burning sensation on feet

Discussion in 'Fibromyalgia Main Forum' started by pbslp, Dec 27, 2006.

  1. pbslp

    pbslp New Member

    Sometimes I have a horrible burning sensation on the bottoms of my feet. I think I saw a mention of that somewhere about fibromyalgia. Is it a symptom? or some other wierd problem I have?
  2. CanBrit

    CanBrit Member

    I also get burning sensations on my feet, lower legs and hands. My Rheumatologist said that it's peripheral neuropathy, which is just a term for nerve pain. It appears to be quite common in people with autoimmune disorders.

    All the best,

    Eileen
  3. teribelle13

    teribelle13 New Member

    Every night when I lay down my feet begin burning (bottom) and it is horrible. I sleep on our couch so that when they start burning I can lay them against the cold leather. I keep them moving to 'coldspots' for relief. I sometimes have to get up and soak my feet in ice cold water to be able to go to sleep (as this cools them, but also numbs them)
    I have pre-diabetes and heard this may cause it, too. Who knows which.
  4. virtuoso

    virtuoso New Member

    Here is one source of more information about it:

    Erythromelalgia
    From Wikipedia, the free encyclopedia
    Erythromelalgia
    Classifications and external resources
    ICD-9 443.82
    DiseasesDB 4476
    eMedicine med/730
    MeSH D004916
    Erythromelalgia, also known as Mitchell's disease (after Silas Weir Mitchell) and red neuralgia, is a rare disorder in which blood vessels, usually in the extremities and especially in the feet, are blocked and inflamed, causing a painful burning and throbbing sensation and red skin. The attacks come and go, and tend to be worse in summer. Erythromelalgia is often associated with vascular diseases such as polycythaemia vera, thrombocytosis or with heavy metal poisoning.
    The pain associated with erythromelalgia is similar to shingles or complex regional pain syndrome and is very severe. Often sufferers cannot wear shoes, making it an extremely disabling condition.
    A primary (or familial) form is termed erythermalgia. This occurs in patients who are younger.
    Raynaud's disorder is the opposite of erythromelalgia and can occur simultaneously (but on different limbs).
    [edit]Causes

    The disease is very rare. It has been linked to a mutation of the SCN9A (a sodium channel), the gene of which is located on the long arm of the second chromosome (2q24). It inherits in an autosomal dominant fashion.
    The disease itself involves reduced skin capillary density during attacks ("flaring periods"). Is always worse in the later waking hours. Erythromelalgia is in fact itself a painful small fiber sensory/sympathetic mediated neuropathy(with rheumatological vascular dynamics). In the former respect would be similar to diabetic neuropathy, reflex sympathetic dystrophy and all other small fiber neuropathic pain syndromes.
    Many sufferers of erythromelalgia find that spicy foods can also set off a flare-up. For others, a flare-up can be set off if pressure is applied to the extremities like fingers or toes. Erythromelalgia (in a mild form) can be detected by a stiff feeling, swelling, or redness in the limbs.
    Erythromelalgia is a complex enigma consisting of many neurovascular components. It is a channelopathy, and may serve as a model disease for many other diseases such as long QT syndrome, epilepsy and many others.
    Recent genetic discoveries have indicated that the size of the linker in domain I S4-S5 of Nav1.7(sodium channel) seems to be influencing the gating properties(One uncharged amino acid is replaced for another).
    [edit]Treatment

    Erythromelalgia responds to cooling, and sometimes disappears completely on taking non-steroidal anti-inflammatory drugs, such as aspirin. Cooling as a treatment is not recommended as the change in temperature may cause chronic cycles of flaring and dilation of the vessels in the extremities. There is no known permanent cure for erythromelalgia, and even with treatment, many patients still may feel the intense pain and discomfort and experience red, agitated skin at the onset of a flareup. secondary erythromelalgia is often accompanied by a malignancy.
    Treatment for EM(as with other small fiber neuropathies), involves trying different medications to see which work best for the patient. For example: anti-epileptics (lyrica), SSNRI's (Cymbalta or similar), certain calcium channel blockers (low dose with caution some can actually cause EM i.e. verapamil), tramadol, lidocaine patches, "off label" topical mixtures like (Ketamine and Elavil) combination gels in a plo base, aspirin(with caution). Some cases require stronger pain medications, spinal cord stimulators and pumps have been used with various success. Anti-oxidants and nutritional suppliments like vitamin C have also shown to help in trail studies for other similar diseases to EM(reflex sympathetic dystrophy and diabetic neuropathy). Natural alternative therapies have worked for some(Mg), RX should be tailored to fit the patient's needs and make them as comfortable as possible. Some may need sleeping or anxiety medications. Insommnia makes erythromelalgia worse.
    [edit]External links

    http://www.erythromelalgia.org/ (Non profit organization)
    synd/934 at Who Named It
    Category: Channelopathy

    Hope it helps.

    Best wishes,

    Virtuoso

  5. mbofov

    mbofov Active Member

    Burning feet can be a symptom of pantothenic acid deficiency. This happened to me several years ago. I put it off to just one more weird symptom and then happened across a book by Adelle Davis in which she talked about burning feet being a symptom of pantothenic acid deficiency.

    I started taking a good B vitamin complex and extra pantothenic acid, and the burning feet stopped.

    As you may know, pantothenic acid is crucial for adrenal gland health. Stress can wipe out the adrenal glands and deplete the body of pantothenic acid (one of the B vitamins).

    Mary