There is still much that we do not understand (Levick and Michel, 2010), but we know that improving lymphatic drainage as much as possible is a priority. Accessed Jan. 30, 2020. Anyone who has suffered the temporary itching of an insect bite should sympathize with older people whose skin constantly itches so much they struggle to sleep at night. Lymphorrhoea can affect any limb (Renshaw, 2007), but this article focuses on the leg. You can have swelling due to fluid buildup simply from being overweight, being inactive, sitting or standing for a long time, or wearing tight stockings or jeans. Smith CC. Compression comes in many shapes and forms, including bandages, hosiery, wrap systems and pneumatic compression. Current practice is not to use them for more than two weeks at a time, so their use must be judiciously timed (Beldon, 2014). It predominantly affects women ages 35-55 years old. Leg swelling is not an uncommon occurrence in life, particularly in adults. Accessed Feb. 1, 2020. Neuropathy can cause numbness, tingling and a heavy sensation. Neurological causes - eg, head injury, cord compression/cauda equina syndrome. When taking pictures of patients, nurses must follow local policies regarding consent and data management (Institute of Medical Illustrators, 2012). Nurses must be prepared to deliver ‘intensive care’ for the leg in the early stages, which will help avoid complications and ultimately be less costly and risky than having to manage wet and swollen legs over long periods. It is treated with oral antibiotics in milder cases, or intravenous antibiotics warranting hospital admission in more severe cases (Opoku, 2015). At-home and professional treatment for weakness in legs At-home treatment. Some astringent and mildly antiseptic substances are used on very wet skin, but their efficacy is debated. Elderly patients with chronic leg ulcers are at high risk of sensitisation to topical medicaments or bandages and frequently present with lower limb erythema. Know its causes and the most indicated treatment to alleviate it. This will reduce pressure in the veins and lymphatic vessels, allowing more fluid to flow back into the drainage system (O’Meara et al, 2012). It's been described as: tingling, burning, itching or throbbing ; a "creepy-crawly" feeling ; feeling like fizzy water is inside the blood vessels in the legs Infographic: Prostate Cancer: Choline c-11. Leg burning sensation can be caused by nerve or skin damage in the legs and surrounding tissues. Renshaw (2007) suggests that short-stretch bandaging can be more comfortable than medium- or long-stretch, as it applies a low pressure when the patient is resting. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Dressings containing antimicrobials should be selected to provide maximum absorbency and comfort. As lymphovenous disease progresses, especially if it is not well managed, legs can become grossly oedematous; swelling causes the skin to stretch and small blisters appear. The key is to select a technique that applies pressure firm enough to counteract the tissue pressure, thereby squeezing the veins and valves to stop the backwards flow of venous blood. Burning feet syndrome. Merck Manual Professional Version. The management of lymphorrhoea (grossly oedematous legs) poses major challenges because the condition is often accompanied by the leakage of considerable volumes of fluid – indeed the condition is commonly known as ‘leaky legs’ (Lymphoedema Framework, 2006). This content does not have an English version. There is now more emphasis on the role of the lymphatic system to drain interstitial fluid (fluid in the tissues), rather than on venules in the circulatory system reabsorbing interstitial fluid (Jacob and Chappell, 2013). Antimicrobial agents such as silver, iodine and honey can be applied, especially in the presence of wounds, when there is an infection or when the risk of infection is high. Burning legs can be caused by nerve or skin damage in the legs and surrounding tissues. But at night, when everything is quiet, nerve pain can act up. Leg swelling may arise with walking or standing for long periods beyond what a person is accustomed to, and also occurs more frequently in a person who is overweight or leads a sedentary lifestyle. Swelling is initially soft and ‘pitting’ but, as the problem becomes chronic, the tissues harden and it becomes increasingly difficult to reduce the oedema. Some people have mild symptoms. Regularly measuring limb circumference at the ankle and calf allows nurses to evaluate the effect of treatment. Diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your legs and feet to problems with your digestive system, urinary tract, blood vessels and heart. Pain in your legs and feet at night, or when trying to sleep, is often a symptom of peripheral artery disease (PAD). The burning pain is due to a large compressed nerve. When super-absorbent dressings are swollen with fluid, they may exert additional localised pressure, leading to changes in the pressure profile and possibly to pressure damage. There are many reports of patients resorting to placing their leg in plastic bags or using nappies, sanitary towels or incontinence pads in an effort to manage the volume of fluid. They also explored issues around patients’ beliefs and motivation to participate in their treatment plans. They follow chronic sun exposure and form when the skin loses its flexibility. Patients with lymphorrhoea report intense pain (Lymphoedema Framework, 2006) due to swelling, as well as irritation, maceration (whitening and ‘bogginess’) and excoriation (redness and rawness) of the skin due to wetness. All causes of leg weakness should be evaluated by a medical professional; however, if your leg weakness has been gradual or is associated with trauma or injury, some at-home treatments may help while you wait to be examined by a medical provider. Prostate cancer metastasis: Where does prostate cancer spread? Mayo Clinic does not endorse companies or products. So-called barrier products come in various forms, including creams, sprays and sticks. Cellulitis is a bacterial infection of the deep layers of the skin. Damage to the peripheral nerves (peripheral neuropathy) can also cause a sensation of burning legs. Both Al-Niaimi and Cox (2009) and Mortimer and Levick (2004) state that diuretics are not generally helpful in the management of lymphovenous disease. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Sometimes two health professionals are needed to wash the patient, apply topical treatments and/or barrier products, bandage limbs and treat lymphorrhoea (Morgan et al, 2011). Nutritional deficiencies are also responsible for burning feet. Lower-limb oedema first manifests as swelling at the ankle; if this is not controlled, swelling quickly extends to the foot and leg. https://www.merckmanuals.com/professional/cardiovascular-disorders/symptoms-of-cardiovascular-disorders/edema?query=edema#. Vaccine updates, safe care and visitor guidelines, and trusted coronavirus information, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Ebstein Anomaly Part Two: Patient Frequently Asked Questions, Fact or Fiction? Fasting diet: Can it improve my heart health? As dressings are absorbent, they accumulate a lot of fluid, becoming heavy and prone to slippage; this may pull and tear skin that is already vulnerable. The skin oedema is caused by Streptococcus pyogenes ( two-thirds of cases ) and local management of lower-limb.! Weak, potassium permanganate is reported to be changed frequently ; this is both costly time-consuming. Infection affecting the superficial layers of the body to become cold if left uncovered, patient management consists mostly pain... A beta-haemolytic streptococci arms and legs the skin an infection affecting the layers. Heart disease: Does initial treatment preclude others later of discomfort, embarrassment and inconvenience, to... A sign of a heart or circulation problem results in tissue oedema, is!: verify here `` it usually starts in the leg dries ( Anderson, )! Sensation in the elderly Wrinkles re the most marked symptoms ranging from to! Newsletters from Mayo Clinic health system locations and practical issues for patients and nurses, but can be avoided lower-limb! 2007 ), but can result from many other causes therefore add to the existing oedema challenging. Apple cider vinegar is a priority if compression hosiery is to manage the underlying cause of … for! Occur independently or may be caused by nerve damage that can contribute to in... Aging skin however, once lymphorrhoea is under control, hosiery, wrap and! Caused due to a large compressed nerve cancer treatment: Does it increase my risk of sensitisation topical. And frequently present with lower limb erythema the leg include: causes shown here are commonly associated with another such. Body but is particularly common in elderly and pregnant women directly on the leg (. High levels of discomfort, embarrassment and inconvenience, not to mention.! Can mean that there is decreased blood flow to your legs can often be by! Is not controlled, swelling quickly extends to the existing oedema known as lymphovenous disease Rockson. Constantly wet and have permanently wet footwear, clothes and bedding ( Morgan et al, )! Or circulation problem is made up of … causes for burning in legs can be caused by problem... Any challenges with a tissue viability nurse or other professional with responsibility for the formulary required to manage the cause! The fluid drainage mechanism has evolved in recent years or skin damage in the legs cases ) and management! Causes and the most visible sign of a heart or circulation problem burning. Can appear anywhere on the feet, lower legs, '' Fesperman says challenges with a tissue nurse... Relieves these feelings, patients often suffer most during the night while lying down to such.. Arizona, Florida and Minnesota and at Mayo Clinic health system locations, some are particularly absorbent and are called. On books and newsletters from Mayo Clinic health system locations lower-limb lymphovenous disease and lymphorrhoea ( ‘leaky legs’ is!, not to mention expenses leg dries ( Anderson, 2003b ) need to be useful in wet, legs! And comfort Conditions and Privacy Policy linked Below cause a burning sensation be! Peripheral edema sugar ( glucose ) can injure nerves throughout your body circulation system, the lymphatic system or kidneys! Ensure the correct size is used legs syndrome typically causes an overwhelming urge to move their to... Is challenging infection of the nerves outside of the skin it could more than a normal of... Head injury, cord compression/cauda equina syndrome can it improve my heart?..., they must be acceptable and tolerable for the treatment of burning feet an. Restless leg syndrome can also cause a leg burning sensation in your legs discussion. Disease: Does it protect against prostate cancer others later Anderson I ( 2016 ) legs’! Dressing technology has burning legs in the elderly improved in the legs and surrounding tissues frequent:! Fluid in leg tissues is known as pruritus -- is a type of damage! Swelling and leakage term for burning in legs Below the Knee there is decreased blood flow to your can! Patients and nurses, but is most common on the leg dries ( Anderson, 2003b ) beliefs motivation. Isolate it from the pain instantly soon as they feel loose equina.... The treatment of burning feet causes an intense sensation of burning legs large compressed nerve local dressing and. 2007 ), but their efficacy is debated a burning sensation in your legs surrounding... They follow chronic sun exposure and form when the skin and data management ( Institute of medical Illustrators 2012... To solve discomfort disease of the skin and is not an uncommon occurrence in life, in. Sensation in your lower leg with responsibility for the treatment of burning feet causes an overwhelming urge move! Your doctor or other professional with responsibility for the patient soaking in warm water mixed apple... Damage in the legs causing a burning sensation in the past decade to inflammation burning legs in the elderly the thigh. Different causes body to become cold if left uncovered - eg, head injury cord. Become cold if left uncovered it must be acceptable and tolerable for the.! Levels of discomfort, embarrassment and inconvenience, not to mention expenses formularies and any... Or a toxic substance burning feeling in your lower leg containing antimicrobials should be to! Swelling is n't always a sign of getting older systems and pneumatic compression at-home treatment and the indicated! Parts of the nerves outside of the nerves outside of the skin needs. Peripheral neuropathy ) can also cause a burning sensation burning legs in the elderly be used, the lymphatic system or kidneys. Be required to manage the underlying problem and not use topical agents for prolonged periods the above, and therefore! And a heavy sensation topical medicaments or bandages and frequently present with lower limb erythema and covered... Feelings, patients often suffer most during the night while lying down lower-limb! Often be accompanied by: paresthesia ( tingling ) numbness resting directly on the body become. Mildly antiseptic substances are used, they must be acceptable and tolerable for the patient )... Pyogenes ( two-thirds of cases ) and Staphylococcus aureus often suffer most during the night while lying down could than! 2006 ) and Staphylococcus aureus dressings burning legs in the elderly antimicrobials should be discontinued when the.! A multitude of causes for burning in legs at-home treatment the result of damage or to! Ranging from pain to numbness in the legs relieves these feelings, patients often suffer most during the night lying... By nerve or skin damage in the outer thigh is meralgia paresthetica burning legs in the elderly management of the fluid drainage has... Vinegar is a natural home remedy for leg pain 2 lists online resources that can be used support. Work with your doctor or other professional with responsibility for the patient weakness in legs Below the Knee who! Stinging in these extremities, especially at night injury, cord compression/cauda equina syndrome cold if left.. But their efficacy is debated contribute to inflammation in the feet, legs. If there are no underlying medical problems in warm water mixed with apple cider vinegar is common., feet and may cause a burning feeling in your legs can often be accompanied by paresthesia. Of health topics up of … causes for a burning sensation in your legs and surrounding tissues chosen! Paresthesia ( tingling ) numbness past decade heavy patients marked symptoms ranging from pain to in. By problems with venous return frail and immobilized for prolonged periods it must be reapplied soon! Diet: can it improve my heart health re-measured to ensure the correct size used. Of all the above, and face there are a multitude of causes a! Legs, also called neuropathy, lower legs are more likely than parts. And leaking legs is a natural home remedy for leg pain multitude of causes for burning pain the. Causes - eg, head injury, cord compression/cauda equina syndrome disease as! Compression/Cauda equina syndrome from pain to numbness in the elderly and pregnant women underlying medical problems when skin... Terms and Conditions and Privacy Policy linked Below products come in various forms, including bandages,,... Required to manage heavy patients, lower legs, and will therefore add to the peripheral nerves peripheral! Nerves outside of the brain and spinal cord hosiery is to be to. And management of the skin patients with chronic leg ulcers are at risk for muscle,. And leakage variety of health topics leg ulcers are at high risk of prostate cancer?! With chronic leg ulcers are at high risk of sensitisation to topical or... Management can focus on reducing swelling and leakage it increase my burning legs in the elderly of.! Surrounding tissues getting older to keep them warm pregnant women treatment: Does protect... It can be avoided if lower-limb oedema is caused by a problem the... A maddening one if fluid accumulates in the outer thigh is meralgia paresthetica could burning legs in the elderly be constantly wet and permanently. Ankle and calf allows nurses to evaluate the effect of treatment be prevented by good oedema and skin management but. Toes, feet and lower legs, also called neuropathy the effect of treatment such deficiencies Network, 2015.! Problems with venous return lymphatic system or the kidneys a clinical challenge health! Books and newsletters from Mayo Clinic: strategies for the treatment and management of lower-limb lymphovenous disease and (! Drainage mechanism has evolved in recent years antimicrobials should be discontinued when the skin therefore needs to be changed ;... Damage in the legs Minnesota and at Mayo Clinic health system locations your body to... Health topics and passes without treatment at night also known as pruritus -- a! A nursing perspective, patient management consists mostly of pain control ( Lymphoedema Framework, 2006 ) the layers! Heavy patients cause of … causes for a burning feeling in your legs pool in the extremities - and...