Sikeoye hope clinic

11/01/2019

Burning Feet

A burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. Although many medical conditions can cause burning feet, diabetes is the most common. Most burning feet treatments focus on preventing further nerve damage and reducing pain.

Causes of Burning Feet

Most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound.

In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling.

Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Many other conditions can cause neuropathy or a burning sensation in the feet:

Chronic kidney disease (uremia)Small fiber neuropathyVitamin deficiency (vitamin B12, folate, and occasionally vitamin B6)Alcohol abuseLow thyroid hormone levels (hypothyroidism)Lyme diseaseHIV/AIDSAmyloid polyneuropathyDrug side effects, including chemotherapydrugs, vitamin B6 overdose, HIVmedicines, amiodarone, isoniazid,metformin, and othersErythromelalgiaHeavy metal poisoning (lead, mercury, arsenic)Vasculitis (inflammation of blood vessels)SarcoidosisGuillain-Barre syndrome (GBS)Chronic inflammatory demyelinating polyneuropathy (CIDP)

Besides neuropathy, infections and inflammation of the feet can also cause a burning sensation. The most common of these is athlete's foot, an infection of the skin caused by fungus.

Peripheral artery disease (PAD) also commonly causes burning feet. The poor circulation of blood to the feet may frequently cause pain, tingling, and burning feet, especially while walking.

Weeks or months after gastric bypass surgery, some people experience a burning feet sensation. Poor absorption of B vitamins after gastric bypass can cause neuropathy in the legs and a sensation of burning feet.

Diagnosing Burning Feet

Most people who have burning feet have a likely cause (such as diabetes) that can be identified. For these people, the diagnosis of burning feet due to neuropathy is straightforward, and additional testing is not needed.

In a few people whose burning sensation is sudden, rapidly worsening, or has no explainable cause, further testing may be needed to make a correct diagnosis. These tests may include:

Electromyography (EMG). A test of muscle function using recordings of electrical activity inside the muscles. A probe may be placed on the skin, or a needle may be inserted into the muscle, for an EMG test.Nerve conduction study. A nerve conduction study tests the ability of nerves to transmit impulses. A nerve is stimulated, and the response in the muscle controlled by that nerve is measured.Laboratory tests. Sometimes, tests of blood, urine, or spinal fluid may be suggested to help diagnose the cause of burning feet. Vitamin levels can be checked with a simple blood test.Nerve biopsy. Very rarely, a doctor may suggest cutting out a piece of nerve tissue and examining it under a microscope

Treatments for Burning Feet

The most important treatment for burning feet due to neuropathy is to stop any ongoing nerve damage. In some cases treatment of the underlying disease will improve the neuropathy and symptoms. In other situations, like a small fiber neuropathy, where no cause can be identified, the physician will focus on treating the person’s symptoms.

For people with diabetic neuropathy, treatment means keeping blood sugar levels in the normal range. This usually requires dietary changes, oralmedications, and often insulin injections.

For people with other forms of neuropathy that cause burning feet, preventing further nerve damage is equally important. Specific conditions and their treatments include:

Vitamin deficiency. Taking additional vitamin B12 orally or by injection can replace low levels of this nutrient.Alcoholism. Stopping excessive drinking prevents ongoing nerve damage and allows nerves to heal.Chronic kidney disease. Dialysis may be necessary to eliminate toxins causing neuropathy and burning feet symptoms.Hypothyroidism. Taking oral thyroidhormone raises low thyroid levels, often reversing neuropathy as well as burning feet symptoms.

GBS and CIDP. Treatments are very specialized and include plasma exchange (plasmapheresis) or immune globulin therapy (IVIG).

Burning feet treatments include treating the pain and abnormal sensations created by neuropathy. Some commonly prescribed medications for burning feet include:

amitriptyline carbamazepine (Tegretol)desipramine (Norpramin)duloxetine (Cymbalta)gabapentin (Neurontin)pregabalin (Lyrica)topiramate (Topamax)venlafaxine (Effexor XR)

Other pain medications may be necessary to reduce the severe discomfort some people experience from burning feet. Over-the-counter medicines like Advil, Aleve, Motrin IB, and Tylenolcontrol pain in many people with burning feet. Prescription pain relievers like tramadol (Ultram) or low-dose opiates (narcotics) may be necessary for severe pain.

For burning feet caused by athlete's foot,antifungal drugs can cure the fungal infection and relieve burning feet symptoms. Over-the-counter medicines like miconazole (Micatin) or terbinafine(Lamisil AT) should be used first. Prescription antifungals like fluconazole (Diflucan),itraconazole (Sporanox), and naftifine (Naftin) are also available.

12/10/2016

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You can choose our hospital if you use any of the following HMO
1. Avon healthcare ltd
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3.marina Medicals ltd
4.lifeworth hmo
And
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05/01/2016

07/12/2015

Please be informed that Sikeoye hope clinic have moved from 64 karimu street to 79 KARIMU street , off ojuelegba road surulere Lagos .

12/10/2015

08/08/2014

Aspirin Daily to Keep Cancer Away: Benefits Outweigh Harms
Veronica Hackethal, MD
August 06, 2014

Aspirin has long been known to have cancer prevention effects, but it has not been widely used for this because of concerns about potential harm. Experts have now declared, for the first time, that the benefits of taking aspirin to prevent some types of cancer outweigh the harms.

This conclusion comes from a review published online August 6 in the Annals of Oncology.

"Whilst there are some serious side effects that can't be ignored, taking aspirin daily looks to be the most important thing we can do to reduce cancer after stopping smoking and reducing obesity, and will probably be much easier to implement," first author Jack Cuzick, PhD, head of the Centre for Cancer Prevention at Queen Mary's University of London in the United Kingdom, in a press release.

"Our study shows that if everyone aged between 50 and 65 started taking aspirin daily for at least 10 years, there would be a 9% reduction in the number of cancers, strokes, and heart attacks overall in men, and around 7% in women," Dr. Cuzick continued. "The total number of deaths from any cause would also be lower, by about 4% over a 20-year period. The benefits of aspirin use would be most visible in the reduction in deaths due to cancer."

The review is the first to provide such strong support for evidence about the benefits of taking aspirin in cancer prevention.

"It has long been known that aspirin — one of the cheapest and most common drugs on the market — can protect against certain types of cancer. But until our study, where we analyzed all the available evidence, it was unclear whether the pros of taking aspirin outweighed the cons," Dr. Cuzick said.

However, the authors stop short of recommending the daily use of aspirin.

Consensus of the Best Minds

"In the scientific world, this is an important paper. It represents a confirmation of the emerging consensus by some of the best minds in this field who have looked at these data for years," Leonard Lichtenfeld, MD, deputy medical director of the American Cancer Society, told Medscape Medical News.

Should doctors routinely recommend aspirin for patients 50 to 65 years of age?

"The authors fall short of making an absolute recommendation about this," Dr. Lichtenfeld noted. However, "the evidence is clearly strong that low-dose aspirin has been demonstrated to significantly reduce incidence and deaths from certain GI cancers," particularly colorectal cancer.

An answer could come from the US Preventive Services Task Force, which has begun a comprehensive review of the role of aspirin for cancer prevention, according to Dr. Lichtenfeld.

"If the task force says people should be taking aspirin routinely, that's a very strong recommendation," he said. "That might be a game changer, but we don't know yet."

"Patients will need to make individual decisions about how much risk they are willing to accept to prevent cancer," he explained. A person with a family history of colorectal cancer might be more willing to accept risk than a person with no such history. "That's what informed decision making is all about."

Review of Recent Evidence

Recent research has indicated that aspirin could decrease overall mortality by decreasing deaths from cancer, rather than from cardiovascular disease. In fact, advances in the treatment of cardiovascular disease might have eclipsed the benefits of aspirin.

One study suggested that taking aspirin daily for about 5 years could decrease digestive cancers by 40%, which would lead to a 16% reduction in the rate of overall cancer mortality (J Natl Cancer Inst. 2012;104:1208-1217). When that study was published, experts did not recommend aspirin for cancer prevention because of the risk for serious gastrointestinal bleeding, stomach ulcers, and stroke.

In their review, Dr. Cuzick and colleagues examined data from recent systematic reviews and individual studies on the effect of aspirin on major digestive tract cancers, and on cancers of the breast, prostate, and lung.

Results suggest that over 10 years, about 33 to 127 people would need to take aspirin to prevent 1 major event, and 46 to 213 people would need to take aspirin to prevent 1 death. Reductions in cancer would account for 61% to 80% of the benefit of aspirin use, and 30% to 60% of this would come from reductions in colorectal cancer.

The evidence for the reduction in incidence and death from colorectal cancer with aspirin use is "overwhelming", according to Dr. Cuzick and colleagues.

They found a 30% to 35% decreased risk of developing colorectal cancer with aspirin use, and a 35% to 40% decreased risk of dying from this cancer. They also found a 25% to 30% decreased risk of developing and a 45% to 50% decreased risk of dying from esophageal cancer, and a 25% to 30% decreased risk of developing and a 35% to 40% decreased risk of dying from stomach cancer. Smaller effects were found for breast, prostate, and lung cancer.

The benefits of taking aspirin appeared around 3 years after starting use. Death rates started to decrease after 5 years, and daily doses from 75 to 100 mg were linked to beneficial effects.

The most serious harm with aspirin use was stroke, which was rare but was linked to a 21% increased risk for mortality. Bleeding outside the brain was more common. Chronic aspirin use was linked to a 60% to 70% increase in the risk of dying from digestive tract bleeding. The rates of developing and dying from digestive tract complications were low for those younger than 70 years, but increased "steeply" for those older than 70.