Conversation: The conversation between human and AI assistant.
[|Human|] my feet burn and tingle really bad all the time i cant stand to step on anything when i dont have shoes on this has gotten worse over the past year and half it to the point to where i can not sleep unless i take pain med, my left small toe really burns bad all the time and have sharp pain shoot in it, i got run over on traffic stop in feb 2007 i have had knee reconstruction surgery first time and two scope surgery it still really not right i had heart trouble two years ago doctor said it was caused by stress im 41 weigh 210 and im 602 i really dont know what to do
[|AI|]  Hello, It may be due to peripheral neuropathy. For further assessment you may require complete hologram, vitamin levels, MRI neck and back, nerve conduction studies after spine surgeon consultation. Further treatment mainly depends upon the underlying condition. You may require detailed evaluation to rule out any other possibilities for vitamin deficiency, nerve compression. You may require tablet pregabalin and multivitamin after consultation. Continue physical therapy Hope I have answered your query... Let me know if I can assist you further. Chat Doctor.