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Old 09-10-2009, 01:25 AM #1
pedaburn pedaburn is offline
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Join Date: Sep 2009
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10 yr Member
pedaburn pedaburn is offline
New Member
 
Join Date: Sep 2009
Posts: 1
10 yr Member
Default My feet burn when I sit.

Hello all.
I am a health care practitioner tired of getting the short answers and no information. So I thought this looked like a place I could post for some more potential answers. Mainly I would just like a list of items on the metabolic or phyiologic side of things as I am fairly familiar with the musculoskeletal system including many common neurological disorders. However I don't want to get in my own way and over analyze it either. Well here you go.

I am a 36 y.o. male Caucasian with a hx of working out 3 x per week. No prior medical conditions. No medications. Primarily c/o burning in B. feet in a stocking glove pattern x 3 months. Occasionally in B. palmar aspect of my hands in the AM or after a lot of typing ( but I suspect this is median nerve carpal tunnel type symptoms) appears to be peripheral nerve in distribution. No myotomal hand weakness noted. It will feel a bit pins and needles in the feet, but mostly burning on the plantar aspect. I am aware of it into B. dorsal feet slightly proximal to the B. Malleoli. Father with hx of type II diabetes, but otherwise no significant family hx for this condition. I live in the Northwest so I don't get tons of Vit D but trialed a OTC supplement. MD Tested for Vit. B12 deficiency one young doctor recommended shots, the other said " it is not that." so I did not get the shots. Does not appear to be a dermatome type pattern. No myotomal weakness noted with function or testing. Negative for L/S pain except for occasional mild L/S twinge after a long day at work (mixed standing and sitting). Condition appears ( though not definite) to increase with sitting at the end of the day, and reduce with standing and walking. I cannot reproduce the pain with neural tension testing, slump test, SLR test etc.. Pedal pulses feel present but to me a little weak. I have self tested to light touch, have not tested deep pressure or pain, but to me that seems pointless because . No other neurological sensations to note ( from my observation or sensation). Diabetes tests have had multiple fasting blood glucose that were all negative, though haven't had a recent one. Asked physician to run a metabolic panel that came back negative as I asked her to rule out kidney and liver. I asked to rule out liver because there was one day one of my eyes looked a little yellow to my girlfriend and I get very fatigued after drinking only a beer or two. So I thought it might be a early sign of Jaundice of some sort, but appears not according to testing per MD.

What I would really hope for is a list of items to request next time I am at the physician to rule out all the common causes of burning feet. Or a list of specialists to work my way through ( with tests to request) to get a definitive answer.

Sorry if it is a long obnoxious post. I just have yet to find a GP that has any interest. Maybe I am obnoxious--I don't mean to be, I just expect a rational for the suggestions and I am not getting one.

Thanks,
Pedaburn
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