Neuropathy in the feet usually starts in the toes and spreads upward in a "stocking" pattern. It can feel like burning, pins and needles, numbness or walking on cotton wool. Because feeling is reduced, injuries can go unnoticed.
Common causes
Diabetes, chemotherapy, HIV, B12 deficiency, alcohol, thyroid problems, and some medicines.
Burning, numb or tingling feet for months? Get the free guide and a doctor review of your scan.
What helps
- Find and treat the cause
- Medicines for pain
- Daily foot checks, well-fitting shoes, never walking barefoot: foot care
- Balance exercises to prevent falls
- Newer options: PRP, stem cells
Symptoms in the feet
- Burning, tingling or electric shocks, often worse at night
- Numbness, as if wearing socks when you are not
- Not feeling the floor properly, affecting balance
- Cold or very warm feet
- Unnoticed cuts or blisters
Tests your doctor may do
Monofilament and tuning-fork tests, reflexes, blood tests (sugar, B12, thyroid, kidney), and nerve conduction studies.
Burning, numb or tingling feet for months? Get the free guide and a doctor review of your scan.
Treatment options
- Stem cell treatment: a minimally invasive option to support nerve repair
- Treating the cause (blood sugar, B12, alcohol)
- Medicines for pain
- PRP around nerves
- Foot care and balance exercises
Shoes and socks
Choose wide, deep shoes with cushioned soles; seamless socks; and never walk barefoot, even at home.
Common questions
Can foot neuropathy spread? It often slowly moves up the legs and may later affect the hands.
Is walking good? Yes, with good shoes and daily foot checks.
