Severe nerve pain from the brain to your foot, especially at night, may be neuropathy or nerve compression. Managing it includes taking medicines exactly as prescribed by your doctor, maintaining good blood sugar and overall health, and avoiding activities that worsen pain. Gentle stretching, warm compresses, and good sleep hygiene may help. Since nighttime pain is severe, you should consult a neurologist soon; they may adjust medication or suggest therapies to reduce nerve pain and improve comfort.

Stinging pain in the foot and numbness in the toes, even while on diabetes treatment, is often due to diabetic neuropathy, nerve damage caused by long-term high blood sugar. It can occur even if sugar is currently controlled. Managing it includes keeping blood sugar stable, taking prescribed medicines for nerve pain, protecting your feet from injury, and reporting any new symptoms to your doctor. Regular foot care and check-ups are important to prevent complications.