Peripheral Neuropathy and Burning Feet
Burning pain in the feet is one of the most troubling and quality-of-life-impairing symptoms in peripheral neuropathy. It is caused by malfunction of the peripheral sensory nerves supplying the feet, creating abnormal pain signals even without physical stimulation. In Faridabad, with India's high diabetes prevalence, diabetic peripheral neuropathy is the most common cause of burning feet -- but several other causes exist and require different management.
Causes of Burning Feet
Diabetic peripheral neuropathy: most common cause. Progressive, bilateral, length-dependent (starts in feet). Vitamin B12 deficiency: common in vegetarians, elderly, patients on metformin. Tarsal tunnel syndrome: tibial nerve compression at the ankle causing burning pain in the sole of the foot. Peripheral arterial disease: burning from ischaemia -- important to identify and refer urgently. Chemotherapy-induced neuropathy: burning feet from cancer treatment drugs. Small fibre neuropathy: burning pain with normal standard nerve conduction tests.
Physiotherapy Approach
Addressing Compressive Causes
For tarsal tunnel syndrome: neural mobilisation techniques, footwear modification, orthotic correction of foot mechanics that increase tarsal tunnel pressure.
Balance and Proprioception Rehabilitation
Peripheral neuropathy impairs the proprioceptive function of the foot, significantly increasing fall risk. Balance training with visual compensation strategies is an essential component of neuropathy management.
TENS for Neuropathic Pain
TENS is one of the most evidence-based non-pharmacological treatments for neuropathic pain. We provide home TENS programmes alongside clinic treatment.
Burning Feet Treatment in Faridabad
At Realign Rehab Clinic, NIT-5, Faridabad, we treat peripheral neuropathy comprehensively. Book your assessment today.
