Neuropathy Pain Tongue & Feet - Only During The Day

Have you ever had your spine evaluated? It sounds like compressed nerves somewhere since the numbness comes when exercising. I’d schedule an appointment with a neurosurgeon.

Thanks for your reply.
I should have worded this better, the pain begins once I begin my morning activities.
I did see a Cleveland Clinic neurologist and went through multiple tests which included evaluation of my back/spine. No issues there.

@zz3l4b
I don’t think your neuropathy symptoms are necessarily caused by anxiety. It seems you have a form of small fiber neuropathy and the spread to your mouth/tongue sounds like burning mouth syndrome. When you wake up, increased blood flow/pressure and warmer temperatures may be why you notice symptoms more during the day. You are putting more weight and pressure on your feet plus using your mouth and tongue to talk and eat/drink, etc. during the day makes the symptoms increase and become more noticeable.

What types of specialist doctors are you working with now?

What is your A1C and glucose levels now that you have lost 50 pounds (congratulations on that achievement)! Are you still prediabetic?

Have you seen a neurologist for neuropathy testing (small fiber neuropathy skin punch biopsy and bloodwork)? Are you working with an endocrinologist? You may also benefit from working with a nutritionist/dietitian to ensure you are not deficient or at toxic levels for vitamins/minerals. This can cause neuropathy.

Do you drink alcohol or smoke/vape? This can also cause neuropathy.

Here is what AI says about your condition:
“ Burning Mouth Syndrome (BMS) and prediabetes foot neuropathy are two distinct medical conditions, but they can both be related to nerve function and may occur in individuals with diabetes or prediabetes.
Burning Mouth Syndrome (BMS)
Definition: BMS is a condition characterized by a burning sensation in the mouth, which can affect the tongue, lips, gums, and other areas. It may also be accompanied by a dry mouth or altered taste.
Causes: The exact cause of BMS is often unknown, but it can be associated with various factors, including:
Hormonal changes (e.g., menopause)
Nutritional deficiencies (e.g., vitamin B12, iron)
Oral conditions (e.g., oral thrush)
Allergies or sensitivities to certain foods or dental products
Psychological factors (e.g., anxiety, depression)
Symptoms: The primary symptom is a burning sensation, which can be persistent or intermittent. Some individuals may also experience a metallic or bitter taste.
Prediabetes Foot Neuropathy
Definition: Neuropathy refers to nerve damage, and in the context of prediabetes, it often involves peripheral neuropathy, which affects the feet and legs. This condition can lead to symptoms such as pain, tingling, or numbness.
Causes: Prediabetes can lead to elevated blood sugar levels, which over time can damage nerves. Factors contributing to neuropathy include:
Poor blood sugar control
Inflammation
Reduced blood flow to nerves
Symptoms: Symptoms may include:
Tingling or "pins and needles" sensation
Burning pain
Numbness or loss of sensation in the feet
Increased sensitivity to touch
Relationship Between the Two
While BMS and foot neuropathy are separate conditions, they can both be influenced by diabetes and metabolic health. Individuals with diabetes or prediabetes may experience both conditions due to nerve damage and other related factors.
If you suspect you have either condition, it's important to consult a healthcare professional for proper diagnosis and management.”