I use a homeopathic foot pain cream by Magnilife. It and Biofreeze give me temporary relief. My pain tends to occur as soon as I lie down in bed. When I use one or the other, they get me through the night.
July 28
@MrsV23--That's great that the topical treatments help you! Neuropathy tends to be worst at night.
If topicals don't help you, Sharon, gabapentin, Lyrica, and Cymbalta are other options. Older meds like amitriptyline and nortriptyline are options but likely have more side effects. It's important to ensure that possible causes other than lupus have been excluded as well. Appropriate labs include vitamin B12 levels, thyroid function tests, and serum protein electrophoresis/light chains, as treatable causes other than lupus may be found.
July 29
Foot neuropathy is something many people with lupus deal with, and it's no fun — that burning, tingling, and pain can really wear you down. The good news is there are several ways to manage it.
Lupus can damage peripheral nerves through inflammation, which leads to those uncomfortable sensations in the feet (and sometimes Show Full Answer
Foot neuropathy is something many people with lupus deal with, and it's no fun — that burning, tingling, and pain can really wear you down. The good news is there are several ways to manage it.
Lupus can damage peripheral nerves through inflammation, which leads to those uncomfortable sensations in the feet (and sometimes hands). A MyLupusTeam member shared that after a nerve conduction study confirmed neuropathy, they were referred to a neurologist — so getting properly diagnosed is a great first step. Treatment options your doctor may consider include:
- Over-the-counter pain relievers like acetaminophen (Tylenol) or NSAIDs
- Anti-seizure medications like gabapentin or pregabalin (Lyrica), which are commonly used for nerve pain
- Antidepressants such as duloxetine (Cymbalta) or amitriptyline, which can help with nerve-related pain
- Topical treatments like capsaicin cream or lidocaine patches
- Vitamin B supplements, which may support nerve health
Sticking to your lupus treatment plan is also key, as managing lupus activity can help reduce neuropathy symptoms overall.
It's worth talking to your rheumatologist or a neurologist about what's right for your specific situation — they can run tests like nerve conduction studies to better understand what's going on.
July 28