That burning sensation under the feet that manifests itself as pain accompanied by heat in different areas of the sole of the foot, even during the winter months, when temperatures are generally low, can be a warning sign that should not be ignored.
Burning feet, a possible sign of other problems, are often accompanied by other symptoms such as redness, numbness, tingling, and muscle weakness. In the worst cases, it can even cause pain that can be so severe it seriously hinders walking.
This medical condition is usually related to other underlying conditions. Therefore, if you experience burning pain under your feet, it's important to consult a doctor promptly for a diagnosis and treatment plan.
Possible causes of burning under the feet
This foot problem affects the peripheral nerves, which reach the extremities of the body. It is often associated with Morton's neuroma syndrome, a disorder characterized by a severe burning sensation on the soles of the feet, accompanied by electric shocks and an urge to remove shoes. Burning under the feet can also be linked to plantar fasciitis or heel spurs , the main symptoms of which are pain and stiffness in the heel, especially in the morning or after a period of rest. The pain may worsen after exercise or prolonged standing.
Possible causes of burning underfoot include neuropathies (diabetes, alcoholic neuropathy, vitamin deficiency neuropathy), kidney failure, rheumatic diseases (rheumatoid arthritis, gout), or vitamin deficiencies (B12, folic acid).
The sensation of heat in different areas of the sole of the foot can also be due to trauma or stress. In any case, the heat and intense burning sensation, accompanied by redness, are usually limited to the sole of the foot, although in rare cases it can extend to the instep, ankle, and lower leg.
Risk factors for burning pain under the feet
Identifying the risk factors that increase the likelihood of developing burning sensation under the feet makes it easier to find a solution. This problem is often diagnosed by exclusion, following multi-specialist visits that include tests such as electromyography and magnetic resonance imaging (MRI), and consulting specialists such as orthopedists, angiologists, physiatrists, and dermatologists.
Diabetes, advanced age, obesity, and alcohol and tobacco abuse can contribute to burning feet, as they promote peripheral neuropathy, circulatory problems, and chronic inflammation. Vitamin deficiencies, particularly B vitamins, anemia, kidney failure, and autoimmune diseases can also be implicated. Wearing improper footwear, standing for long periods, and fungal infections such as athlete's foot are additional risk factors.
Treatment options include lifestyle changes (weight control, diabetes management, smoking and alcohol reduction), medication (painkillers, anti-inflammatories, anticonvulsants), physiotherapy, and, in rare cases, surgery.
If the burning sensation under your feet is persistent or severe, it's important to consult a doctor for early diagnosis of the underlying cause and appropriate treatment to prevent complications. Book a specialist appointment now at one of our SmartHallux locations nationwide.
