Why Do My Feet Tingle at Night?
You’re finally in bed, ready to relax — but your feet have other plans.
Tingling, burning, or that pins-and-needles feeling starts to creep in, especially at night. It might seem like a small annoyance, but if it’s happening often, it’s worth paying attention to.
At Align Foot & Ankle, we see this symptom all the time. And while it might seem harmless at first, it can actually be an early sign of something deeper: nerve dysfunction.
What Causes Tingling Feet?
Tingling, burning, or numbness in your feet is often related to peripheral neuropathy — a condition where the small nerves in your feet become damaged or irritated. But neuropathy isn’t just caused by diabetes. Other causes include:
- Compression or pinched nerves in the ankle or spine
- Vitamin deficiencies (especially B12)
- Alcohol use or certain medications (like chemotherapy)
- Old injuries
- Poor circulation
- Autoimmune or metabolic conditions
- Idiopathic neuropathy (cause unknown — but still treatable)
Nighttime symptoms often show up because your body is at rest and more tuned in to small nerve signals. It can feel like buzzing, itching, burning, or a strange mix of numbness and sensitivity.
When Should You Be Concerned?
Tingling here and there after a long day on your feet? Totally normal.
But if the symptoms are persistent — especially if they’re interfering with sleep or daily activities — it’s time for an evaluation.
Look out for:
- Tingling that lasts more than a few days
- Burning or pins-and-needles that wakes you up at night
- Numbness or coldness that doesn’t go away
- Pain with no clear injury
- Muscle weakness or foot instability
What We Do at Align
We take nerve symptoms seriously — and we start by figuring out what’s causing them.
Our in-office evaluation may include:
- A full neurological exam
- Sudomotor testing to assess sweat gland and nerve function
- Circulation studies (ABI/TBI)
- Imaging or lab work, if needed
Once we know what’s going on, we build a treatment plan based on your symptoms and goals.
Treatment Options That Actually Help
There’s no one-size-fits-all solution — but at Align, we offer advanced options that go beyond pain medication:
- Class IV Laser Therapy to reduce inflammation and improve nerve healing
- Medical-grade supplements like EB-N6 for nerve support
- Regenerative injections to stimulate local healing
- Custom orthotics to reduce nerve irritation from foot mechanics
- Lifestyle guidance to support long-term nerve health
We also focus on preventing progression — because early intervention matters.
Bottom Line: Tingling Isn’t Just Annoying — It’s Information
If your feet are trying to tell you something, we’re here to listen.
The earlier we catch nerve issues, the easier they are to manage — and in many cases, improve.
Ready to take the next step?
Schedule a comprehensive nerve evaluation with Dr. Ho-Ellsworth today.
Align Foot & Ankle
1600 W 38th St #408, Austin, TX
Call: (512) 882-4911
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