Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.
Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.
The cause of burning and tingling symptoms depends largely on their distribution: what parts of the body they occur in.
(1) symptoms worst in the hands and feet: this can be caused by a process called a neuropathy. There are 2 types of nerves that provide sensation to the feet, large nerves and small nerves. A problem with either of these could lead to burning and tingling. There are many many causes to this group of disorders called "neuropathies". They include but are not limited to most commonly diabetes, vitamin deficiencies, autoimmune disorders such as lupus or a disease called Sjogren's, certain types of neoplasm, and certain toxins (such as lead). As I mentioned, there are several other genetic, metabolic, and hereditary disorders that cause neuropathy, and what tests need to be ordered depend on the history and physical examination of the patient. With small fiber neuropathy, the EMG/NCS test which measures how nerves conduct electricity and how muscles respond to them may be normal. In large fiber neuropathy, it will be abnormal. Small fiber neuropathy can be diagnosed with a skin biopsy and with a test called a QSART. If neurontin does relieve your symptoms, which it sounds like it does, this suggests that your pain is neuropathic, meaning arising from the nerves.
(2) Symptoms present on one side of the body versus the other, or in just one limb. Causes could include a stroke or the condition multiple sclerosis. These would best be excluded by an MRI.
(3) If symptoms migrate (move from one place to the other) and are intermittent, causes might include seizures, migraine disorder or metabolic problems such as low calcium.
Often these symptoms may reflect emotional/psychiatric problems related to stress (what is called somatization disorder). The latter is a true medical condition whereby instead of a patient experiencing depression or anxiety, they experience physical symptoms, and once the stress is addressed, the symptoms resolve. Fibromyalagia is another medical condition that leads to whole body pains, and is best treated with medications such as lyrica and neurontin, exercise, and physical therapy.
These are just some causes of burning/tingling. Continued follow-up with your doctors is recommended. Evaluation by a neurologist, if you have not already done so, is recommended. I am not sure if a dermatologist would be helpful at this time.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
I respect the suggestions of possible problems. While that being said, he forgot to mention one important thing that it could be. You haven't mentioned your age but these are also symptoms of menopause or perimenopause.
I've been going through this on and off for a year now. It took too long but unfortunately it wasn't a doctor who initially diagnosed the problem.
I get burning sensation all over my skin that can also be slightly painful to the touch. You can't see it but it's there none the less. If I were to blow across my skin it would be that sensitive that it would irritate the area I'm feeling it. It's usually my face, around my eyes, forearms, and lower legs.
Check with your ob/gyn. And have your bloodwork checked to see if this may be the case.
I, like you, have experienced all over burning pain for the last 7+ years. This in addition to other weird symptoms like muscle fasiculations, myoclonus, muscle and joint pain, hair falling out, etc. What I have been told so far is that I have Celiac Disease and also Lyme Disease. I am being treated for Lyme and I am on a gluten fre diet. I am not so sure about the Lyme diagnosis, because my test was borderline....however, maybe some areas for you to explore. I know how frustating it can be to have lots of questions and get no help from doctors. If it wasn't for me pushing for test after test I would not be where I am at now. I was told it was "all in my head:....even when my legs hurt so bad I could barely walk.
Good luck to you and I hope you find a solution to your problem.
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