His GP referred him to a consultant neurologist, who did blood tests and conducted nerve exams and found nothing wrong. After ruling out vitamin deficiencies, diabetes, chemotherapy- and HIV-induced neuropathy (disorder of nerves outside the brain and spinal cord), the consultant could not find an explanation. One possibility was the deterioration of myelin sheaths, which slows down the messages between the brain and the rest of the body. Dan was prescribed amitriptyline, an anti-depressant that is also prescribed for pain, but this didn't work so he turned to acupuncture.
I see cold hands and feet a lot but never burning feet. I first worked on increasing blood circulation, removing heat, and cooling down the body. I also later added electric stimulation after reading an article about the use of electro-acupuncture for similar cases of peripheral neuropathy*. The electric stimulation proved to be the key to unlocking this case. After eight treatments, Dan reported a 50% reduction in the burning sensation, with the pain gone. I am optimistic that we can continue to reduce the burning so Dan can lead a more normal and comfortable life.
I love leaving clinic at the end of the day having helped someone with something I knew absolutely nothing about.
* Dimitrova, A. (2017) 'Introducing a standardized acupuncture protocol for peripheral neuropathy: a case series', Medical Acupuncture, 29(6). [Online] DOI: 10.1089/acu.2017.1242 (Accessed 21 January 2019).