Quick Answer
Burning, tingling feet that worsen at night often point to length-dependent peripheral neuropathy —— cause-directed care matters.
Medically reviewed by Dr. Jitendra Prasad Yadav • NMC 8029 • Kathmandu Neurology Clinic & Cognitive Center
Direct answer: In Kathmandu, the most common causes of burning feet are diabetic or pre-diabetic neuropathy, vitamin B12 deficiency, chronic alcohol use, thyroid or kidney issues, and certain medications. Kathmandu Neurology Clinic & Cognitive Center evaluates distribution (feet-first vs patchy), metabolic and medication contributors, and nerve studies only when they would change management.
Key points: - Length-dependent pattern (feet before hands) suggests systemic cause; patchy or asymmetric weakness suggests different pathology. - Labs often include B12, HbA1c, thyroid and kidney function; nerve conduction studies quantify severity for follow-up. - Better glucose control, B12 correction where deficient, and limiting alcohol may slow progression; long-standing neuropathy often not fully reversible.
Dr. Jitendra Prasad Yadav — consultant neurologist & headache specialist at Kathmandu Neurology Clinic & Cognitive Center provides evidence-based evaluation for peripheral neuropathy.
Detailed explanation: Dr. Jitendra Prasad Yadav (NMC 8029) maps sensory loss, examines gait and reflexes, and discusses foot care and fall prevention. No promised reversal is implied for chronic disease; the emphasis is on identifying reversible contributors early and tracking change over time with the same consultant at Durbar Marg, Opposite of Yak & Yeti Hotel.
Bring diabetes records, prior labs or NCS, and a complete medication list to your visit.
Frequently asked questions
Answers reviewed by Dr. Jitendra Prasad Yadav • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
Supplements only help when a deficiency is present; underlying cause-directed care is needed.
If the underlying cause is corrected early (e.g., improving glucose control, treating vitamin deficiency), improvement may occur. Long-standing neuropathy is often not fully reversible.
Cervical sensations can coexist, but dizziness is often multifactorial and needs systematic assessment rather than assuming a single neck cause.
Yes; vertigo is the sensation of spinning. Dizziness is a broader term including lightheadedness, unsteadiness, and near-fainting. Different causes underlie each.
Progressive tingling starting in both feet, especially with diabetes, B12 deficiency or chemotherapy history, suggests peripheral neuropathy. Dr. Jitendra evaluates distribution (glove-stocking), underlying cause labs, and NCS/EMG when indicated. Burnout or anxiety alone rarely causes persistent stocking numbness — tar…
More: All FAQs → · Ask Dr. Jitendra →
Related articles
Numbness and Tingling in Kathmandu: When to See a Neurologist
Numbness tingling Kathmandu: when tingling needs neurological evaluation, common causes, red flags with Dr. Jitendra Prasad Yadav (NMC 8029).
Neurological Disorders —— Common Symptoms That Warrant a Neurology Review
Neurological symptoms explained: headache, dizziness, numbness, weakness, tremor, seizures and memory change —— when to see Dr. Jitendra in Kathmandu.
Multiple Sclerosis Symptoms in Kathmandu: Early Signs and Evaluation
Multiple sclerosis Kathmandu: early symptoms, evaluation and management with Dr. Jitendra Prasad Yadav (NMC 8029). 15+ years National Trauma Center (NAMS).
Medical Disclaimer
Content on this website is for general educational purposes only and does not constitute medical advice, diagnosis, or treatment. It is not a substitute for evaluation by a qualified healthcare professional. Always seek the advice of your physician or other qualified provider with any questions regarding a medical condition. Never disregard professional medical advice or delay seeking it because of something you have read on this website. In case of a medical emergency, contact emergency services immediately. No doctor–patient relationship is established by use of this site or by contacting the clinic through the site.
References & Review
Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-09-04
- International Classification of Headache Disorders, 3rd edition (ICHD-3).
- Harrison's Principles of Internal Medicine — Neurology sections.
- American Academy of Neurology guidelines for selected conditions (where applicable).
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.