Why Can’t I Feel My Feet? - Jeffrie C. Leibovitz, DPM

Why Can’t I Feel My Feet?

So, you’ve noticed your feet feeling like they’re ghosting you? Going numb, tingling, even burning for no good reason? Don’t ignore it – your feet are trying to tell you something. When it comes to keeping you moving, nerves and blood flow are the VIPs. If they’re on the fritz, you’ll start feeling (or not feeling) all kinds of things down there. Let’s dig into what might be happening and how you can give those toes a little TLC.

1. Nerve Drama: When Your Body’s Wiring Starts Acting Up

Think of your nerves like a high-speed internet connection. When everything’s working, the signal’s crystal clear. But when your nerves are damaged things get… sketchy. Compromised nerves love to send out random signals – maybe it’s a little tingling here or a burning feeling. If damage continues they might just stop sending signals altogether. Or worse, they can produce stimuli without any cause like phantom pain. If you’re getting “mixed signals,” it’s time to call in the pros because those nerves are crying out for help.

Person holding feet

2. Blood Flow and Toes: When Your Feet Need to Get in the Flow

Ever had that pins and needles sensation after sitting too long? That’s what happens when your blood flow stalls out. If you’re experiencing this regularly, it might be more serious. Restricted blood flow can leave your feet feeling cold, numb, or straight-up weird. Conditions like Peripheral Artery Disease (PAD) can cause blood flow issues that no comfy chair is going to fix. So if the cold feet aren’t from wedding jitters, check your circulation!

Loss of protective sensation (LOPS) and Peripheral Arteriole disease (PAD) are big problems. If both occur at the same time the chances of a catastrophic problem (losing parts) go way up.

PAD is what happens when your blood vessels get clogged up with plaque. we’re not talking about the kind on your teeth. This is like rust in your pipes, but instead of messing up your sink, it’s messing with your blood flow to your feet. The result? Numbness, cramping, and that “walking on bubble wrap” feeling. PAD has long-term risks, like foot ulcers and poor wound healing. Time to kick that plaque to the curb!

Warning Will Robinson… Warning

Claudication is muscle cramping with activity. This is a red flag just like left arm pain is a major warning sign of a heart attack.  When there is not enough blood to supply /oxygen, the muscle shuts down. This can be silent if walking is limited by knee and hip pain, stroke, and back pain. Claudication muscle cramping is different from the nuisance cramping that occurs at rest.

Feet of sleeping woman

3. Diabetes Strikes Again: Nerve Damage That’s Got Staying Power

Diabetes loves to sneak in and mess with your nerves, especially in your feet. It’s called diabetic neuropathy, and it doesn’t just come to play – it’s here for the long haul. When your blood sugar’s running wild, your nerves pay the price. First, it’s a little tingle, then a loss of feeling. Before you know it, you can be walking around with injuries you don’t even notice. If you’re dealing with diabetes, you can’t afford to let numb feet slide.

4. Peripheral Neuropathy: When Your Nerves Are Just Done

Here’s the deal with peripheral neuropathy: it’s like your nerves are throwing up their hands and saying, “We’re tapping out!” This kind of nerve damage doesn’t discriminate – it can hit anyone. Although diabetes is the most common cause of neuropathy it is not the only one (the list is pretty long). It can start with a tickle or tingle, but if left unchecked, it can take over. The longer the nerve is damaged the more difficult it is to reverse.  If you’re feeling those mystery sensations, don’t wait around for a bigger issue.

How to Treat Numb Feet (and Start Feeling Fabulous Again)

Losing sensation in your feet is annoying, uncomfortable, and sometimes dangerous. But you’ve got options! Here’s how to give your feet some TLC and get them back in action.

Laser Therapy: Bringing the Heat (Literally)

Laser therapy is like a little spa day for your nerves. The focused light promotes blood flow, eases pain, and can reduce that irritating numbness. It won’t magically cure everything, but it can give those nerves the jumpstart they need. If you’re tired of fuzzy toes, give laser therapy a shot and watch the sparks fly.

Lifestyle Changes: Little Tweaks, Big Results

Listen, you’ve got to put in a little work to get your feet feeling good again. A few lifestyle changes can make all the difference. We’re talking about quitting smoking, reducing alcohol, and getting up and moving to keep that blood flowing. Managing blood sugar levels and balancing your diet can also have a huge impact. It may be hard to make these changes to keep your feet. But With LOPS and PAD, a very small problem will make it easy to lose them.

Medications

Most of the medications for neuropathy just mask the problem. They can be effective in controlling pain and make it easier to sleep but they do not change the nerve damage. A medication derived from the B complex vitamins can help nerve repair. Nerves do not change quickly but improvement should be noticed as soon as 2-3 months.

Surgery: When You Need a Major Intervention

Alright, so surgery is a big gun. Sometimes it’s exactly what’s needed to get blood flowing to relieve those nerves. With seriously restricted blood flow, surgery might be necessary to clear the blockages. Or, if nerves are compressed, a decompression surgery can get things back on track. It’s not a first option, but when numbness just won’t quit, surgery can make a world of difference.

Don’t Ignore Your Feet’s Cry for Help

So, here’s the deal: if you’re dealing with numbness, burning, tingling, or that “ghostly foot” feeling, it’s time to pay attention. Numb feet aren’t just weird – they’re a warning sign that something’s up. Early treatment can save you from bigger headaches (and foot aches!) down the road.

Give your feet the attention they deserve and reach out to the pro. Because if your feet and brain can’t communicate, it’s time to step up and make the call to the go-to foot doc, Jeff Leibovitz. Don’t let numbness be the end of the story – take action today!