Tingling in arch of foot--BFS or something more serious?

[Mike64]

About a month ago a noticed a sharp tingling pain in the arch of my right foot when I stretched out the foot. It seemed to go away and then I didn't think much about it. Two days after that, I noticed twitching all over my body.

Last week I met with a neuro and he gave a preliminary daignosis of BFS. I have an EMG scheduled for next month. At the exam, my strength and coordination and reflexes were all fine EXCEPT he noticed high arches (possible CMT) AND a reduced response to cold and a reduced response to the vibrating "tuning fork" placed on the top of my feet (to see at what point I stopped sensing the vibration). I did not mention the arch tingling becuase it had gone away and at the time didn't think it was related.

Now, about 3 days ago, the sharp tingling pain is back in the arch of my foot. It doesn't hurt like a traditional cramp (not very painful) but comes on like a cramp--sudden and sharp. The sensation is kind of like when I hit my funny bone. However, this time the tingling is sticking around. It seems to be there on some level at all times--soemtimes sharp, sometimes very light.

Also since 3 days ago, when I'm walking I often have the sensation on my sole like I'm walking on top of something--like a bunched up sock, even when I'm barefoot.

My question: Does this symptom indicate MORE than BFS? Could it be CMT, early ALS, or soemthing else? Is that sensation of walking on something becuase of dead or dying tissue in my foot? My strength and coordination still seem to be okay, but this really has me worried.

Thanks!

Mike

[Paulpotter]

A related discussion, Vibration on ball of left foot? was started.

[Freddd]

I know those symtoms well.  It could be a methylB12 (methylcobalamin) deficiency neuropathy.  Check some of my other comments on this board.  Trying it costs $8.00 at the healthfood store.  You will know quickly, within 48 hours.  I knew 15 minutes after putting a methylcobalmin 1000mg sublingual tablet under my tongue that my life had just been changed, coming out from under the cloud of a lifetime.  And all three of my children also have a day and night effect.

[CCF-Neuro-M.D.-JT]

The sensory symptoms in your feet point towards a possible diagnosis of a peripheral neuropathy in addition to the twitching problem (which in turn could be BFS). The altered sensation like walking on glass or rocks or a thick, padded feeling even when barefoot is a common complaint we hear from our neuropathy patients. Otherwise, your symptoms don't sound like ALS.  CMT is an inherited disease that typically presents in children, but  in some cases it can present in adulthood. With the high arches and a family history, it could represent CMT but further workup with an EMG and possibly genetic studies should be performed before that diagnosis can be made. GOod luck.

[Spring-02]

Mike:  Please get in touch with me personally so we can share some information. I haven't got time right now to summarize all my info but I have one arch higher than the other and it is that foot that has shooting pains and a very tender sole area and pins and needles pain and cramping.  By the way what does BFS stand for?

Sincerely,
The Canadian
email:  ***@****