I didn’t have the severe pain like many others describe, I had more of the deep buzzing neuropathic symptoms. At one point I was having spontaneous flares probably 30 times a day and my feet were red hot balloons. Now at most my feet might get really warm if I’m hiking or walking for hours but they cool down in 5 minutes if I kick my shoes off. Haven’t had the ballooning flares in years. I would just suggest not trying to predict your outcome based on anyone else. Good luck and stay positive!
This forum may present a skewed impression of EM because those who come here are looking for support and those looking for support are often struggling. Thus, this forum may collect a high percentage of the worst cases.
I didn’t have the severe burning pain like many people describe either. My symptoms were flares that were very hot to the touch with redness and ballooning.
They thought I broke a bone in my foot for almost a year and I developed a buzzing type of neuropathy (Lyrica started at that point). Then the flares began - first in the one foot but then in both and they realized something else was going on. It was a slew of doctors before I got the EM diagnosis.
The mexilitine made a differences right away on the flares/redness for me (I tried a couple other drugs first with no luck).
Summer is good, nothing like before. I don’t do a lot of barefoot cuz I need arch support but I wear sandals lots. If my feet get warm in shoes kicking off for 5 minutes takes care of it, but no flares or ballooning up with redness.
Susan has mostly covered your question, but i’ll just second what she said. For me, mexiletine stops the redness and flares from occurring, which then prevents any discomfort. On the rare instances symptoms do break through, sensation is reduced or non-existent and symptoms easily alleviate.