[64M] Experiencing burning and tingling in feet at night with long-standing tinnitus

What might be happening

Based on the information you provided, possible conditions that could explain your symptoms include:

• Peripheral Neuropathy: This condition results from damage to the peripheral nerves, which often causes weakness, numbness, and pain, usually in your hands and feet. It can also cause tingling or burning sensations. Peripheral neuropathy can be associated with diabetes and pre-diabetes, which you mentioned you have.

  • Treatment typically involves managing the condition causing the neuropathy. In your case, continuing to control your blood sugar levels could help manage your symptoms. Pain medications might also be prescribed to manage the discomfort.

• Tarsal Tunnel Syndrome: This is a compression, or squeezing, on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve running from the inside of the ankle into the foot. The symptoms of Tarsal Tunnel include a burning sensation, tingling, or numbness.

  • Treatment can include physical therapy, medication, or possibly surgery.

• Restless Legs Syndrome (RLS): This is a condition that causes an uncontrollable urge to move your legs, usually because of an uncomfortable sensation. It typically happens in the evening or nighttime hours when you're sitting or lying down.

  • Treatment can include lifestyle changes, such as regular sleep patterns, regular exercise, and quitting smoking if applicable. Medication might also be prescribed.

Your tinnitus could be due to a variety of causes, including age-related hearing loss, exposure to loud noise, and earwax blockage. However, without more information, it's difficult to provide a specific potential cause.

What you can do

1. Continue to manage your pre-diabetes by maintaining a healthy diet, regular exercise, and regular check-ups with your doctor.
2. Try to identify any activities or positions that worsen your symptoms and avoid them if possible.
3. Keep your legs elevated and use cold water as you've found these measures to be helpful.
4. Consult with a healthcare professional who can provide a formal diagnosis and treatment plan.

What you should look out for

• If you notice any worsening of your symptoms, such as increased pain or numbness, or if you develop additional symptoms, you should seek medical attention.
• If your tinnitus becomes more severe or is accompanied by other symptoms such as dizziness, hearing loss, or headache, you should also seek medical attention.

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.