Burning feet are one of the most common symptoms of small-fibre peripheral neuropathy. It is often worse at night. Diabetes is the leading cause, but B12 deficiency, thyroid problems, alcohol, chemotherapy, HIV and some medicines can also cause it.
Quick relief
- Cool (not ice-cold) water soaks for a few minutes
- Breathable socks and shoes
- Capsaicin cream on the feet (wash hands after)
- Keep bedding off the feet at night
Burning, numb or tingling feet for months? Get the free guide and a doctor review of your scan.
Longer-term
- Blood tests for sugar, B12, thyroid and kidney function
- Medicines if pain disturbs sleep
- See neuropathy treatment options
Common causes of burning feet
| Cause | Clues |
|---|---|
| Diabetes | Both feet, worse at night |
| B12 deficiency | Long-term metformin, vegan diet, tiredness |
| Alcohol | Heavy long-term drinking |
| Chemotherapy | Started during or after treatment |
| Thyroid or kidney problems | Other symptoms such as tiredness |
| Small-fibre neuropathy | Normal nerve studies, burning pain |
Night-time relief
- Keep feet cool and uncovered
- A short cool soak before bed
- Capsaicin cream earlier in the evening
- Treat pain properly so you can sleep
Burning, numb or tingling feet for months? Get the free guide and a doctor review of your scan.
When to see a doctor
Burning that lasts more than a few weeks, spreads, or comes with numbness or weakness needs assessment and blood tests.
Treatment beyond creams
If burning persists despite treating the cause, a doctor can review your case and tell you whether stem cell treatment or PRP could help calm the nerves.
