Hi,i was treated for Hansen disease about 8+ years ago and about 2+yrs after my feet began flaring up at nights, so its about 6+yrs my soles of my feet are hot but now it’s day and night running down the side of my calfs,i also have a mild annular disc bulge at L4-5 with more focal right paracentral disc protrusion at L4-5 measuring 0.3cm,No spinal or foraminal stenosis,early degenerative changes at L3-4 and L4-5, can this cause my hot soles of feet,thank you,i also did a EMG test and the results were good
Soles of feet becoming “hot” is commonly a sign of peripheral neuropathy. Hansen’s disease is a disease of the peripheral nerves and the most common symptom is what you are complaining of. I checked the medications used to treat Hansen’s disease and with a cursory look, none of them cause peripheral neuropathy so it must be the disease process itself.
EMG tests the large fiber nerves but is incapable of detecting small fiber neuropathy so this test could very well be normal with continued nerve problems. Your spine degeneration does not sound like it could affect your legs.
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Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.