Hello doctor,
Since 19 months, I have had severe problems with tingling in my feet. This started one week after a 27 km run, where I suddenly got pain in my feet and had to stop. The pain went away, but the tingling started in my left foot one week later. At first, some intermittent buzzing in the outside of the sole started, but after a while, this became permanent tingling and some numbness in the same area. The problems in my right foot began a few weeks later. As far as I can tell, the problems are located in the medial plantar nerve in the right foot, and the lateral plantar nerve in the left foot. There are also a lot of muscle twitching in the right foot arch, and the symptoms can easily be aggravated by tapping on the outside of the legs, from the knee and down. Tapping on the inside of the ankles also reproduce the symptoms. I have done three NCS and EMG, but it showed no signs of neuropathy or any other nerve disease. I am taking Gabapentin and Lyrica. Please help.
Hello,
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Hello doctor,
Thank you for a quick reply. The pain is like pins and needles, tingling, and rarely some quick burning pain. The tingling is very uncomfortable and seems to be a little worse with activity, such as standing or walking. But it is always worse in the evenings. Tapping or even touching the leg and ankle is a triggering factor. No back, ankle. thigh, or foot tenderness. Regards.
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Hi doctor,
According to my own research on the internet, and the history of hurting my feet after long distance running, it points to some kind of nerve entrapment in the foot. For example tarsal tunnel syndrome, medial plantar neuropraxia, Baxter's, etc. Is that a possibility? What tests should be done to confirm such a diagnosis?
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Hi doctor,
Thank you for replying. Yes, Tinel's sign is present while tapping on both ankles, behind and a little bit above the medial malleolus. But even more so at the fibula head, around the peroneus nerve distribution. Tapping or touching there aggravates the symptoms in my feet. On the right, it produces more fasciculations in the arch and more tingling in the medial plantar nerve. On the left, it is just more tingling in the lateral plantar nerve.
Hello,
Welcome back to icliniq.com.
For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
Hello doctor,
Thank you for replying. No, sorry I meant that the symptoms are just in the feet (medial plantar right and lateral plantar left) but can be provoked by tapping or touching on the outside of the lower leg. I have read about CPRS, but personally, I think it does not really match. There are no changes in skin color, hair, swelling, etc. Small fiber neuropathy has been ruled out by my doctors. All they said is that they do not really know and it might be a sensitization phenomena, whatever that means. Do you agree on this? In that case, what treatment would be best? Gabapentin and Lyrica do not help much, unfortunately. Something must obviously be very irritated or entrapped in my feet, because of the constant fasciculations and tingling. Any more suggestions?
Hello,
Welcome back to icliniq.com.
For more information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist
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