I have burning sensation in the sole of my feet. I am taking methotrexate 7.5 mg per week and lefra 10 every day for my rheumatoid arthritis, since 1.5 months. I am not diabetic. Have hypothyroidism, take thyronorm 25. Foot sole has become thin in the last one month. Washing and soaking in water gives relief. I have lots of sweating too and drink much more water than before. My age is 57 yrs. Please advise what is the cause and cure for this problem. Thanks.

Dr. Umesh JainOrthopedist7yrs exp

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Check your thyroid values first is there any back pain with radiation to lower limb chappal going out of foot while walking.  

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Dr. Julie Mercy J DavidPhysiotherapist22yrs exp

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A burning sensation in your feet may be caused by nerve damage in the legs, also called neuropathy. Although many medical conditions can cause burning feet, diabetesis the most common. Most burning feet treatments focus on preventing further nerve damage and reducing pain. Causes of burning feet most often, neuropathy is the cause of burning feet. Damaged nerve fibers are more likely to become overactive and misfire. The damaged nerves send pain signals to the brain even though there is no wound. In most people with neuropathy, the leg nerves become damaged first. These people often have tingling and numbness in the feet as well. Many people complain that their feet are overly sensitive to touch (hyperesthesia) and can have varying degrees of burning pain. It can range from mild to disabling. Diabetes and alcohol abuse are by far the most common causes of neuropathy in the legs. Many other conditions can cause neuropathy or a burning sensation in the feet: besides neuropathy, infections and inflammation of the feet can also cause a burning sensation. The most common of these is athlete's foot, an infection of the skin caused by fungus. Peripheral artery disease (pad) also commonly causes burning feet. The poor circulation of blood to the feet may frequently cause pain, tingling, and burning feet, especially while walking. ?chronic kidney disease (uremia) ?small fiber neuropathy ?vitamin deficiency (vitamin b12, folate, and occasionally vitamin b6) ?alcohol abuse ?low thyroid hormone levels (hypothyroidism) ?lyme disease ?hiv/aids ?amyloid polyneuropathy ?drug side effects, including chemotherapy drugs, vitamin b6 overdose, hiv medicines, amiodarone, isoniazid, metformin, and others ?erythromelalgia ?heavy metal poisoning (lead, mercury, arsenic) ?vasculitis (inflammation of bloodvessels) ?sarcoidosis ?guillain-barre syndrome (gbs) ?chronic inflammatory demyelinating polyneuropathy (cidp) ?always use the footwear of proper fitting and which is comfortable. ?always use socks. Never use shoes without socks. ?after a long day work, it is advisable to stretch and also to ice your feet. ?provide rest to your feet as much as you can. ?avoid the use of alcohol or any narcotic items. ?acupuncture or magnetic therapy shall be done whenever possible to keep the nerves active. ?follow all the instructions as given by the doctor.  

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