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Intense heel pain, no relief with pain killer, difficulty in walking for long time, use gel soles. Advise?

hi, i am mrs. gill. i got pain in my heel. for right side i feel it from 5-6 yeas. But that time i take pain killer and its fine for some wee. but now it s too bad. pain killer is working for short time. i also start left heel also . my body weight is 74 kg and hight 5-4 inch. Is this because my weight? I can not walk for more than 10 minute. Even i feel that my right heel is warm than my left heel. I am useing gel sole in my shoes.But it still painfull. Please help me.
Asked On : Mon, 10 Sep 2012
Answers:  1 Views:  57
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Question is related to
Diseases and Conditions
Lab Tests
Emergency Medicine Specialist 's  Response
Have you got any X-Rays done earlier?
Without any X-ray it becomes really difficult to point at the cause.
Just taking pain killers does not lead us anywhere. Now that you get heel pain even on the left leg , you need a thorough evaluation.
The most common cause usually is plantar fasciitis but at the same time you need proper investigation done to rule out any other bony pathology (heel spur) as well as any underlying systemic disease.
I would suggest that you get the following investigations done:
1. X-Ray foot (Lateral and AP view)
2. Blood test: ESR, RA Factor, Uric acid, Anti-nuclear antibody ( To rule out systemic causes)

Medical advice: 1. Avoid activities aggravating pain.
2. Reduce body weight ( especially as you are obese. You can reduce body weight by diet modification and yoga if you cannot tolerate walking. )
3. Ice pack application over the area.
4. Use of insoles or soft heeled footwear over both the heels .
5. Physiotherapy.
6. Last but not the least when you have acute pain use anti inflammatory medications ( pain killers with muscle relaxant combination are preferred ).
Answered: Mon, 10 Sep 2012
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