I'm a 35 year old marathon runner. I have been running 60 miles weekly for about 17 years.Lots of wear and tear on the body. About six months ago I developed burning,swelling, and tingling sensations bilaterally in my feet. This had actually been present for years but just got more noticeable. I had every test run known to man. MRI of C,L,and T spine. Bloodwork--no thyroid or glucose problems. We found that my L5-S1 is completely collapsed with severe bilateral foraminal stenosis. So my doctor felt we had our answer. I have started to worry that I might have a circulation issue. This is why. My feet will sometimes get cold and sting. I recently found that on my left foot I have a more dominant ankle pulse than the pedal pulse. I have a pedal pulse, but it is hard to find and not as strong as the one on my right foot. Both feet have very strong ankle pulses. My physician(who is my best friend) said that there is no way I have a circulatory issue. He said the structure of my foot just makes the pulse hard to feel. He said let it go that the stenosis is the problem and tight hamstring What do you think? The rest of the pulse in my body boom. Pulse is resting about 55-70. No cramping in calves or intermittent claudication. Could hamssting tightness cause tingling problems. Physical therapist working on my stenosis said she has never seen tighter hams ever!!!!!!
If pulses can be felt in both feet with the fingers, it is unlikely that a circulatory problem is present. You can consider measurement of the ankle-brachial index, segmental pressures and pulse volume recording amplitudes - all non-invasive tests to evaluate for peripheral vascular disease.
Physical therapy is reasonable - if there continues to be symptoms, you can consider a referral to a physiatrist (rehabilitation physician).
With the MRI findings, you can consider a neurosurgical evaluation to determine whether you have any surgical options.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.