Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Everything that you are ever going to want to know about running shoes: Running Shoes Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
  2. Have you considered the Critical Thinking and Skeptical Boot Camp, for taking it to the next level? See here for more.
    Dismiss Notice
  3. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

A 'burning' issue...

Discussion in 'General Issues and Discussion Forum' started by Dhonuill, Mar 12, 2007.

  1. Dhonuill

    Dhonuill Member

    Members do not see these Ads. Sign Up.
    An active, healthy, late-30's woman with no visible signs of pedal deformity or dysfunction presented recently complaining of a burning sensation in the soles of her feet - only when wearing walking boots. The pain starts sub-MTHs and slowly spreads to her heels.

    Her walking boots appeared too short, and the wear pattern on her existing insoles indicated that they provided support only at the heel and trans-MTHs, where there is clearly heavy focal pressure, particulalry sub-2nd MTH.

    I customised insoles in an effort to increase the plantar contact surface area and so offload the forefoot and rearfoot, incorporating met domes to restore and support her transverse arches to offer some relief from the metatarsalgia. I measured her feet unweighted and weighted and fitted new boots.

    She went for a short walk (about 6 miles) and reported that the boots felt better but that the burning sensation started to return.

    Any ideas of what might be the cause of the burning?

    Other observations: a history of lower back and unilateral hip pain (R side); pedograph indicated neutral arch R side, high arch L side; bilateral plantar callus sub-2nd met head; bilaterally her 2nd toe was a little longer than her 1st (Morton's toe?) - I suspect this is the source...

    I suggested she request an assessment of any LLD at her next osteopath appointment or referral to a podiatrist.

    Any advice gratefully received, cheers,
    Dhonuill, C. Ped
    Last edited: Mar 12, 2007
  2. LuckyLisfranc

    LuckyLisfranc Well-Known Member

    Buring pain = (painful) peripheral neuropathy or similar (eg erythromelalgia)

    Perpiheral neuropathy mnemonic "DANG THERAPIST"

    D - diabetes
    A - alcohol
    N - Nutritional (eg B1, B6, B12)

    G - Guillain-Barre

    T - Toxic (lead, arsenic)
    H - Hereditary (eg CMT)
    E - Endocrine (eg hypothyroidism)
    R - Recurrent (eg tarsal tunnel)

    A - Amyloid
    P - Porphyria
    I - Infectious (eg HIV, leprosy)
    S - Sarcoidosis
    T - Tumour (eg spinal cord)

    Those in bold are the more common causes.

    Hope this helps.

  3. Scorpio622

    Scorpio622 Active Member

    If the burning occurs with wearing a particular pair of boots and not in other reasonable shoes, then I would suspect it is not neuropathy.

    Apparently her boots and feet are not getting along. The solution is obvious.....
  4. Dhonuill

    Dhonuill Member

    Thanks. Glad to report the lady's new boots/custom insoles are serving her well, however I'm also recommending that she experiment with different sock materials and temporary 1/8" platforms I've sent her to support her 1st ray.
  5. Admin2

    Admin2 Administrator Staff Member

  6. John Spina

    John Spina Active Member

    That makes a lot of sense.If only in the boots,then she should get rid of the boots.

Share This Page