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Nerve Pain in Your Feet? Here’s What Might Really Be Going On

Nerve Pain in Your Feet? Here’s What Might Really Be Going On

July 14, 20252 min read

Have you ever felt burning, tingling, or electric shocks in your feet—for no clear reason?
You’re not alone. Nerve pain in the feet is more common than most people realize, and it can sneak up slowly or come on all at once.

As a podiatrist, I’ve seen how this type of pain can really get in the way of daily life—walking, sleeping, or just standing still. The good news? Most of the time, there is a clear reason behind the pain. And once we know what’s causing it, we can start helping you feel better.

Let’s talk about what might be going on.

1. Peripheral Neuropathy: When Your Nerves Start Misfiring

This is one of the most common reasons for nerve pain in the feet—especially if you have diabetes.

With peripheral neuropathy, the nerves in your feet start to break down or send the wrong signals. Instead of helping you feel touch, temperature, or pressure correctly, they might create feelings of:

  • Burning or tingling

  • Sharp, shooting pain

  • Numbness

  • Pins and needles

It often starts in the toes and spreads upward. You might notice it more at night, or after long walks.

What causes it?
Besides diabetes, neuropathy can be caused by alcohol use, certain medications (like chemo), vitamin deficiencies, or even unknown reasons.

2. Tarsal Tunnel Syndrome: Like Carpal Tunnel… But in Your Ankle

Imagine a tight space on the inside of your ankle where a big nerve (called the posterior tibial nerve) runs through. If that space gets too tight—due to swelling, injury, or flat feet—it can pinch the nerve.

This is called tarsal tunnel syndrome, and it can cause:

  • Burning pain on the inside of the ankle or sole of the foot

  • Numbness or tingling

  • Pain that worsens after standing or walking

It’s often mistaken for plantar fasciitis or a general arch problem—but it’s actually nerve-related.

3. So... When Should You See a Podiatrist?

If your foot pain feels weird—like zaps, tingles, or numbness—it’s worth getting checked.
Even if it seems mild, nerve pain often doesn’t go away on its own. And the longer you wait, the harder it can be to treat.

Come see us if:

  • You’re feeling burning or tingling more than once a week

  • Your toes feel numb, especially at night

  • You notice pain that gets worse with activity

  • You have diabetes and haven’t had your feet checked recently

We’ll take the time to listen to your symptoms, examine your feet, and—if needed—use imaging or nerve testing to get to the root of the problem. Treatments might include custom orthotics, physical therapy, medication, or simple adjustments to your routine.

Let’s Help You Walk Comfortably Again

You don’t have to live with mystery foot pain.
Whether it’s nerve-related or something else, we’re here to figure it out and get you moving with more comfort and confidence.

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