Pins-and-needles, electrical shocks, or a persistent burning sensation in the feet can turn daily activities into a source of worry. Our board-certified podiatrists specialise in identifying the precise nerve, metabolic, or biomechanical trigger and delivering a plan that protects long-term foot sensation and function.
| Nerve Entrapment | Metabolic & Systemic | Structural & Mechanical |
|---|---|---|
| Tarsal tunnel syndrome (posterior tibial nerve compression) | Diabetic peripheral neuropathy | Chronic heel-cord tightness causing nerve stretch |
| Morton’s neuroma (interdigital nerve irritation) | Vitamin B₁₂ deficiency, alcohol-related neuropathy | High arches focusing pressure on nerve branches |
| Common peroneal nerve compression at the fibular neck | Thyroid or renal disorders | Footwear that is too tight or has high heels |
| Post-surgical scar entrapment | Chemotherapy-induced neuropathy | Repetitive micro-trauma from long-distance running |
A thorough history, focused physical exam, and, when indicated, nerve-conduction studies or imaging pinpoint the underlying cause.
| Conservative & Medical | Procedural & Surgical |
|---|---|
| Glycaemic optimisation & B-complex supplementation for metabolic neuropathies | Tarsal tunnel release for confirmed entrapment |
| Custom orthotics to off-load neuromas or pressure points | Morton’s neuroma excision or radio-frequency ablation |
| Shoe-gear modification (wide toe box, cushioned soles) | Peroneal nerve decompression at fibular neck |
| Night splints & calf-stretching to reduce nerve stretch | Peripheral nerve hydro-dissection under ultrasound |
| Topical analgesics (capsaicin, lidocaine) & oral neuropathic agents (gabapentin) | Microsurgical neurolysis for post-traumatic scar entrapment |
| Physical therapy: nerve-glide exercises, balance drills | Advanced wound-care protocols for loss-of-protective-sensation ulcers |
More than 75 % of patients experience significant symptom reduction within 8–12 weeks using a combined metabolic, mechanical, and physical-therapy approach.
No. While diabetes is the leading systemic cause, nerve entrapment, vitamin deficiencies, thyroid disease, and mechanical factors can all produce similar symptoms.
Early treatment often restores or stabilises nerve function. Long-standing neuropathy may not fully reverse, but pain can be reduced and progression halted.
Metatarsal pads or wide-toe-box shoes can relieve pressure on interdigital nerves. Custom orthotics with precisely placed pads typically provide superior relief.
Numbness, tingling, or burning is your body’s signal that a nerve, or your metabolism, needs attention. Schedule a comprehensive evaluation with North Texas Podiatry Associates to preserve nerve health and regain confident steps.