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Suggest treatment for persistent pain in the heels

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Posted on Wed, 27 Jul 2016
Question: Hello I am 42 years old. When I was 40, I started to jog around 2.5 KM & then walk back home. It was good for approximately 8 -10 months. Then in my left foot, I have a tremendous pain at the back of my heel slightly left to where achillies tendon meets the heel. Also my achillies tendon feels weak and pains with walk of climbing stairs. The bottom of heel pains too, also the arch of l pains a lot.
The pain is still there continuously. I have taken anti-inflammatory medicines but it did not work. I did a x-ray couple of months back & today as well. The doctors say they do not see any issue with the tendon neither spurs. Can you please help.
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Answered by Dr. Praveen Tayal (14 minutes later)
Brief Answer:
Plantar fasciitis likely.

Detailed Answer:
Hello,
Thanks for posting your query.
From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia.
A short term rest and oral anti inflammatory drugs are required to take care of the inflammation.
To help the pain, ice the area immediately after getting up in the morning. You can use either a store-bought cold pack or a frozen wet towel. Ice for 10 or 15 minutes. To reduce inflammation, take an aspirin or ibuprofen at mealtime.

A 4-inch wide Crepe bandage wrapped around the region also helps reduce discomfort.
Calf and anterior (front of) leg stretching and strengthening addresses the biomechanical problems and reduces pain.
Pay careful attention to selecting the correct running shoe based upon the foot type (flexible pronator vs. rigid supinator). This is extremely important. In selected cases, shoe inserts (orthotics) may be necessary. Shoe inserts are often the key to successful treatment of plantar fasciitis. The shoe inserts often permit patients to continue their routine activities.
If the pain does not resolve, an injection of cortisone can decrease the inflammation of plantar fasciitis.
You may need few physiotherapy sessions along with prescription anti inflammatory drugs after getting yourself examined from an Orthopedician.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 4874 Questions

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Suggest treatment for persistent pain in the heels

Brief Answer: Plantar fasciitis likely. Detailed Answer: Hello, Thanks for posting your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. A short term rest and oral anti inflammatory drugs are required to take care of the inflammation. To help the pain, ice the area immediately after getting up in the morning. You can use either a store-bought cold pack or a frozen wet towel. Ice for 10 or 15 minutes. To reduce inflammation, take an aspirin or ibuprofen at mealtime. A 4-inch wide Crepe bandage wrapped around the region also helps reduce discomfort. Calf and anterior (front of) leg stretching and strengthening addresses the biomechanical problems and reduces pain. Pay careful attention to selecting the correct running shoe based upon the foot type (flexible pronator vs. rigid supinator). This is extremely important. In selected cases, shoe inserts (orthotics) may be necessary. Shoe inserts are often the key to successful treatment of plantar fasciitis. The shoe inserts often permit patients to continue their routine activities. If the pain does not resolve, an injection of cortisone can decrease the inflammation of plantar fasciitis. You may need few physiotherapy sessions along with prescription anti inflammatory drugs after getting yourself examined from an Orthopedician. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal