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What Causes Burning Sensation In Ankles, Feet And Lower Legs?

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Posted on Wed, 28 Sep 2016
Question: Hi, I have been having a feeling in my lower legs that troubles me. From my ankles downward thru my feet. It feels as though they are on "fire" as thought I had rubbed Vicks Vaporub on them. They do not feel cold to the touch, but seem cold to me--any suggestions--
doctor
Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Peripheral neuropathy more likely

Detailed Answer:
I read your question carefully and I understand your concern.

Judging from that description it seems to be typical peripheral neuropathy. It is caused by damage to peripheral nerves and manifests usually with such hot or cold abnormal sensations in the feet.

Causes can be many such as diabetes, alcohol, nutritional deficiencies, medications and toxins, rheumatological conditions, infections etc....the list can be very long. At times even after all tests have been done no cause is found, happens in 25% of cases unfortunately.

So usually it is started by testing for most common causes and if nothing is found rarer causes are searched. Routine initial tests include nerve conduction studies, blood glucose and glucosylated hemoglobin, liver and kidney function, electrolyte panel, blood count, vitamin B12 levels etc.

Management when the cause is found consists naturally in addressing it accordingly. To alleviate the symptoms medication for neuropathic pain is used like Gabapentin or Pregabalin.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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What Causes Burning Sensation In Ankles, Feet And Lower Legs?

Brief Answer: Peripheral neuropathy more likely Detailed Answer: I read your question carefully and I understand your concern. Judging from that description it seems to be typical peripheral neuropathy. It is caused by damage to peripheral nerves and manifests usually with such hot or cold abnormal sensations in the feet. Causes can be many such as diabetes, alcohol, nutritional deficiencies, medications and toxins, rheumatological conditions, infections etc....the list can be very long. At times even after all tests have been done no cause is found, happens in 25% of cases unfortunately. So usually it is started by testing for most common causes and if nothing is found rarer causes are searched. Routine initial tests include nerve conduction studies, blood glucose and glucosylated hemoglobin, liver and kidney function, electrolyte panel, blood count, vitamin B12 levels etc. Management when the cause is found consists naturally in addressing it accordingly. To alleviate the symptoms medication for neuropathic pain is used like Gabapentin or Pregabalin. I remain at your disposal for other questions.