What could be the cause of pain and numbness in the feet?

Hello,

Welcome to icliniq.com.

I went through your query.

Based on your description, one possible diagnosis that could be considered is peripheral neuropathy. This condition involves damage to the nerves that transmit sensations and signals from the body to the brain and vice versa. In your case, the symptoms of numbness and pain in both feet, starting below the ankles and gradually worsening over time, are typical of peripheral neuropathy. The fact that the numbness spared the heels may suggest a specific type of neuropathy called distal symmetric polyneuropathy, which affects the feet and hands first and progresses symmetrically. However, further testing and evaluation by a healthcare provider would be necessary to confirm a diagnosis of peripheral neuropathy or rule out other possible causes of your symptoms.

The treatment for peripheral neuropathy depends on the underlying cause and the severity of symptoms. Here are some common treatments:

1. Manage underlying conditions: If an underlying condition such as diabetes, vitamin deficiency, or alcoholism is causing neuropathy, treating the underlying condition may help alleviate symptoms.

2. Medications: Various medications can help manage symptoms such as pain, numbness, and tingling. For example, antidepressants, anticonvulsants, and pain relievers may be prescribed.

3. Lifestyle changes: Making lifestyle changes such as quitting smoking, reducing alcohol intake, and maintaining a healthy weight can help prevent further nerve damage and improve overall health.

4. Physical therapy: Exercises and physical therapy can help improve strength, flexibility, and balance in affected limbs.

5. Complementary therapies: Acupuncture, massage therapy, and relaxation techniques may help manage symptoms such as pain and stress.

6. Assistive devices: Devices such as braces, splints, and orthotics can help support affected limbs and prevent further injury.

7. Surgery: In severe cases where nerve damage is severe or causing significant impairment, surgery may be necessary to remove damaged tissue or decompress compressed nerves.

It is essential to consult a healthcare provider for a personalized treatment plan based on your specific symptoms and underlying conditions.