How to Stop Burning Sensation in Feet at Night

Rest Easy Again with Expert Help from Medici Orthopaedics & Spine

That persistent burning sensation in your feet at night—the one that keeps you tossing and turning, unable to get comfortable—might seem like a small nuisance at first. But over time, it can steal your sleep, sap your energy, and significantly impact your daily life. If you wake up with hot, tingling, or painful feet, you’re not alone—and you’re not without solutions.

At Medici Orthopaedics & Spine, we specialize in identifying and treating the root causes of foot nerve pain, inflammation, and circulatory issues, helping patients across Georgia find safe, lasting relief—especially at night when symptoms are often at their worst.

What Is the Burning Sensation in Feet at Night?

The burning sensation many people experience is often described as:

  • A hot, tingling, or prickling pain
  • A feeling of walking on fire or needles
  • Sometimes accompanied by numbness, swelling, or muscle cramps

For many, these symptoms intensify in the evening when you're at rest, particularly while lying down. It’s not just uncomfortable—it can severely disrupt sleep, reduce healing, and contribute to daytime fatigue and poor quality of life.

Why Early Evaluation and Treatment Matter

Many people ignore nighttime burning in their feet until it becomes chronic or severe. But this is a symptom that shouldn’t be overlooked. It may be the earliest warning sign of:

  • Diabetic neuropathy
  • Nerve compression or dysfunction
  • Underlying metabolic or autoimmune issues

The sooner the cause is identified, the more treatment options are available—and the more effective they can be. At Medici, we use in-depth diagnostic tools and a whole-body approach to help you stop the burning, restore comfort, and sleep better again.

Common Causes of Burning Feet at Night

Burning feet at night may seem like a simple irritation, but it's often a signal from your body that something deeper is going on. Understanding the underlying cause is the first—and most important—step toward finding real relief. At Medici Orthopaedics & Spine, we work to identify the root source of the problem, so we can provide targeted, effective treatment that restores both your comfort and your sleep.

Here are the most common causes of burning sensations in the feet at night:

Diabetic Neuropathy

One of the leading causes of nighttime foot pain, diabetic neuropathy occurs when chronically high blood sugar levels damage the peripheral nerves—particularly in the feet and legs.

Common symptoms include:

  • Burning or tingling sensations
  • Numbness or loss of feeling
  • Sensitivity to touch or temperature

Peripheral Neuropathy (Non-Diabetic)

You don’t have to be diabetic to experience nerve-related burning in the feet. Peripheral neuropathy can result from:

  • Chemotherapy
  • Autoimmune diseases
  • Infections (like Lyme disease or shingles)
  • Genetic disorders

Alcohol Abuse, B-Vitamin Deficiencies, and Thyroid Problems

Long-term alcohol use can damage peripheral nerves, leading to alcoholic neuropathy. Similarly, deficiencies in B-complex vitamins (especially B12, B6, and B1) can affect nerve health.

Hypothyroidism (low thyroid function) can also slow nerve signal transmission and contribute to:

  • Burning
  • Tingling
  • Swelling in the feet and hands

Nerve Entrapment (e.g., Tarsal Tunnel Syndrome)

In some cases, a burning sensation stems from localized nerve compression, such as in tarsal tunnel syndrome. This occurs when the tibial nerve is compressed near the ankle, causing pain that often radiates into the sole of the foot—especially at night.

Other entrapments may result from:

  • Flat feet
  • Past ankle injuries
  • Scar tissue or swelling post-surgery

Poor Circulation, Inflammation, or Overuse Injuries

Conditions like peripheral artery disease (PAD), plantar fasciitis, or even prolonged standing and walking can trigger burning sensations.

You may also experience:

  • Swelling
  • A throbbing or heavy sensation
  • Pain that worsens when lying down

How to Stop Burning Sensation in Feet at Night

If your feet feel like they’re on fire every evening, it’s time to go beyond guesswork. At Medici Orthopaedics & Spine, we help patients throughout Georgia combine proven home strategies with advanced medical care to stop the burn—so you can finally get the restful sleep your body needs to heal.

Here are the most effective ways to reduce or eliminate burning foot pain at night:

Apply Cooling or Nerve-Calming Topicals

Capsaicin, Lidocaine, or Menthol-Based Creams

Topical treatments can soothe irritated nerves and reduce discomfort before bed. Look for:

  • Capsaicin creams to deplete pain-transmitting chemicals in the skin
  • Lidocaine patches or gels for numbing localized nerve pain
  • Menthol or cooling creams to distract pain receptors and ease burning

Adjust Sleep Position and Support

Elevation, Cushioning, and Pressure Reduction

How you position your body at night can make a significant difference. Tips include:

  • Elevate your feet slightly with a pillow to improve circulation
  • Use a leg wedge or bolster to reduce pressure on the lower spine or hips
  • Avoid tight socks or heavy blankets that increase heat or compress nerves

Improve Blood Flow and Reduce Inflammation

Gentle Nighttime Stretches and Warm Foot Soaks

Before bed, stimulate circulation and calm nerve endings with:

  • Ankle pumps, calf stretches, or gentle yoga
  • A warm (not hot) foot soak with Epsom salt
  • Foam rolling or massage to the calves and soles

Avoid Evening Triggers

Alcohol, Sugar, Tight Socks, or Certain Meds

What you consume or wear in the evening can aggravate nerve symptoms. Watch for:

  • High-sugar or high-carb dinners that spike blood sugar
  • Alcohol, which can irritate the nervous system and disrupt sleep
  • Tight footwear or socks that reduce circulation
  • Certain medications, including statins or diuretics, that may worsen neuropathy

Start a Neuropathy-Focused Treatment Plan

Evaluation and Medical Treatment for Underlying Nerve Issues

If burning feet are disrupting your nights regularly, it’s time to go beyond at-home care. At Medici, we provide:

  • In-depth diagnostic testing for neuropathy, circulation, and nerve compression
  • Non-opioid medication plans and vitamin therapies
  • Nerve blocks, regenerative medicine, or spinal cord stimulation for advanced cases
  • Physical therapy to retrain movement, reduce nerve tension, and improve function

How Medici Treats Nighttime Foot Burning

At Medici Orthopaedics & Spine, we understand that the burning sensation in your feet—especially at night—is more than just frustrating. It’s a sign that your nerves, circulation, or tissues may be under stress. That’s why our team delivers personalized, multidisciplinary treatment plans that go beyond surface-level symptom relief.

Whether your pain is mild or chronic, here’s how we help you sleep soundly again:

In-Office Diagnostics to Assess Nerve Function

We begin with advanced diagnostic testing to determine whether your symptoms stem from:

  • Peripheral neuropathy
  • Circulatory issues
  • Nerve entrapment or postural stress

Our tools include nerve conduction studies, EMG, vascular assessments, and personalized clinical exams to map the exact cause of your discomfort.

Nerve Block Injections or Spinal Cord Stimulation (for Severe Cases)

When conservative treatments aren’t enough, our interventional options can offer powerful relief:

  • Targeted nerve block injections to reduce nerve inflammation and reset pain signals
  • Spinal Cord Stimulation (SCS) for patients with advanced neuropathy, failed back surgery, or severe burning pain unresponsive to other care

Both treatments are minimally invasive and designed to improve sleep and restore daily function without long-term medications.

Physical Therapy to Improve Circulation and Nerve Health

Our in-house physical therapy team works directly with pain specialists to design movement-based solutions that:

  • Increase lower extremity circulation
  • Improve nerve mobility and reduce entrapment
  • Strengthen foot and ankle support
  • Use myofascial release to target fascia and scar tissue

These therapies are crucial for long-term management and are tailored specifically to nighttime symptom relief.

Medication Management (Non-Opioid)

We provide safe, effective medication strategies that support healing and reduce burning sensations without relying on opioids.

Our approach may include:

  • Topical pain relievers (e.g., lidocaine, capsaicin)
  • Neuropathic medications (e.g., gabapentin or duloxetine)
  • Vitamin therapy (e.g., B12, alpha-lipoic acid) for nerve repair

Our physicians monitor each plan to ensure optimal relief with minimal side effects.

Regenerative and Lifestyle-Based Solutions

Because chronic burning pain is rarely caused by a single factor, we also offer:

  • Regenerative medicine, like PRP or prolotherapy, to enhance nerve and tissue recovery
  • Nutrition and wellness coaching to address inflammation and diabetic control
  • Stress management and sleep hygiene education to reduce nighttime pain flare-ups

This whole-body approach is what sets Medici apart—and it’s why our patients find long-term relief where others have not.

Don’t Let Burning Feet Steal Your Sleep

Find out what’s causing your burning feet—and how to stop it. Night after night of burning, tingling, or painful feet can drain your energy, disrupt your sleep, and slowly impact your quality of life. But you don’t have to live with it. At Medici Orthopaedics & Spine, we combine expert diagnostics, advanced treatments, and compassionate care to help you get to the root of your symptoms—and finally rest easy.

📞 Call today: +1-844-328-4624
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