A burning sensation affecting the extremities can have a negative effect on quality of life. Simple measures and pharmacological interventions may provide relief but management can prove difficult.
Abe, who is 58 years of age, complains of a burning sensation affecting the soles of his feet. It only occurs when he is in bed at night and often keeps him awake. Sometimes the discomfort eases if he gets up and walks around; at other times he immerses his feet in cold water for relief. He has no symptoms during the day and says that in fact his feet are usually quite cool to the touch at other times, as are his hands.