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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain And Tenderness Above The Heels?

I have had gout in my big toe in the past and have been treated successfully. I suddenly have gout-like symptoms above the heel of my foot. Can gout strike there as well? It s red, very tender, and painful to walk. I have allopurinol which I m considering taking now. I m just not certain its gout.
Wed, 26 Apr 2017
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Diabetologist 's  Response
Hello ,I just through your query and from what you described it appears that you have achilles tendinitis which occurs due to overuse injury of the tendon of muscle which connects your calf muscles to the heel bone of your leg.
No its not a common place for gout to occur .I would suggest you try some specific stretching and strengthening exercises to promote healing and strengthening of the Achilles tendon and its supporting structures.

1-A special type of strengthening called "eccentric" strengthening, involving a slow let down of a weight after raising it, has been found to be especially helpful for persistent Achilles problems.

2-A shoe insert or wedge that slightly elevates your heel can relieve strain on the tendon and provide a cushion that lessens the amount of force exerted on your Achilles tendon.

3-Rest-You need to avoid exercise for several days or switch to an activity that doesn't strain the Achilles tendon, such as swimming. In severe cases, it becomes necessary to wear a walking boot and use crutches.

4-Ice-To decrease pain or swelling, apply an ice pack to the tendon for about 15 minutes after exercising or when you experience pain.

5-Compression-Wraps or compressive elastic bandages can help reduce swelling and reduce movement of the tendon.
6-Elevation-Raise the affected foot above the level of your heart to reduce swelling. Sleep with your affected foot elevated at night.

Hope this advise proves to be of some help to you.Good Luck.
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What Causes Pain And Tenderness Above The Heels?

Hello ,I just through your query and from what you described it appears that you have achilles tendinitis which occurs due to overuse injury of the tendon of muscle which connects your calf muscles to the heel bone of your leg. No its not a common place for gout to occur .I would suggest you try some specific stretching and strengthening exercises to promote healing and strengthening of the Achilles tendon and its supporting structures. 1-A special type of strengthening called eccentric strengthening, involving a slow let down of a weight after raising it, has been found to be especially helpful for persistent Achilles problems. 2-A shoe insert or wedge that slightly elevates your heel can relieve strain on the tendon and provide a cushion that lessens the amount of force exerted on your Achilles tendon. 3-Rest-You need to avoid exercise for several days or switch to an activity that doesn t strain the Achilles tendon, such as swimming. In severe cases, it becomes necessary to wear a walking boot and use crutches. 4-Ice-To decrease pain or swelling, apply an ice pack to the tendon for about 15 minutes after exercising or when you experience pain. 5-Compression-Wraps or compressive elastic bandages can help reduce swelling and reduce movement of the tendon. 6-Elevation-Raise the affected foot above the level of your heart to reduce swelling. Sleep with your affected foot elevated at night. Hope this advise proves to be of some help to you.Good Luck.