Can High Blood Pressure Cause Burning Feet?

Burning feet, often described as a painful sensation of heat, can be a distressing symptom. Many wonder about its connection to common health conditions, particularly high blood pressure (hypertension) and whether it directly causes this discomfort. While high blood pressure itself does not directly lead to burning feet, it can contribute to several underlying health issues that do manifest this symptom, making the relationship indirect but significant. Understanding these connections is important for grasping the potential origins of burning feet.

High Blood Pressure and Nerve Health

High blood pressure can contribute to or worsen conditions that damage nerves, leading to burning feet. One such condition is Peripheral Artery Disease (PAD), where narrowed arteries reduce blood flow to the limbs. Hypertension is a risk factor for PAD, and this reduced circulation can deprive nerves of essential oxygen and nutrients, potentially causing nerve damage and burning sensations.

When an individual has both high blood pressure and diabetes, hypertension can accelerate the progression of diabetic neuropathy, a common form of nerve damage associated with elevated blood sugar levels. High blood sugar primarily damages small blood vessels that supply nerves, and high blood pressure can exacerbate this damage, making burning feet more likely or severe.

Uncontrolled high blood pressure can also lead to kidney damage. Advanced kidney disease is another condition that can cause peripheral neuropathy, including burning feet. The buildup of toxins in the bloodstream due to impaired kidney function is thought to harm nerves, either directly or by damaging the small blood vessels that supply them. This accumulation of waste products can disrupt normal nerve function, leading to symptoms like burning, tingling, and numbness, particularly in the feet.

Other Common Causes of Burning Feet

Beyond high blood pressure’s indirect links, numerous other conditions can cause burning feet. Peripheral neuropathy, a broad term for nerve damage outside the brain and spinal cord, is a frequent cause of this sensation. This nerve damage can result from various factors, including certain vitamin deficiencies, particularly B vitamins, which are crucial for nerve health.

Fungal infections, such as athlete’s foot, are a common and often overlooked cause of burning feet. This infection can lead to itching, stinging, and a burning rash, typically between the toes or on the soles. Small Fiber Neuropathy (SFN), which affects small sensory nerves responsible for pain and temperature sensations, commonly presents with burning or tingling sensations, often starting in the feet and progressing upward.

Hypothyroidism, an underactive thyroid gland, can also contribute to nerve damage and cause burning feet. The hormonal imbalances associated with hypothyroidism can lead to fluid retention, which may compress peripheral nerves. Tarsal Tunnel Syndrome, a condition where the posterior tibial nerve in the ankle becomes compressed, can also result in burning, tingling, or pain in the bottom of the feet and toes.

When to Seek Medical Attention

If you experience persistent or worsening burning feet, consult a healthcare professional. While temporary burning sensations might occur from fatigue or skin infections, prolonged symptoms often indicate nerve damage or other underlying medical conditions. Seeking medical attention is important if the burning sensation becomes more intense, spreads up the legs, or is accompanied by numbness, tingling, or weakness in the feet.

Accompanying symptoms that warrant immediate medical attention include the sudden onset of severe burning pain, particularly if there’s a possibility of exposure to toxins. If you have diabetes and develop an open wound on your foot that appears infected, seeking prompt care is crucial. Proper diagnosis is essential to identify the root cause of the burning feet, whether it stems from complications related to high blood pressure or other distinct conditions. Self-diagnosis or delaying medical consultation for nerve-related symptoms is not recommended.