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Suggest Treatment For Bilateral Plantar Fasciitis

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Posted on Thu, 18 Aug 2016
Question: I have been dealing with what I thought was bilateral plantar fasciitis. I have had injections that worked for several weeks but the pain returned. I also did a short course of steroids with no success and night splints did not help. I purchased new sneakers with custom inserts and now the pain is worse with burning and shooting pain that makes walking excruciating and it keeps me up at night. I also have been taking 600mg Motrin TID with little effect. Is there some other diagnosis I am missing?
doctor
Answered by Dr. Vasudha (3 hours later)
Brief Answer:
It is Neuralgic pain. To be managed under expert care.

Detailed Answer:
hi XXXX,
Thanks for the query under Health care magic platform. I have read it carefully & understand your concern.
The shooting pain you have while walking is characteristic of neuralgia.. usually due to compression / irritation of the nerve branch supplying foot.( Planter fasciitis is irritation or inflammation of planter fascia & causes heal pain.) The pressure can be -
- At local site due to inflamed fascia
-At higher site in leg( ankle , knee. hip joint )
-At lumber spinal problem ( spondylosis- due to low osteoporosis) where nerve fibers are compressed at spinal level. Usually associated with back pain.
-Wrong position of foot while walking causing swelling of foot bones pressing on local nerve ( Metatarsal neuroma )/ unsuitable splint, prosthesis
* So you need to consult your family physician for preliminary check up & treatment of neuralgia He may refer you to an orthopedic surgeon/ ankle foot specialist for specific advise after examination & necessary investigations.
- Proper evaluation of site of nerve compression with an expert's help would be followed by specific pain management ( in form of medication- anti inflammatory pills, steroid shots/physio or physical therapy/surgery to relieve nerve compression if indicated)
- The management of fasciitis has to be continued
* -Home care can offer some relief till you get expert's appointment. This includes- Rest/ Hot or cold compresses/Anti inflammatory pills along with vitamin B12 pills / wearing suitable shoes which are soft, flat healed & wide shoes with good arch support,/ light arch stretches.

I hope the answer was both informative & useful to you . any follow up query is welcome.
I request for grading the answer,if you find it useful... before you close the query.
Thanks.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Vasudha

General & Family Physician

Practicing since :1970

Answered : 10398 Questions

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Suggest Treatment For Bilateral Plantar Fasciitis

Brief Answer: It is Neuralgic pain. To be managed under expert care. Detailed Answer: hi XXXX, Thanks for the query under Health care magic platform. I have read it carefully & understand your concern. The shooting pain you have while walking is characteristic of neuralgia.. usually due to compression / irritation of the nerve branch supplying foot.( Planter fasciitis is irritation or inflammation of planter fascia & causes heal pain.) The pressure can be - - At local site due to inflamed fascia -At higher site in leg( ankle , knee. hip joint ) -At lumber spinal problem ( spondylosis- due to low osteoporosis) where nerve fibers are compressed at spinal level. Usually associated with back pain. -Wrong position of foot while walking causing swelling of foot bones pressing on local nerve ( Metatarsal neuroma )/ unsuitable splint, prosthesis * So you need to consult your family physician for preliminary check up & treatment of neuralgia He may refer you to an orthopedic surgeon/ ankle foot specialist for specific advise after examination & necessary investigations. - Proper evaluation of site of nerve compression with an expert's help would be followed by specific pain management ( in form of medication- anti inflammatory pills, steroid shots/physio or physical therapy/surgery to relieve nerve compression if indicated) - The management of fasciitis has to be continued * -Home care can offer some relief till you get expert's appointment. This includes- Rest/ Hot or cold compresses/Anti inflammatory pills along with vitamin B12 pills / wearing suitable shoes which are soft, flat healed & wide shoes with good arch support,/ light arch stretches. I hope the answer was both informative & useful to you . any follow up query is welcome. I request for grading the answer,if you find it useful... before you close the query. Thanks.