Early Signs of Neuropathy in the Feet and Ankles You Shouldn’t Ignore

The longest nerves in the body extend from the spine down to the feet, making them more susceptible issues related to neuropathy. Because such changes can develop gradually, many people brush them off as circulation issues, aging, or just tired feet. Unfortunately, ignoring early warning signs can allow nerve damage to progress.

At Alpine Foot and Ankle, podiatrist Andrew McCall, DPM, FACFAS, regularly evaluates patients with neuropathy symptoms. Catching the condition early can make a difference in preserving sensation, mobility, and long-term foot health. Here are some early signs to look out for. 

Tingling, burning, or pins and needles

Abnormal sensation is one of the earliest and most common signs of neuropathy. You may notice tingling, prickling, burning, or a buzzing feeling in your toes, the soles of your feet, or around your ankles. These sensations often worsen at night or when you’re at rest.

While occasional tingling can happen after sitting awkwardly, anytime you experience persistent or recurring sensations, it’s vital to have an evaluation.

Numbness or reduced sensation

In some cases, neuropathy doesn’t cause pain but instead dulls sensation. You may feel as though you’re wearing socks when you’re barefoot or have trouble sensing temperature changes.

Loss of sensation increases the risk of cuts, blisters, and pressure sores going unnoticed and causing problems if you don’t realize an injury has occurred. This is one reason neuropathy-related foot problems can escalate quickly without proper care.

Sharp, shooting, or electric-like pain

Some people experience sudden, stabbing pains that come and go without warning. These nerve-related pain signals can feel out of proportion to any visible injury and may occur even when you’re not putting weight on your foot. This type of pain often points to nerve irritation rather than a muscle or joint problem.

Balance issues or changes in walking

Your nerves play a key role in telling your brain where your feet are in space. When nerve function is impaired, balance can suffer. You may feel unsteady, trip more often, or notice subtle changes in your gait.

Over time, this can increase the risk of falls and place extra strain on your ankles, knees, hips, and lower back.

Muscle weakness or cramping

Neuropathy can also affect motor nerves, leading to weakness in the feet or toes. You might struggle to lift your foot properly, feel your ankle giving way, or experience frequent muscle cramps.

These changes can alter how pressure is distributed across your foot, contributing to calluses, joint pain, and deformities.

Why early evaluation matters

Uncontrolled diabetes and chronic excess alcohol intake are the top causes of neuropathy. If you have diabetes, getting it under control through medical intervention is essential for protecting not just your feet and ankles, but your overall health, too. 

If left untreated, neuropathy is often progressive and can lead to serious complications. The feet and ankles can develop slow-healing ulcers that put you at risk for infection. In advanced cases, deep infections can lead to lower limb amputation. 

Dr. McCall brings over 20 years of experience in diagnosing and treating complex foot and ankle conditions. At Alpine Foot and Ankle, care starts with a thorough evaluation to determine what’s driving your symptoms and which treatments are appropriate.

Don’t wait for symptoms to worsen

Early neuropathy care can protect your feet and preserve your independence.

If you’re noticing unusual sensations, numbness, or balance changes in your feet or ankles, contact us today. Call us in Idaho Falls, Idaho, or Alpine, Wyoming, or use online booking to schedule an appointment. You can rely on the Alpine Foot and Ankle team to help prevent complications and keep your feet and ankles as healthy as possible.