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Foot Pain and B12 Deficiency | Dr. Tom Biernacki Michigan

Quick answer: Foot Pain Causes B12 Deficiency has multiple potential causes including mechanical, neurological, vascular, and inflammatory. The most common causes we identify are overuse, ill-fitting shoes, and biomechanical imbalance. Red flags requiring urgent evaluation: warmth/redness (infection), inability to bear weight (fracture), and unilateral swelling without injury (DVT). Call (810) 206-1402.

Foot Pain and B12 Deficiency

B12 deficiency causes peripheral neuropathy — burning, tingling, numbness, often progressive. At-risk groups: vegans, elderly, gastric bypass patients, metformin users, autoimmune (pernicious anemia). Treatment: B12 injections or oral supplements depending on cause.

Risk Factors

Vegans/strict vegetarians (animal protein source), elderly (decreased absorption), metformin users (impairs absorption), gastric bypass patients, pernicious anemia (autoimmune), inflammatory bowel disease, chronic alcohol use.

FAQ

How do I test B12?

Simple blood test. Should be >300 pg/mL ideally.

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Frequently Asked Questions

When should I see a doctor?

See a podiatrist if pain persists past 2 weeks, prevents normal activity, or is accompanied by red-flag symptoms (warmth, swelling, numbness, inability to bear weight).

Can I treat this at home?

Mild cases respond to RICE protocol (rest, ice, compression, elevation), supportive shoes, and OTC anti-inflammatories. Persistent symptoms need professional evaluation.

How long does it take to heal?

Most soft tissue injuries resolve in 2-6 weeks with appropriate care. Bone injuries take 6-12 weeks. Chronic conditions need longer-term management.

Balance Foot & Ankle surgeons are affiliated with Trinity Health Michigan, Corewell Health, and Henry Ford Health — three of Michigan’s largest health systems.