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Suggest treatment for pain in heel

Answered by
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Dr. Muhammad Hanif

General & Family Physician

Practicing since :2009

Answered : 2369 Questions

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Posted on Tue, 27 Oct 2015 in General Health
Question: I have pain in the bottom of my heels, when I sleep, it seems to be more painful when I get up.
It seems to be less painful in the morning after I have moved around some, but gets worse throughout the day especially when I sit down for a little while, then stand again. I have been dealing with this for over a month.
What do you think the possible cause of this ?
doctor
Answered by Dr. Muhammad Hanif 8 minutes later
Brief Answer:
I need some additional medical history.

Detailed Answer:
Dr. Hanif warmly Welcomes you to my virtual clinic HCM!
I have carefully worked through your case, and can realize your health worries. Being your physician, I will take care all of your medical concerns today and will put my best efforts to get you out of this situation.


Will you please spare some time to answer my queries to give you a better insight into the case and to assist you with more personalized remedies.
Are you a known diabetic or hypertensive?? If not have you been screened for them??
What medication you are taking??
Have you seen any swelling in your legs or feet/ankles??
What is your weight and height?
How active are you??
Have you changed a shoes recently?
Most of the time, you wear which type of shoes???




Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating to help us assist our patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing (Write down my name in the start of your question always & I will be with you sooner).


Regards!
DR. XXXXXXX HANIF
USA

Click the link to open my profile. Click 'Ask Me a Question' anytime for super fast expert medical help!!!
https://www.healthcaremagic.com/doctors/dr-muhammad-hanif/70199

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Muhammad Hanif 14 hours later
1) I do not have hypertension, nor have I been screened
2) I am not taking any medication
3) no swelling of feet, ankles, or legs
4) I am 5 ft 7.5 , 172 pounds
5) I am very active (except when my heels hurt )
6) Same shoes
7) I wear hiking boots (low cut), sneakers, crocs at night

When I get up from bed it seems to be at its worst, as I move around it seems to get better until I stop moving again
doctor
Answered by Dr. Muhammad Hanif 2 hours later
Brief Answer:
It doesn't seem to be related to any systemic disease. Start the treatment!

Detailed Answer:
I welcome you back with a detailed follow up reply. I appreciate your efforts and support in order to get proper care and medical expertise here from me.



This isn't seem to be due to the systemic disease. It is locally present there in the heel and is due the inflammation of the heel. Reason may be local trauma to the bony tissue, bony spur formation that pinches on the soft tissues and hurt from inside, high uric acid or the other bone disease.


You need to start the treatment and will all be OK in no time. Just keep a proper care of the heel.


Management:-
Wear very soft sole shoes (best is the Joggers with memory foam inside and a diabetic cushion under the heal).
Apply Voltaren gel on the heel and sole of the foot and massage it gently before going to bed and just after you get up from bed.
Take Excedrin Extra strength by mouth 3 times a day for a week (no skipping). You will get better soon. After a week take it when you feel pain (if any).
Take a multivitamin with Zinc in it daily and keep a balanced healthy diet with avocado, kiwi, dry fruits, salmon, high fiber whole grains food. No processed meat and fried, junk foods. No beverages, no caffeinated drinks like tea coffee energy drinks and chocolates etc.
Apply ankle cap when at home to give support.
Give rest to the foot especially for the time you get better soon.
Before going to bed apply Thermacare HeatWrap on the back of the heel or keep a heat pad covering the whole foot. It will be soothing.
Take plenty of water.


Blood work needed:-
CBC with ESR and Differentials.
Serum Electrolytes.
Serum proteins.
Serum Uric acid.
Fasting blood sugar levels and HbA1c levels.
Fasting lipid profile.
X-Ray of the foot.
The testing is needed to completely rule out any systemic disease behind the issue.




Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating to help us assist our patients in a better way; and, please don't forget to 'Close This Discussion'.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing (Write down my name in the start of your question always & I will be with you sooner).


Regards!
DR. XXXXXXX HANIF
USA

Click the link to open my profile. Click 'Ask Me a Question' anytime for super fast expert medical help!!!
https://www.healthcaremagic.com/doctors/dr-muhammad-hanif/70199
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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