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burning foot pain
by toeman, Oct 29, 2007 06:30PM
I am a 56 y/o male with a 1 year history of burning pain, paresthesias on the plantar aspect of both feet. the pain goes back and forth between the two feet. I have been evaluated for radicular pain including mri, and ct. There is no evidence of spinal stenosis or discogenic problems. I am not diabetic. Insulin resistance test was 11.5. glycosolated hgb is normal. Thyroid profile is normal. mma is normal. I had a calf biopsy from Therapath labs in NYC. The DX is small fiber neuropathy. my 5mm punch biopsy shows a result value of 4.82, I understand that anything above 5.0 is considered normal. I have tried almost everything including pregabalin, cymbalta, elavil, tramadol.
I am considering trying calcium or sodium channel blockers. The interesting thing is that when I stand on a cold surface or take my shoes off and elevate my feet, the pain completely goes away. I have no pain at night while sleeping. I do have sleep apnea and use c-pap. Since there is sometimes redness and heat on the balls of my feet and in the interdigital spaces, I am wondering about erythromealgia. I would appreciate any help or recommendations you can give me.
I am considering trying calcium or sodium channel blockers. The interesting thing is that when I stand on a cold surface or take my shoes off and elevate my feet, the pain completely goes away. I have no pain at night while sleeping. I do have sleep apnea and use c-pap. Since there is sometimes redness and heat on the balls of my feet and in the interdigital spaces, I am wondering about erythromealgia. I would appreciate any help or recommendations you can give me.
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