Long time reader of podiatry arena but first time I have posted anything.
I have an 18 yr old female patient who is suffering with burning feet++. This problem has been present for over a year & is causing cosiderable distress to her.
HX: good health, no allergies, no current medications, no family hx of burning feet. Prob started with increased amount of walking & new occupation involving significant periods of standing. No change in footwear noted & no hx of trauma. The initial symptoms were parasthesias - pins & needles (soles of feet)which has now subsided to a burning sensation felt mainly at night on the dorsum of the feet. At the same time hyperhidrosis started & has continued. Due to the hyperhidrosis the skin broke down with infected blisters occuring which were treated with oral ab's. They have now healed with scarring. Her gp prescribed an initial course of amytriptyline which had little long term effect. She wears good footwear currently & notes that a change into differing styles of footwear has no influence on her symptoms. Her mechanics are well within normal limits. Blood & urine tests NAD.
Any help regarding diagnosis & treatment/management appreciated. My guess is Burning Feet Syndrome.