Burning Feet

I wanted to pick the collective mind of IPM on SDN. I have an 85 year old female. Chief complaint burning pain of bilateral feet (specifically the soles). Pain is worse at night. Worked up relatively well by her PCP, podiatrist, and two neurologists. Has had adverse effects with gabapentin, Lyrica, and duloxetine. BMP, CBC, B12, folate, TSH, A1C, all unremarkable. EMG of upper and lower extremities shows sensory neuropathy and what is most likely mild carpal tunnel of the wrist... Burning Feet
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums