What causes heel pain? - Online Doctor Chats
Dr. XXXXXXX here
How may I help you?
I am a Male 41 years old
request help on some health issue
I had an ACL surgery in 2008
since last month , my left heel (sole) pains a lot
and I doubt it is due to shoe
already visited local doc
got pain relief medicine like acenac sr and naproxen
but there seems to be no relief
only the left heel pains with or without activity
Do you mean there is reduction in the amount of pain or the medicine has done nothing to the pain?
no relief post the medicine
Was any X-ray and radiological tests done?
X ray was done
Was it normal?
reveals osteo arth changes
also I have knock knees
Do you mean X-ray of knee was done? not the heel or ankle X-rays?
ankle or heel was not done as there is no changes or swelling
not even any twist or accident
Are you running fever?
How is your appetite and weight?
Is there a change in it?
appetite is normal
i am 88 kg and maintaining diet to bring down the weight
ACL reconstruction was on the left leg?
Let me brief you.
yet to try enzoflam
It is common to experience left heel pain secondary to knee issues; however occcasionally mechanical pain at the foot can also cause pains.
At this point, the priority is to control pain.
Acenac and naproxen are good pain relief medicine
but with no relief
if they are not helping, you probably need better analgesics. I would add opioid analgesics or injectable analgesia if need to control pain.
The medicine can be supported with adequate physiotherapy measures such as heat fomentation, right foot wear and other techniques taught/done by physiotherapist.
Please note that these are pain relief measures only;
it doesn't solve the problem.
You need to discuss with an orthopedician and understand what is causing the heel pain - is it from the knee or from the heel (calcaneal spur, plantar fascitis)
Treatment of the cause can be done accordingly.
can you please suggest a good analgesic
So as I see the way forward is to go back to your orthopedician.
He/she can prescribe alternative medicines preferably containing opioid briefly
and follow up with you as required.
Have you followed?
second visit - naproxen was recommended
can you please recommend opiod analgesic
Both Naproxen as well as acelofenac SR are NSAID drugs.
There are other NSAID drugs; but since two from these classes are not helpful
Since opioid have other side effects, it is best to start the medicines after discussing with a doctor
and under guidance.
ok , will do so
So revisit your doctor and consider those medicines.
Do you have any other query?
Thanks for consulting me.
Bye for now.
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