Q. Am I having a burning feeling in the knee and pain in the feet due to diabetic nerve problems?

Hello,

Welcome on icliniq.com.

I understand your concern and would explain that your symptoms could be related to peripheral neuropathy, although not typical. A joint pain ( arthritis) can mimic this clinical situation too. Anyway I would recommend performing a nerve conduction studies in order to exclude possible neuropathy.

I remain at your disposal for any further questions whenever you need!

Wishing good health.

The differential diagnosis is arthritis

The probable diagnosis is peripheral neuropathy

Hello again.

Welcome again to icliniq.

Thank you for the additional information.

Febuxostat may lead to numbness and tingling in the limbs as a possible adverse effect. If your complaints started after starting this drug, I would recommend switching to Allopurinol, which does not have such adverse effects. Otherwise, other possible underlying causes should be thought of. Diabetes can damage the nerves for years before diagnosis, leading to complaints like peripheral diabetic neuropathy. On the other hand, high uric acid levels can lead to joint pain and inflammation (arthritis). If these symptoms persist, I recommend starting a low dose of Gabapentin or Pregabalin.

I hope you will find this answer helpful.

If you have any other questions, please do not hesitate to ask me again.

Wishing all the best.

Kind regards.

Hello,

Welcome back to icliniq.com

Yes, controlling diabetes and uric acid levels is necessary to stop this disorder's progression (neuropathy). But, there is no way to reverse it at this point. Regarding diabetes, you should consult an endocrinologist and discuss possible treatment options to help reduce hemoglobin A1C (HbA1C) levels.

Unfortunately, diabetes damages the nerves for years before being diagnosed. The main thing to do is to stop its progression (as it is a progressive disorder). Gabapentine and Pregabaline can help improve your situation by reducing feelings like burning, tingling, and numbness.

I hope to have been helpful.

I remain at your disposal for any further questions whenever you need them.

Kind regards.

Hello,

Welcome back to icliniq.com.

Your symptoms are not typical of nerve damage, as neuropathic pain usually persists longer than a few seconds. The location in the knee is typical of arthritis and not nerve pain, as neuropathic pain usually starts in the feet and toes and progresses towards the knees, mimicking socks. On the other hand, the burning-like sensation could be suggestive of a nerve issue. For this reason, if this sensation persists, especially in the feet (not just in the knee), I recommend performing a nerve conduction study to examine your nerves.

I hope you will find this answer helpful.

I remain at your disposal for any further questions whenever you need them.

Kind regards.

Hello,

Welcome back to icliniq.com.

Thank you for the additional information. Your symptoms seem more suggestive of joint pain, probably arthritis, related to high uric acid levels. Another argument in favor of this cause would be that the pain is triggered by joint movements or pressure on the joint. Is this your case? For this reason, in my suggestion, it is important trying to maintain normal sugar and uric acid levels and take Naproxen for the pain. Please take medicines after consulting your doctor with their consent. I also suggest checking vitamin D and calcium plasma levels for possible deficiency. In such cases, taking vitamin D and calcium supplements may be needed.

Hope you will find this answer useful.

Wishing you good health.

Thank you.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Aida Abaz Quka

Experience: 12 + Yrs

Neurology

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