vision
Causes of neuropathy pain in the feet
Common causes of neuropathy pain in the feet include:
Cancer treatment may cause neuropathy pain. Cancer treatments such as chemotherapy and radiation can impact the nervous system and cause unusual pain signals.
Injuries to tissue, muscles, or joints are an uncommon cause of neuropathy pain. Back, leg and hip problems or injuries can damage the nerves leading to pain.
Infections, though not a common cause of neuropathic pain can lead to nerve damage. Infections such as Shingles can trigger several weeks of neuropathic pain along a nerve. Postherpetic neuralgia is a rare complication of shingles that involves persistent neuropathic pain. Syphilis infection can lead to burning and stinging pain. Certain bacteria and viruses directly attack the nerve tissues in the body. Examples are Epstein-Barr virus, hepatitis B and C, leprosy, diphtheria, and HIV.
Autoimmune diseases like rheumatoid arthritis, lupus, Guillain-Barre syndrome, chronic inflammatory demyelinating polyneuropathy and vasculitis affect the peripheral nervous system in various ways. Chronic inflammation and damage to tissues, as well as pressure caused by inflammation, can all lead to severe nerve pain.
Bone marrow disorders
Bone marrow disorders such as an abnormal protein in the blood (monoclonal gammopathies), a form of bone cancer (myeloma), lymphoma and the rare disease amyloidosis can affect the nerves and cause neuropathy.
Some other types of diseases such as kidney disease, liver disease, connective tissue disorders and an underactive thyroid can cause nerve damages.
Alcohol can have a toxic effect on nerve tissues. Alcoholism can lead to vitamin deficiencies. People who take excess alcohol are at a higher risk of peripheral neuropathy.
Exposure to toxic chemicals like glue, solvents, or insecticides can also cause nerve damage. Exposure to heavy metals such as lead and mercury can also cause nerve damage.
Most people with diabetes develop some type of neuropathy. Diabetes is one of the most common causes of nerve damages
People with a family history of neuropathy are likely to develop the disorder.
Cancerous and noncancerous growths and tumors can develop on the nerves causing neuropathy.
Exposure to poisons
Exposure to poisonous substances and chemicals can cause peripheral neuropathy.
Certain medications such as anticonvulsants, drugs for bacterial infections, medications for cancer treatment, and some blood pressure medications can cause peripheral neuropathy.
Injury or trauma
Injury or trauma from motor vehicle accidents, fractures, falls or sports injuries are some common causes of nerve damages.
Holding still in a position for too long or inactivity can cause neuropathy.
Increased pressure on the median nerves can lead to peripheral neuropathy.
When the body lacks B vitamins such as B-1, B-6 and B-12, vitamin E and niacin, it could lead to peripheral neuropathy.
Your doctor will conduct a physical exam and ask you to describe the kind of pain you feel in your feet. You may be asked if anything triggers the pain.
Your doctor may ask you to undergo some tests such as blood and nerve tests to ascertain the cause of the pain.
Treatment of neuropathy pain
Neuropathic pain is best treated by identifying the root cause of the pain and treating it.
Common treatments options for neuropathic pain include:
Over-the-counter pain medication
Nonsteroidal anti-inflammatory drugs (NSAIDs), such as Aleve and Motrin, are sometimes used to treat neuropathic pain.
Opioid pain medications may be used to reduce neuropathic pain. However, they don’t usually reduce neuropathic pain as much as they reduce other types of pain.
Topical medications and ointments
Topical pain relievers such as lidocaine patches, capsaicin patches, and prescription-strength ointments and creams can also be used to relieve pain.
Antidepressant medications such as tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors can be used to relieve neuropathic pain.
Anti-seizure medications and anticonvulsants such as Gabapentinoids are often used to treat neuropathic pain.
Injecting steroids, local anesthetics, or other pain medications into the nerves responsible for the transmission of pain signals can be used to relieve the pain.
Implanting a device in your brain or spine may be used to stop irregular nerve signs and control symptoms. The device sends electrical impulses into the brain, spinal cord or nerves. Only patients who haven’t responded well to other treatment options may need this device.
Physical therapies, relaxation, and massage therapies can also help to relieve symptoms of neuropathic pain.