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Friday, June 14, 2013

Nerve Sensitivity Bottoms of Feet: Email Advice

Hello,
I broke both heels six years ago and had pins and plates installed in the calcaneous.  I'm not having subtalar joint problems so far, but I'm having a lot of what seems to be nerve pain/sensitivity on the bottoms of my feet.  This sole sensitivity has increased over the past few years.  I'm not having numbness or tingling, mostly my soles are super sensitive.  I suspect I have nerve damage or irritation, and wonder what I can do to decrease the sensitivity.  I have even resorted to making my own shoes because I need very soft inner soles. Store-bought shes are too hard.  Thanks.

Dr Blake's comment: 

Brian, Thanks for the email. Nerves typically love some form of salve (I typically start with Neuro-Eze 3 times a day), gentle but firm massage, heat over cold (but there are exceptions), and motion over immobilization. Consider buying a 3 mm sheet of J-Gel from JMS Plastics to cover the insert you are wearing. This should get the nerve sensitivity improved. Hope it helps Rich

2 comments:

  1. After several months trying to heal my sesamoiditis I started getting sporadic tingling sensations all over my foot, and a numb feeling around the sesamoid and along the inside of my big toe. After reading this post I subsequently bought neuro-eze with the hope that it would alleviate these symptoms. However, I have been hesitant to use it because the description on the bottle says that it helps with neuropathic pain, and I do not have any nerve pain and I'm not entirely sure if what I have would be defined as neuropathy. Would you still recommend to using it for my symptoms of tingling and numbness?

    ReplyDelete
    Replies
    1. Yes, it is a good starting point for the neuropathy (abnormal nerve sensations). Patients with neuropathy get just numbness/tingling, just pain, or a combination of the 2, but it is still neuropathy. Neuro-Eze in my experience works on 50% of those cases. That being said, please have a neurologist or physiatrist look into the cause of this problem. Is it coming from your back because you limped for a while? Did the swelling around the sesamoid trigger some excitable nervous activity that now needs to calm down? Is it a totally separate problem called peripheral neuropathy related to pre-Diabetes, Vit B12 deficiency, osteopenia, etc? I hope this helps you. Rich

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.