What would cause burning or pins and needle sensation in toes?

Burning or pins and needles sensation in the toes can be caused by a variety of underlying medical conditions. Here are a few possible causes:

1. Nerve damage (neuropathy): Neuropathy is a condition that affects the nerves, and it can cause a variety of symptoms, including burning, tingling, numbness, and pain in the toes. Neuropathy can be caused by a number of factors, including diabetes, alcoholism, vitamin B12 deficiency, and certain medications.

2. Poor circulation: Poor circulation can also lead to burning or pins and needles sensation in the toes. This can be caused by a variety of factors, including peripheral artery disease (PAD), blood clots, and Raynaud's disease.

3. Compression of the nerves: Compression of the nerves in the toes can also cause burning or pins and needles sensation. This can be caused by a number of factors, including wearing tight shoes, bunions, hammertoes, and tarsal tunnel syndrome.

4. Infections: Infections of the toes or foot can also cause burning or pins and needles sensation. This can be caused by a variety of different types of infections, including athlete's foot, fungal infections, and bacterial infections.

5. Medical conditions: Certain medical conditions can also cause burning or pins and needles sensation in the toes, such as diabetes, thyroid disease, and certain types of cancer.

If you are experiencing burning or pins and needles sensation in the toes, it is important to see a doctor to determine the underlying cause. Treatment will depend on the cause of the symptoms.