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What causes heel pain? - Online Doctor Chats

Date : 05-Mar-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 983 Questions
Doctor:Dr. XXXXXXX here
Doctor:How may I help you?
User:I am a Male 41 years old
User:request help on some health issue
User:I had an ACL surgery in 2008
User:since last month , my left heel (sole) pains a lot
User:and I doubt it is due to shoe
User:already visited local doc
User:got pain relief medicine like acenac sr and naproxen
User:but there seems to be no relief
User:only the left heel pains with or without activity
Doctor:Is there a swelling or redness associated with the pain?
Doctor:Do you mean there is reduction in the amount of pain or the medicine has done nothing to the pain?
User:I do take calcium supplement + glucosamine supplement as well
User:no relief post the medicine
Doctor:Was any X-ray and radiological tests done?
User:X ray was done
Doctor:Was it normal?
User:reveals osteo arth changes
User:also I have knock knees
User:by birth
Doctor:Do you mean X-ray of knee was done? not the heel or ankle X-rays?
User:ankle or heel was not done as there is no changes or swelling
User:not even any twist or accident
Doctor:Are you running fever?
Doctor:How is your appetite and weight?
Doctor:Is there a change in it?
User:appetite is normal
User:i am 88 kg and maintaining diet to bring down the weight
Doctor:ACL reconstruction was on the left leg?
Doctor:Let me brief you.
User:yet to try enzoflam
Doctor:It is common to experience left heel pain secondary to knee issues; however occcasionally mechanical pain at the foot can also cause pains.
Doctor:At this point, the priority is to control pain.
Doctor:Acenac and naproxen are good pain relief medicine
User:but with no relief
Doctor:if they are not helping, you probably need better analgesics. I would add opioid analgesics or injectable analgesia if need to control pain.
Doctor:The medicine can be supported with adequate physiotherapy measures such as heat fomentation, right foot wear and other techniques taught/done by physiotherapist.
Doctor:Please note that these are pain relief measures only;
Doctor:it doesn't solve the problem.
Doctor: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)
Doctor:Treatment of the cause can be done accordingly.
User:can you please suggest a good analgesic
Doctor:So as I see the way forward is to go back to your orthopedician.
Doctor:He/she can prescribe alternative medicines preferably containing opioid briefly
Doctor:and follow up with you as required.
Doctor:Have you followed?
User:second visit - naproxen was recommended
User:can you please recommend opiod analgesic
Doctor:Both Naproxen as well as acelofenac SR are NSAID drugs.
Doctor:There are other NSAID drugs; but since two from these classes are not helpful
Doctor:perhaps opioid like tramadol containing combination may be tried.
Doctor:Since opioid have other side effects, it is best to start the medicines after discussing with a doctor
Doctor:and under guidance.
User:ok , will do so
User:thanks doctor
Doctor:So revisit your doctor and consider those medicines.
Doctor:Do you have any other query?
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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