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Burning Feet

Why feet burn at night: small-fibre neuropathy causes such as diabetes and B12 deficiency, quick relief and longer-term treatment.

Reviewed by Dr James Bristol, MD, PhDGuideline-basedStudies cited

Medically reviewed by Dr James Bristol, MD, PhD · Updated 2026-11-14

Burning feet are one of the most common symptoms of small-fibre peripheral neuropathy. It is often worse at night. Diabetes is the leading cause, but B12 deficiency, thyroid problems, alcohol, chemotherapy, HIV and some medicines can also cause it.

Quick relief

  • Cool (not ice-cold) water soaks for a few minutes
  • Breathable socks and shoes
  • Capsaicin cream on the feet (wash hands after)
  • Keep bedding off the feet at night

Burning, numb or tingling feet for months? Get the free guide and a doctor review of your scan.

Longer-term

Find the cause

Diabetes, chemotherapy, HIV, B12 and more: treatment starts there.

Relieve the pain

Guideline medicines, capsaicin, exercise and foot care.

Explore what's next

PRP and stem cell research, with honest limits.

Related guides

Free guide · Step 1 of 2

Neuropathy relief: the 7-step plan for burning, numb or tingling nerves

What to check first, what helps day to day, which medicines guidelines recommend, and the newer regenerative options being studied. Free on WhatsApp.

Step 2 of 2

Last step: do you have nerve test results or a medical report?

If yes, a doctor reviews it for free and tells you whether regenerative or other non-surgical options could suit you.

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