Internal Medicine, Family Medicine

Burning Tingling Feet/Sore Muscles: An Approach to Common Patient Complaints

James C. Watson, M.D.

Learn about practical diagnostic and treatment approach for patients with burning feet, how to discern concerning neuromuscular causes of myalgias from myofascial pain syndrome, and the role of diagnostic testing in patients presenting with burning skin and/or myalgias.

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  • 0:00

    Introduction and Overview

  • 2:18

    Case 1: 58 year-old male present with burning pain in his distal feet

  • 3:37

    Qustions to consider if the burning feet are neurologic

  • 5:14

    Neuropathy Symptoms

  • 6:49

    Length-dependent (distal) sensorimotor PN

  • 9:29

    Small Fiber Neuropathy

  • 10:26

    Diagnostic Studies

  • 11:31

    Thermoregulatory Sweat Test

  • 12:32

    Skin Biopsy

  • 13:26

    Length-dependent neuropathy lab work-up

  • 15:59

    Impaired Glucose Tolerance (IGT)

  • 17:13

    Extending the differential diagnosis

  • 18:57

    Who would benefit from specialty consultation?

  • 21:20

    Other non-neuromuscular causes of myalgias

  • 22:20

    Cues to a neuromuscular etiology of myalgia

  • 25:38

    Myalgia Neuromuscular Evaluation

  • 27:06

    Statin Myotoxicity

  • 28:16

    Role of EMG

  • 28:43

    Who to Refer for Neuromuscular Evaluation of Myalgia?

  • 29:08

    Summary