Common causes
- Peripheral neuropathy, including diabetic neuropathy, which typically affects both feet and is often worse at night
- Low vitamin B12, thyroid disease, kidney disease, and heavy alcohol use
- Athlete's foot, which can burn and itch, especially between the toes
- Nerve compression, such as Morton's neuroma or tarsal tunnel syndrome
- Long hours standing in hot or poorly fitting shoes
Why it's often worse at night
With fewer distractions and less movement, nerve symptoms become more noticeable at night. Sheets touching the feet can also aggravate sensitive nerves.
What the visit includes
A review of symptoms, health history, and medications, a check of the skin, sensation, and circulation, an explanation of the likely cause, and a plan.
Numb feet and heat don't mix. If your feet are numb, check water temperature with your elbow and avoid heating pads on your feet.
Which visit to book
Book the Neuropathy visit ($199).