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Friday, June 14, 2013

Nerve Sensitivity Bottoms of Feet: Email Advice

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


  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?

    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


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.