Burning, Tingling, or Numb Feet? It Could Be Peripheral Neuropathy

Peripheral neuropathy is a common but often misunderstood condition that affects the nerves outside of the brain and spinal cord—most often in the feet and legs. For many patients, neuropathy causes tingling, burning, numbness, or even sharp pain in the feet. Left untreated, it can make walking difficult, increase the risk of falls, and lead to serious complications.

At Restore Foot & Ankle Specialists, we treat patients with neuropathy every day and help them regain comfort and mobility.

What Is Peripheral Neuropathy?

Peripheral neuropathy occurs when the peripheral nerves—the nerves that connect the brain and spinal cord to the rest of the body—are damaged. Since the longest nerves travel down to the feet, symptoms often show up there first.

Symptoms of Peripheral Neuropathy in the Feet

Patients with neuropathy commonly experience:

• Tingling or “pins and needles” sensation

• Burning or stabbing pain

• Numbness or loss of sensation

• Sensitivity to touch (even from bedsheets or socks)

• Weakness or instability when walking

• Poor balance or frequent falls

These symptoms may come and go at first but can worsen over time if the underlying cause isn’t addressed.

What Causes Peripheral Neuropathy?

Several conditions can lead to nerve damage in the feet:

• Diabetes – The most common cause, often called diabetic neuropathy.

• Vitamin deficiencies – Especially B vitamins, which are essential for nerve health.

• Alcohol abuse – Chronic alcohol use can damage peripheral nerves.

• Certain medications – Especially chemotherapy drugs.

• Infections – Like shingles or Lyme disease.

• Injury or repetitive stress – Trauma to nerves in the legs or feet.

• Other medical conditions – Such as autoimmune diseases or thyroid disorders.

Why Neuropathy in the Feet Is a Serious Concern

When the nerves in your feet can’t send or receive signals properly, you may lose the ability to feel pain, heat, or injury. This increases the risk of:

• Undetected wounds or ulcers (especially in diabetic patients)

• Infections that can spread quickly if unnoticed

• Balance problems that lead to falls and fractures

• Permanent nerve damage if untreated

For diabetic patients, untreated neuropathy can lead to serious complications, including the risk of amputation.

How Podiatrists Diagnose Peripheral Neuropathy

At a podiatry appointment, your doctor may:

• Review your medical history and medications

• Perform a physical and neurological exam of your feet and legs

• Check reflexes, muscle strength, and balance

• Conduct tests such as monofilament testing (to measure sensation), vibration testing, or nerve conduction studies

Treatment Options for Peripheral Neuropathy

While nerve damage cannot always be reversed, treatment focuses on relieving symptoms, slowing progression, and protecting foot health. Options include:

• Managing underlying conditions – Especially controlling blood sugar in diabetic patients.

• Medications – To relieve nerve pain or improve nerve function.

• Vitamin supplementation – If deficiencies are contributing to nerve damage.

• Custom orthotics and supportive footwear – To improve stability and prevent pressure injuries.

• Physical therapy and exercise – To improve balance and circulation.

• Advanced therapies – Some practices offer nerve stimulation or regenerative medicine techniques to improve nerve health.

Preventing Complications: Foot Care Tips for Neuropathy

If you have peripheral neuropathy, daily foot care is essential:

• Inspect your feet every day for cuts, blisters, or changes in skin color.

• Wash and dry your feet carefully, especially between the toes.

• Always wear shoes (even indoors) to protect against injury.

• Trim nails carefully or have a podiatrist manage them to avoid ingrown toenails.

• Wear cushioned, supportive shoes to reduce pressure points.

The Bottom Line

Peripheral neuropathy is a serious condition that often affects the feet first. Early diagnosis and treatment by a podiatrist can help relieve pain, protect against complications, and keep you active.

✅ At Restore Foot & Ankle Specialists, we provide comprehensive care for patients with neuropathy. From advanced testing to personalized treatment plans, we help you manage symptoms and protect your long-term foot health. Contact our office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.