How to treat tingling and stabbing pain in the soles of my feet at 70 years old without Gabapentin? - #57049

The tingling and occasional stabbing sensation in both soles for the last 3 months is suggestive of peripheral neuropathy (nerve-related symptoms). Amitriptyline is commonly used for neuropathic pain and may help reduce these symptoms. The creams and supplements you are using may provide supportive relief, but they may not completely treat the underlying nerve condition. ----Advice: -Continue Amitriptyline as prescribed by your treating physician. -Do not stop or avoid Gabapentin without discussing your concerns with your doctor. -Maintain good blood sugar control if diabetic. -Ensure adequate intake of Vitamin B12-rich foods and a balanced diet. -Avoid alcohol and smoking. -Perform regular foot care and inspect feet daily for any injuries or ulcers. -Wear comfortable, well-cushioned footwear. -----Recommended Investigations: -Fasting Blood Sugar (FBS) -HbA1c -Vitamin B12 level -Thyroid Profile (TSH) -Complete Blood Count (CBC) -Kidney Function Test (KFT) -Nerve Conduction Study ------Rx: 1) Yograj Guggulu – 2 tablets twice daily after food with warm water. 2) Ashwagandha Churna – 3 g twice daily after meals with warm milk/water. 3) Ksheerabala 101 Capsules – 1 capsule twice daily after food. 4) Maharasnadi Kwath – 20 ml with equal water twice daily after meals. 5) Mahanarayana Taila Gentle massage over both feet and legs at bedtime for 10–15 minutes. -----Diet & Lifestyle Advice: -Take warm, freshly cooked meals. -Include cow’s ghee in small quantities if digestion permits. -Avoid excessive tea, coffee, cold drinks, packaged foods, and fasting. -Avoid prolonged standing and walking barefoot. -Practice gentle foot exercises and walking daily. -Maintain adequate sleep.

••To answer your direct question: while your current regimen provides some support, it is highly unlikely to completely eliminate the tingling and pain on its own. Here is an honest, clinical breakdown of why your current approach is falling short, followed by an Ayurvedic perspective on how to truly address the root cause. 1. Analyzing Your Current Regimen The supplements you are currently taking are acting more like mild, superficial shields rather than deep systemic solutions: ••Amitriptyline (100mg): This is a heavy-duty conventional dose prescribed to alter pain signaling in the central nervous system. If you are still experiencing tingling and stabbing while on this dose, it means the underlying peripheral nerve irritation is still highly active. ••Mamma Bear Nerve Support Gummies & Topical Cream: These usually contain B-vitamins (like B12) or topical warming/cooling agents (like capsaicin or menthol). They provide minor nerve food and temporary local distraction to the pain receptors, but they do not reverse the deep tissue dryness (Rukshata) causing the nerve irritation. ••Alevia (Amla Superfruit Extract): From an Ayurvedic perspective, Amalaki (Amla) is magnificent. It is a potent Rasayana (rejuvenative) that cools Pitta and offers massive antioxidant protection to vascular and nerve tissues. However, it is an adjunct therapy; it does not possess strong enough Vata-pacifying properties to single-handedly halt active neuropathic stabbing. 2. The Ayurvedic Approach to Managing “Padadaha” (Burning/Tingling Feet) In Ayurveda, peripheral neuropathy is often treated similarly to Padadaha or Vata-Rakta. The goal is to nourish the demyelinated or irritated nerve sheath, improve local blood circulation, and pacifying the hyperactive Vata. ••External Therapies (To be done daily) Since the soles of your feet are the primary site, external localized lubrication (Snehana) is crucial to ground the shifting Vata: Padabhyanga (Therapeutic Foot Massage): Do not leave the feet dry. Every night before bed, gently massage your soles with warm Ksheerabala Thailam or Maha Mashadi Thailam. These are classical Ayurvedic sesame-based oils infused with neuro-protective herbs and cow’s milk that directly penetrate and soothe frayed nerve endings. ••Avoid Extreme Temperatures: Vata hates cold, but Pitta hates intense heat. Wash your feet only with lukewarm water. Internal Herbal Support To truly eliminate the symptoms, the nervous system requires deep systemic rejuvenation (Majja Dhatu Rasayana). An Ayurvedic physician would typically consider: ••Ashwagandha & Guduchi: A powerful duo. Ashwagandha acts as a premier nervine tonic to rebuild tissue, while Guduchi calms systemic inflammation and clears metabolic toxins (Ama) that block micro-circulation to the nerve endings. ••Ekangveer Ras or Yograj Guggulu: Classical herbo-mineral formulations specifically indicated for Vata disorders affecting the limbs, helping to restore normal conduction and eliminate stabbing sensations. ••3. Critical Medical Cautions & Next Steps ⚠️ Crucial Safety Warning on Medications: Please be explicitly cautious regarding your prescription medications. Do not abruptly stop, alter, or start taking Gabapentin or ••Amitriptyline without the direct supervision of your prescribing physician or podiatrist. Amitriptyline at 100mg is a substantial dose, and stopping it suddenly can cause severe withdrawal symptoms, including rebound nerve pain, insomnia, and rapid heart rate. Furthermore, your podiatrist prescribed Gabapentin because it targets nerve-channel firing differently than Amitriptyline. If you have concerns about Gabapentin’s side effects, you must discuss a slow, supervised transition plan with your doctor. ••A Note on Root Causes At 70 years old, sudden tingling and stabbing in both feet over the last 3 months warrants a deeper look. These symptoms are classic indicators of peripheral neuropathy, which is frequently a secondary complication of underlying systemic issues. It is absolutely vital to have your primary care doctor run blood work to check for: ••Hemoglobin A1c (HbA1c): To rule out or monitor diabetic/prediabetic neuropathy. ••Vitamin B12 & D3 Levels: Deficiencies are incredibly common at 70 and cause direct nerve damage. ••Kidney & Thyroid Function: To ensure metabolic wastes aren’t building up and irritating peripheral nerves.