It sounds frustrating to have persistent symptoms despite your current treatment. Since you have been taking Pregabalin, Omlesar CS, and Ecosprin AV for a year without relief, it is important to have a thorough re-evaluation of your condition.

1. Evaluation of Persistent Symptoms

   • Persistent symptoms after a year of treatment warrant a detailed assessment by a neurologist to understand the underlying cause better.
   • A neurologist can evaluate whether your facial paralysis and current burning sensations are connected or if there is another issue.

2. Possible Causes of Burning Sensation

   • Burning sensations in your toes and feet often suggest nerve involvement, such as peripheral neuropathy.
   • This could be related to your previous facial paralysis or other conditions like diabetes or vitamin deficiencies.

3. Diagnostic Tests

   • Tests such as nerve conduction studies can assess nerve function.
   • Blood tests to check blood sugar levels and vitamin B12 can help identify treatable causes of neuropathy.

4. Medication Review and Adjustment

   • Your current medications, including Pregabalin, should be reviewed by your doctor.
   • Sometimes, adjusting the dose or switching to other neuropathic pain medications like Gabapentin combined with Nortriptyline (e.g., Gabapin NT) may provide better relief.

5. Additional Treatments and Supportive Care

   • Physical therapy and pain management techniques can support nerve health and reduce symptoms.
   • Lifestyle changes such as controlling blood sugar, avoiding alcohol, and maintaining a balanced diet may help.

Please consult a neurologist promptly to discuss these options and get a tailored treatment plan. If symptoms worsen or you develop new neurological signs, seek urgent medical attention.To narrow down potential causes, we will need some more information.Please tell me your age and gender.