Bilateral Paraethesia in feet

by Angela
(Somerset. UK)

Good morning.... please help. Following a period of 4 weeks in bed due to an infection in September 2014 I now have CONSTANT bilateral nerve pain in my feet and generalised pain in my toes, arches of my feet and calf muscles.

I've had an MRI which showed the following : moderate disk degeneration at L3/L4 and L4/L5. Also mild circumferential disk bulging at the same point. No sign of any obvious nerve impingement.

The spinal surgeon I saw felt that my condition would not warrant any type of invasive treatment and has discharged me. I've seen a private physio who gave me some stretches and some ultrasound .... with no effect.

I've seen a Chiropractor who gave me 6 treatments and Acupuncture with little effect ....

Medication wise I'm taking Pregabalin 100mg BD and Naproxen BD ....

I am a Staff Nurse and am finding it extremely difficult to continue working due to the constant and very distressing pain. Any advice would be greatly appreciated.

Hello Angela,
There are lots of ifs and buts and maybes. There are really lots of possibilities.

Start by pressing quite hard on the metatarsal-phalangeal joints, especially the third and second toes. Is it inordinately tender? Do you have callus formation under the ball of the foot?

Ask a friend to apply a little oil to the soles of the feet, and then run the heel of her hand down your foot from the toes towards the heel. Again is it very tender?

Let me know and we'll take it further from there. Keep to this thread.

Dr B

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Apr 26, 2016
metatarsal-phalangeal joints
by: Anonymous

thank for your comment .... metatarsal-phalangeal joints don't seem particularly tender/painful .... sole of foot from toes to heel is a little tender.... feels tight.

That could be a symptom of something else like a peripheral neuralgia, or it cause be the cause of all your problems.

Does this feel like sore feet, or a referral from elsewhere?

Have a test for diabetes. Are you significantly overweight?

At our metatarsalgia page you'll find some stretches for the plantar fascia, putting your toes on the plinth, and the calf muscles; then ask a friend to do some deep massage of the underside of your feet and the soleus muscles, stretching the achilles tender.

What's needed here is a diagnosis, and I'm just throwing out ideas.

Dr b

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