Pain in Feet - Not sure why?

[chiang mai]

What's the best way to take B12 for peripheral neurapathy, Methycobal..1,000 mg per day or is their something better?

[tonray]

What's the best way to take B12 for peripheral neurapathy, Methycobal..1,000 mg per day or is their something better?

The best way is direct injection...but in the absence of a doctor's visit, the second best way is sublingual (under the tongue) tabs. Specially made for slow absorption into your mouth tissues. Avoids the low absorption rates of swallowed caps.

[arjunadawn]

Everyone covered the diagnoses from Diabetes (peripheral neuropathy) to plantar fascia problems but I would like to suggest something to you that is a wise thing to do, if your doctor concurs. First ask the doc.

The calf muscles have a unique herringbone arrangement of muscle fibers working in opposition to each other; thus the two heads of the gastrocnemius and also soleus muscle act as a pump. The return of blood to the heart is done by gravity and the pumping pressure of the cardiac output. Valves and other 'pump' below ensure good return. As we age working against gravity becomes more difficult and a number of lower extremity problems may be worsened by poor blood return. The calf muscles not only help ambulate/move the leg but also act as a pump- assisting the venous blood return to the heart with each step. The calves are effectively a pump of sorts with the valves then acting as one way valves in between pumps of heart or steps.

Unless there is some reason why you could not, a person should maybe stand behind a solid chair and do some toe raises each day, perhaps more and more, and increase the calf muscles effectiveness. Even if one could not stand up and do this sitting in a chair with a book or pillow and elbows on knees a person could still do some. These would be little different than recommended airplane exercises for flying. They are actually important as we do less and less with age.

I tried to recall where I learned this but its lost in time so I did google it and its called a skeletal muscle pump. I will include some links below. See a doctor. Get Diagnosis, and if he/she says ok, begin such exercises to strengthen your body.

https://en.wikipedia.org/wiki/Skeletal-muscle_pump

[briando]

Your symptoms are the same as mine and I have peripheral neuropathy.It seems like gout or diabetes but I have neither.My GP in Australia diagnosed it first off and then I went to a neurologist, same diagnosis.

I hope for your sake it isn't as it's incurable and only gets worse.If this is what it is you will have to go on medication to relieve the pain but it doesn't totally stop it by any means.I am on LYRICA which is quite expensive in Thailand, but is subsidised in Australia.

[Pacificperson]

Is the pain in one foot or both feet?

[Liquorice]

A friend of mine had problems and it was because he walking around the house .. a lot ..in bare feet. Didnt see the logic but recently I also had this problem but now I always wear flip-flops inside the house pain gone away ..

That sounds like Plantar Fasciitis.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

Caused by walking barefoot on hard surfaces or unsuitable footwear.

I got it years ago, very painful, sometimes hobbled and limped as a result

Found out eventually it was caused by Safety Boots with a steel insole fitted.

Changed the Boots and it vanished within a few weeks.

OP don't walk around barefoot in the house as is the norm in Thailand and get a good pair of flip flops with a thick comfortable soul.

It will take a couple of weeks before you start to feel a difference.

[Sheryl]

Your symptoms are the same as mine and I have peripheral neuropathy.It seems like gout or diabetes but I have neither.My GP in Australia diagnosed it first off and then I went to a neurologist, same diagnosis.

I hope for your sake it isn't as it's incurable and only gets worse.If this is what it is you will have to go on medication to relieve the pain but it doesn't totally stop it by any means.I am on LYRICA which is quite expensive in Thailand, but is subsidised in Australia.

Have you tried gabapentin? Often works just as well as Lyrica for neuropathic pain and is available here in locally made generic. You might want to discuss this with your doctor.

[Bantex]

You could try anti inflammatory tablets or creams if you believe that it's tendinitis.

There are (air, gel, liquid & magnetic) massage and acupressure insoles available to relieve stresses in the feet whilst walking. The textured insoles helped my mother who had pains from bad circulation.

[hobobo]

I've been diagnosed with peripheral neuropathy five and a half years ago. Four main causes were eliminated (diabetic, alcohol, herpatic etc), and was bumped into "cause unknown" category, both at the Bangkok Pattaya Hospital and St Thomas's in London. Pain gets worse regularly - in the UK at least there was the Pain Clinic, while here it's just expensive medications which work for a few months and then become ineffective. Contact me if you want a chat.

[Acharn]

If you can figure out a way to do it, there's a podiatrist at Samitivej Hospital in Bangkok. As far as I know he's the only podiatrist in Thailand, and until he came there was none. I know he's familiar with foot problems as a result of diabetes, because I had a flyer the hospital put out for a public event he held to educate people with diabetes in how to care for their feet. You might be able to make an appointment with him over the internet or by phone. If you can't get to Bangkok, really make an effort to get examined by a neurologist. If this is connected to diabetes or other circulatory problem the long-term dangers are serious.

[bob009]

Check out the symtoms of Morton's Neuroma

What Is a Neuroma?
A neuroma is a thickening of nerve tissue that may develop in various parts of the body. The most common neuroma in the foot is a Morton’s neuroma, which occurs between the third and fourth toes. It is sometimes referred to as an intermetatarsal neuroma. “Intermetatarsal” describes its location in the ball of the foot between the metatarsal bones. Neuromas may also occur in other locations in the foot.

• Tingling, burning, or numbness
• Pain
• A feeling that something is inside the ball of the foot
• A feeling that there’s something in the shoe or a sock is bunched up

I started having pains in my feet 5 years ago. Still have them but not so bad now retired and wearing flip flops all day instead of heavy work shoes. Just have to live with it.!!!!

[humqdpf]

The symptoms you describe could be attributed to a number of conditions, including autoimmune ones.

You need to go to a doctor and get referred to a specialist. It would help if you were checked for diabetes, as others on this forum have suggested, the symptoms in your feet may be connected to this.

But your description of symptoms is never going to be a substitute for a face-to-face with the appropriate medic as s/he knows what to look for. Don't use the forum as a cheap medical referral - go to a professional, in Bangkok if necessary although i am sure you can find an appropriate specialist nearer where you live.

[flyingdoc]

First of all eliminate any chance of Diabetes II.

Tinnitus occurs in the ears and can now be treated with NR or Nicotinamide Riboside !

[MikeOwen]

My feet used to ache, I'm type 2, but it wasn't to do with that, chucked away my cheap trainers and boy a decent pair and the pain went over the course of a couple of weeks, there was no support for the arches on the cheap trainers. Could be just this eh.

[JDGRUEN]

Aside from all the other good advice - I recommend checking your shoes. Also you might try elevating your feet when sleeping or when resting / reclining ... This will help improve circulation upon standing up. Do you have any edema in your ankles?

Hydro- massage if you can find a way ... there are some foot bath units available that have circulating water jets.

[ammagic]

For Morton's Neuroma a shot of cortisone every so often works wonders. A bit painful but so worth it. I know - I have MN

[Sheryl]

I think MN not so likely with both feet affected.

[ammagic]

I do have it in both feet. Used to do jazz ballet lots of high impact aerobics & running. As I said, cortisone shots between 1st & 2nd toes works wonders. If MN is suspected, never do foot massage. It irritates the tendons in the ball of the foot. At least for me.