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Re: Burning feet advise


The SYMPTOM of burning feet is most often the result of a peripheral
neuropathy.  It is not associated with PD.

Peripheral neuropathy is a disorder of nerves which causes the nerve fibers
to malfunction or degenerate.  It usually affects the longer nerves first,
hence the symptoms occur in the feet first.

Peripheral neuropathy can have a number of causes, the most common of which
seem to be diabetes, alcoholism, vitamin deficiencies, immune disorders,
drug side effects, although there are others as well.  Some causes are
treatable and others are not.  In some cases, treatment of the underlying
disease can improve the symptoms of neuropathy, and sometimes even reverse
the process.  Other times, the damage is permanent.

The SYMPTOM itself, the burning feet, often responds partially to drugs like
Neurontin (gabapentin), amitriptyline, carbamazepine, and others.  These
drugs do not cure the neuropathy, they merely alleviate the symptom of
burning feet.

Because peripheral neuropathy can be a manifestation of other more
generalized systemic medical diseases, it should be worked up as a separate
problem.  Your neurologist should be able to advise you on this, since it is
a very common problem in neurological practice.

Jorge A Romero, MD

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