I said first an exam with blood work and an MRI. It is important to read posts thoroughly and not infer what it is not there or put things out of order.
If your foot is actually colder to the touch than the other the sympathetic nervous system may be involved too or a seperate coincidental process such as arterial claudication (similar to coronary heart disease but in the leg). All the more reason to get a good exam and MRI pronto (or other tests as the practitioner is lead). You don't need a neurosurgeon for that as you'll get referred right away if you go to a good pain specialist initially; if you have a pain clinic handy that'll do initially or a good family physician you trust.
If you are close to a neuro- guy and can get in without a referral from one of the above I mentioned, which is not always the case, go for it.
PM me if you wish.
Last edited by goodnews; 12/28/08.
