Burning Legs: Symptoms, Causes, and Treatments

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A feeling of burning in your legs can happen with exposure to extreme temperatures or another health condition, including some that affect the nerves. You may experience additional symptoms.

A burning sensation in your legs may have an obvious explanation, like a leg injury or during or after intense exercise. It could also be the result of damage or exposure to extreme heat, cold, or a toxic substance.

A burning feeling in your legs can often be accompanied by:

• paresthesia (tingling)
• numbness

Some reasons for a burning feeling in your legs aren’t as obvious and need a doctor’s diagnosis. These conditions include:

Meralgia paresthetica

Meralgia paresthetica occurs when the nerve that provides sensation to the skin on your thigh is compressed. It’s also referred to as Bernhardt-Roth syndrome.

The condition often presents as a burning pain on the surface of your outer thigh. The outer thigh may also tingle or feel numb.

Venous reflux

Venous reflux occurs when the veins in the leg aren’t properly circulating blood to the heart. It’s also referred to as venous insufficiency.

If a leg vein fails, the blood can back up, pool, and leak into the leg tissue. This leads to a hot or burning sensation often accompanied by discoloration and itching.

Peripheral neuropathy

Peripheral neuropathy is a loss of function of the nerves that relay signals from the body to the spinal cord and brain. It’s often associated with:

• diabetes
• alcohol use disorder
• Guillain-Barré syndrome

Multiple sclerosis (MS)

Symptoms of MS include sensory disturbances that can lead to burning pain as well as numbness and tingling in the legs. These symptoms are often the result of faulty nerve signals due to MS lesions in the spinal cord and brain.

Treatment of burning legs depends on the underlying cause.

Meralgia paresthetica

Most people can expect a full recovery from meralgia paresthetica in four to six weeks. First-line treatments can include the following:

• Drugs like aspirin, acetaminophen (Tylenol), naproxen (Aleve), or ibuprofen (Advil) can relieve pain. Shop online for acetaminophen, naproxen, or ibuprofen.
• Lose weight if you’re overweight.
• Wear loose-fitting clothing.
• Physical therapy can build leg strength.

If your pain is severe or symptoms continue for more than eight weeks, your doctor might recommend the following to reduce pain:

• corticosteroid injections
• tricyclic antidepressants
• antiseizure medications, such as gabapentin (Neurontin), phenytoin (Dilantin), or pregabalin (Lyrica)

Surgery to decompress the nerve might be recommended if you’re pain is very severe and persistent, but this is rare.

Venous reflux

Your doctor may recommend the following when venous reflux is diagnosed early:

• Compression stockings put pressure on your legs to help move blood. Find compression stockings online.
• Get moving. Avoid standing or sitting for long periods to reduce pressure on your legs. Exercise also helps pump blood.
• Blood thinners can prevent the formation of blood clots.

If the condition has progressed, your doctor might recommend a procedure to close a problem vein. Doing so forces blood to flow through healthier veins. These procedures include:

• Sclerotherapy. Your doctor injects a scarring solution to close the affected vein.
• Endovenous thermal ablation. A laser or high-frequency radio waves are focused on the problem vein and closes it.
• Ligation. Your doctor cuts and ties off the affected vein.

Peripheral neuropathy

Treatments for peripheral neuropathy can include:

• Pain relief. Over-the-counter pain medications, such as nonsteroidal anti-inflammatory drugs, can ease mild symptoms. Stronger painkillers might be prescribed for more severe symptoms.
• Antiseizure medications. Developed to treat epilepsy, antiseizure medications such as gabapentin (Neurontin) and pregabalin (Lyrica) may relieve nerve pain.
• Topical treatments. Capsaicin cream may relieve your symptoms if you’re looking for a natural option. Purchase capsaicin cream online.
• Lidocaine patches. These patches are applied to your skin and may offer pain relief. Shop for lidocaine patches here.

If your case of peripheral neuropathy is more serious, your doctor may recommend the following treatments:

• Transcutaneous electrical nerve stimulation. Electrodes are placed on the skin to deliver a gentle electric current to relieve symptoms.
• Physical therapy. Exercises can strengthen muscles and improve movements.
• Plasma exchange. A machine removes the plasma from your blood as well as antibodies that are attacking your immune system. The affected plasma is treated or replaced with a substitute and then returned to your body.

Multiple sclerosis

There’s no cure for MS yet, but treatment can manage symptoms in most cases. Treatment focuses on slowing MS progression and minimizing recovery time following flare-ups. Medications to treat MS include:

• alemtuzumab (Lemtrada)
• dimethyl fumarate (Tecfidera)
• fingolimod (Gilenya)
• glatiramer acetate (Copaxone)
• natalizumab (Tysabri)
• ocrelizumab (Ocrevus)
• teriflunomide (Aubagio)

Call 911 or your local emergency services if a burning sensation in your leg suddenly appears and is accompanied by:

• weakness or numbness on one side of your body
• headache
• a change in your level of consciousness

These can be signs that you’re experiencing a stroke. It’s vital to seek immediate medical attention for a good outcome and quicker recovery.

Burning in Knee: Causes and Treatments

Burning in Knee: Causes and Treatments

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Medically reviewed by William Morrison, M. D. — By Scott Frothingham — Updated on May 30, 2018

Burning knee pain

Because the knee one of the most actively used joints in the human body, pain in this joint isn’t an uncommon complaint. Although knee pain can take many forms, burning pain in the knee can be an indicator of a variety of problems.

You can have a burning sensation that seems to encompass the full knee, but often it’s felt in a specific area — most commonly behind the knee and in front of the knee (kneecap). For some, the burning sensation is focused along the sides of the knee.

There are several causes for burning in the knee. Where you feel the burning sensation has a lot to do with what’s causing the problem.

Burning behind the knee is often caused by:

• ligament tear
• cartilage tear
• overuse injury
• osteoarthritis

Burning in the front of the knee is often caused by an overuse injury known as runner’s knee – also referred to as chondromalacia or patellofemoral pain syndrome (PFS). As well, it could be tendonitis caused by the inflammation of the patellar tendon.

Burning on the outside of the knee is often caused by iliotibial band syndrome (ITBS).

Some people experience increased knee pain at night. This could be caused by a number of reasons:

• Blood vessels increase in diameter during sleep, putting pressure on nerves.
• Thinking about your physical pain without the distractions of the day results in an increase that’s psychologically driven.
• Hormone signals are reduced while you sleep, allowing more pain signals to get through to the brain.

Treatment for a burning knee depends on the cause.

Knee ligament tear

If a knee ligament tear is diagnosed as partial, treatment might include:

• muscle-strengthening exercises
• protective knee brace, to be used when exercising
• limits to activity that might cause further damage

A complete knee ligament tear might have to be surgically repaired.

Knee cartilage tear (damage to the joint surface)

The first stage of cartilage tear treatment is nonsurgical and could include:

• muscle-strengthening exercises like monitored physical therapy or a program of home exercise
• pain relief, typically nonsteroidal anti-inflammatory drugs (NSAIDs)
• steroid injections in the knee

For those whose situation doesn’t improve with more conservative treatment, the next stage is surgery. There are a number of surgical options including:

• Knee chondroplasty. The damaged cartilage is smoothed to reduce joint friction.
• Knee debridement. Loose pieces of cartilage are removed, and the joint is flushed with a saline solution (lavage).
• Osteochondral autograft transplantation (OATS). Undamaged cartilage is taken from a non-weight-bearing area and moved to the damaged area.
• Autologous chondrocyte implantation. A piece of cartilage is removed, cultivated in a lab, and put back into the knee, where it grows into healthy replacement cartilage.

Osteoarthritis in the knee

Osteoarthritis can’t be reversed, so the best that can be done is symptom management, which can include:

• pain management with over-the-counter (OTC) medication such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin IB) and naproxen sodium (Aleve)
• physical and occupational therapy
• cortisone injections

Eventually, joint replacement surgery (arthroplasty) might be necessary.

Chondromalacia

Also known as runner’s knee, chondromalacia is the deterioration of the cartilage under the patella (kneecap). The initial treatment for chondromalacia includes:

• ice to reduce swelling following exercise
• pain relief with OTC medication
• rest for the knee joint, which includes avoiding squatting and kneeling
• alignment of the patella with a brace, tape, or a patellar-tracking sleeve

If the initial nonsurgical treatments fail, your doctor could suggest arthroscopic surgery to smooth unstable cartilage flaps and the trochlear groove (a groove on top of the femur).

Patellofemoral pain syndrome (PFS)

For mild cases, PFS is treated with:

• rest for the knee, which includes avoiding climbing stairs and kneeling
• OTC pain medications
• rehabilitation exercises, including those for quadriceps, hamstrings, and hip abductors
• supportive braces

For more severe cases, your doctor might recommend arthroscopy, a surgical procedure to remove fragments of damaged cartilage.

Patellar tendinitis

Patellar tendinitis is a common overuse injury to the tendon that connects your kneecap (patella) to your shinbone. It’s usually treated with:

• rest, especially avoiding running and jumping
• ice to reduce swelling
• pain management via OTC pain relievers
• exercise focused on the leg and thigh muscles
• stretching to lengthen the knee muscle-tendon unit
• patellar tendon strap to distribute force from the tendon to the strap

If conservative, noninvasive treatments aren’t effective, your doctor might recommend:

• platelet-rich plasma injection
• oscillating needle procedure

ITBS

ITBS is a repetitive knee strain injury experienced primarily by runners. Although at this time there is no definitive treatment for it, runners are usually advised to adhere to the following four-step program:

1. Stop running.
2. Cross-train with no-impact exercise like cycling and pool running.
3. Massage the quads, glutes, hamstrings, and iliotibial band.
4. Strengthen your core, the glutes, and the hip area.

Burning knee pain can indicate a problem with the joint or the soft tissues around the knee such as ligaments and tendons. If a burning pain in your knee seems to be associated with a specific area of the knee — front, back, or sides — you may be able to narrow down the potential causes of the pain.

If the pain persists or interferes with your daily activities or sleep, you should consult with your doctor.

Last medically reviewed on May 29, 2018

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Chondromalacia. (2013).
  health.harvard.edu/pain/chondromalacia-
• Knee ligament repair. (n.d.).
  hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/knee_ligament_repair_92,P07675
• Mayo Clinic Staff. (2017). Patellofemoral pain syndrome.
  mayoclinic.org/diseases-conditions/patellofemoral-pain-syndrome/diagnosis-treatment/drc-20350797
• Mayo Clinic Staff. (2018). Osteoarthritis.
  mayoclinic.org/diseases-conditions/osteoarthritis/diagnosis-treatment/drc-20351930
• Mayo Clinic Staff. (2018). Patellar tendinitis.
  mayoclinic.org/diseases-conditions/patellar-tendinitis/diagnosis-treatment/drc-20376118
• Tiu T, et al. (2017). Knee overuse disorders.
  now.aapmr.org/knee-overuse-disorders/

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Medically reviewed by William Morrison, M. D. — By Scott Frothingham — Updated on May 30, 2018

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hot flashes during menopause, heat in the feet, general sensation of heat

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Heat is an influx of heat to any part of our body. We feel heat when the subcutaneous vessels expand, dramatically increasing blood flow to the surface of the skin. The autonomic nervous system is responsible for the activity of the vessels, so the feeling of heat can be a symptom of serious diseases.

Hot flashes during menopause

The resulting feeling of heat, covering the face, neck, chest, and accompanied by sweating, a feeling of lack of air, and often dizziness, is a common symptom in menopause. This rolling sensation of heat is called hot flashes. Hot flashes during menopause are associated with a violation of the general thermoregulation of the body caused by hormonal changes.

Unfortunately, it is rare that a woman does not experience hot flashes during menopause. However, the frequency of hot flashes can be reduced several times if you follow fairly simple rules: you should avoid overheating, do not wear excessively warm clothes, refrain from hot food and foods that increase the metabolic rate, and this is tea, pepper, coffee, energy-based caffeine.

Heat in the feet

Complaints of heat in the feet are quite common. They say that “the feet are on fire.” This may be a sign of a serious violation of microcirculation – blood supply in the small vessels of the legs, which is especially dangerous for people who are obese or have diabetes. In this case, you must definitely consult a doctor. An in-depth instrumental examination of the vessels of the legs may be required.

Another common cause of burning in the feet is a fungal infection of the skin. To exclude this option, it is necessary to pass tests for the fungal flora.

General sensation of heat

A feeling of heat throughout the body may be the result of a systemic metabolic disorder caused by a hormonal disease. In this case, it is possible to suspect a disease of the thyroid gland, gonads or adrenal glands. If you are worried about feeling hot, you should definitely visit an endocrinologist. For an accurate diagnosis, a laboratory blood test is required.

Fever accompanied by chills is a sure sign of illness. As a rule, fever and chills indicate an infection in the body, but it is also possible that this is a symptom of a more serious autoimmune disease (rheumatism, systemic lupus erythematosus). In case of fever, accompanied by chills, it is necessary to immediately consult a general practitioner, as well as conduct an examination to determine the exact cause.

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Feeling hot

Menopause

Diabetes mellitus

Climax

Thyrotoxicosis

Pheochromocytoma

1985

24 August

The feeling of heat that a person experiences arises from a sharp expansion and blood filling of small subcutaneous vessels. This condition is called arterial hyperemia. The skin turns red and becomes hot.

The lumen of the vessels is regulated by the sympathetic and parasympathetic nervous system. Its changes depend on the signals of the vasomotor (vasomotor) center of the central nervous system, hormones, pyrogenic (heat-causing) substances entering the blood, and a number of other factors.

Feelings of heat

The vessels are constantly influenced by factors that have a vasoconstrictor or vasodilating effect. For example, under stress, blood vessels under the influence of the hormone adrenaline narrow, the skin turns pale. At the end of a stressful situation, the vessels relax and fill with blood.

Pathological arterial hyperemia, which is accompanied by a feeling of heat, develops either under the influence of irritants (infections, toxins, tissue breakdown products during burns, pyrogenic substances), or in violation of nervous regulation.

There are neurogenic arterial hyperemia (occurring in response to irritation of nerve endings) and metabolic (due to the action of local chemical factors). An example of neurogenic arterial hyperemia is the reddening of the face and neck with hypertension, menopausal syndrome, and also with strong emotions.

Blood electrolytes have a metabolic effect on vascular tension: calcium and sodium constrict blood vessels and increase pressure, while potassium and magnesium, on the contrary, expand. Metabolic regulators include carbon dioxide, organic acids, hormones.

Possible Causes of Feeling Hot

Hot, spicy and spicy foods can cause flushing and feeling hot.

The same effect on the body has alcohol , which promotes the expansion of blood vessels.

Certain medications may also cause a sensation of heat spreading throughout the body. These include vasodilators, hormonal agents, antidepressants, etc.

The causes of arterial congestion and, as a result, feelings of heat can be different. If the regulation of vascular tone is disturbed, arterial hypertension may develop, accompanied by a sudden increase in blood pressure – a hypertensive crisis. The most common cause of this condition is hypertension. However, in a third of cases, arterial hypertension is caused by diseases of the internal organs: acute glomerulonephritis and other kidney damage, adrenal tumors and other diseases of the endocrine system. The magnitude of the rise in blood pressure during a hypertensive crisis depends on the age and individual characteristics of the person. At a young age, the symptoms of a crisis may occur at a lower level of blood pressure, and in the elderly – at a higher one.

A sharp increase in blood pressure is accompanied by headache, dizziness, nausea, vomiting, visual disturbances (“flies”, doubling). Perhaps numbness of the limbs, a feeling of goosebumps, palpitations, shortness of breath.

Due to a violation of the nervous regulation, chills occur, followed by fever, increased sweating. Completion of the crisis is accompanied by frequent urination.

An increase in blood pressure and the symptoms accompanying this condition also occur with a tumor of the adrenal gland – pheochromocytoma and other hormone-producing tumors. The tumor secretes large amounts of catecholamines (epinephrine and norepinephrine).

Clinical signs of pheochromocytoma may include headache, sweating, palpitations, irritability, weight loss, chest pain, nausea, vomiting, weakness, fatigue. In some cases, patients may experience fever, shortness of breath, hot flashes, increased thirst, frequent urination, dizziness, and tinnitus.

Many women complain of hot flashes during menopause . A change in the hormonal background occurs even before the cessation of menstruation, during the period of premenopause (menopausal transition). At first, its manifestations are insignificant, and most often they are not given importance or are attributed to the consequences of fatigue and mental overstrain. Hormonal and metabolic changes, in particular, a decrease in the level of estrogens, progesterone and an increase in the production of GnRH, are accompanied by hot flashes, which can be repeated several times a day.

Women describe them as a periodic short-term sensation of heat, followed by chills, increased sweating, and rapid heartbeat.

In most cases, hot flashes slightly interfere with well-being. Arterial hyperemia and a feeling of heat may be a sign of a dysfunction of the thyroid gland, for example, with thyrotoxicosis . Patients with thyrotoxicosis complain of general weakness, fatigue, irritability, sleep disturbance, sweating, finger trembling, palpitations, and sometimes pain in the region of the heart.

Despite increased appetite, patients with thyrotoxicosis lose weight.

Violation of thermoregulation, which occurs due to accelerated metabolism, leads to an increase in body temperature and causes a constant feeling of heat. The skin becomes warm and moist, the skin vessels dilate, which is accompanied by reddening of the face. Sweating increases, nails become brittle, hair falls out.

Sometimes hot flushes and a sensation of heat in combination with high blood pressure occur at diabetes mellitus . These symptoms are accompanied by general malaise, sweating, thirst, increased urine output.

Which doctors should I contact?

If you experience symptoms such as fever and hot flashes on a regular basis, you should contact
therapist, who, on the basis of complaints and analyzes, will refer to
gynecologist or
endocrinologist.

Diagnostics and examinations

The appearance of periodic hot flashes, accompanied by a feeling of heat, sweating, redness of the skin of the face, requires a mandatory diagnosis.

The doctor evaluates the patient’s complaints, taking into account age, gender and concomitant diseases. With an increase in blood pressure, turning into crises, it is necessary to determine the nature of the pathology – primary (associated with impaired nervous regulation) or secondary (due to diseases of the internal organs). For this, a clinical blood test and a general urinalysis, a Nechiporenko urinalysis, a blood test for glucose, cholesterol, and creatinine are prescribed. Clinical blood test: general analysis, leukogram, ESR (with microscopy of a blood smear in the presence of pathological changes)

Synonyms: Complete blood count, KLA. Full blood count, FBC, Complete blood count (CBC) with differential white blood cell count (CBC with diff), Hemogram.
Brief description of the study CBC: general a…

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General urinalysis (Urine analysis with sediment microscopy)

Method of determination

Determination of physical and chemical parameters is carried out on an automatic analyzer using the “dry chemistry” method.

Hardware microscope…

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410 RUB

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Nechiporenko Urine Test

Synonyms: Determination of the amount of blood cells in the urine sediment; Sample of Nechiporenko; Urinalysis by the Nechiporenko method.

Analysis of urine Nechiporenko; Urinalysis; Urine…

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Glucose (in the blood) (Glucose)

Research material

Serum or blood plasma. If it is not possible to centrifuge the sample 30 minutes after collection for serum/plasma separation. ..

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335 RUB

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Cholesterol total (cholesterol, Cholesterol total)

Synonyms: Cholesterol, cholesterol. Blood cholesterol, Cholesterol, Chol, Cholesterol total.
Brief characteristics of the analyte Total cholesterol
Approximately 80% of all cholesterol is synthetic…

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370 RUB

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Creatinine (in the blood) (Creatinine)

Synonyms: Blood test for creatinine; Serum creatinine; Serum creatinine, GFR estimate. Creat; Cre; Blood Creatinine; Serum Creatinine; Serum Creat.
Brief characteristic determined by …

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Diagnosis of thyrotoxicosis is based on the clinical manifestations of the disease and the results of laboratory and instrumental examinations. These include determining the level of TSH, free T4 and T3, the level of antibodies to the TSH receptor (AT-rTTG) and the level of antibodies to thyroid peroxidase (AT-TPO).

Anti-thyroid peroxidase antibodies (AT-TPO, microsomal antibodies, Anti-Thyroid Peroxidase Autoantibodies)

Synonyms: Blood test for Ab-TPO; Antibodies to microsomal antigen; ATPO. Antimicrosomal Antibodies; Antithyroid Microsomal Antibodies; Thyroid Peroxidase Autoantibodies; TPO Antibodies; Thyroid Peroxidase Test; Thyroid microsomal an. ..

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790 RUB

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In addition, an ultrasound of the thyroid gland, a scintigraphic examination, and in the presence of nodes, a fine-needle biopsy are performed.

Ultrasound of the thyroid gland, parathyroid glands and regional lymph nodes

Examination of the thyroid and parathyroid glands, allowing to assess their structure, as well as to detect pathological changes in these organs and regional lymph nodes…

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With symptoms of an adrenal tumor, stimulating tests are performed, the level of catecholamines in the daily urine and blood plasma, and metanephrines in the daily urine test are determined.

Catecholamines, daily urine: epinephrine, norepinephrine, dopamine

Catecholamines are biologically active substances from the group of biogenic amines.

Adrenaline is the main hormone of the adrenal medulla, which is formed here in …

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Plasma catecholamines (epinephrine, norepinephrine, dopamine)

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An MRI of the abdominal organs and retroperitoneal space is also necessary, usually with the use of contrast.

Treatment
The feeling of heat and hot flashes are only symptoms of the disease, so the doctor prescribes treatment after diagnosing the underlying pathology.

What should I do if I have a fever?

If the feeling of fever is caused by an increase in temperature due to infectious processes and intoxication, it is necessary to lower the body temperature and start treating the disease. In case of a hypertensive crisis, you need to call an ambulance. The feeling of heat that occurs with a sharp expansion of blood vessels due to neuroendocrine disorders does not require drug therapy.

Nevertheless, measures aimed at restoring vascular tone (contrast shower, normalization of sleep, daily exercise, healthy eating) lead to a decrease in the symptoms of hyperemia and an improvement in well-being.

Sources:

1. Kasyan V.N., Adamyan L.V. Pathophysiology of hot flashes. Focus on neurohormonal regulation. reproduction problems.