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Severe pain in toes, heals. Uric acid high. No relief with painkillers. Diet to control?

Hi Doc, I am Shirjeel Malik and i am a banker by profession and i am 32 of age. I am having this trouble of severe pain in my toes and heals while standing or walking especially with office shoes. I never realized that i can ever have this problem called URIC ACID because i work out regularly and i use very less amount of MEAT In my routine diet , i am having this trouble for more than three years now and every time i used to think that its because of uncomfortable shoes until i consulted my client who is a doctor, he suggested me for the uric acid test. My uric acid level was 6.2 which i discussed with the doctor and he suggested me not to take any medicine at the age of 32 but he gave me some pain killers and calcium medicines but unfortunately there is no relief infact the problem in increasing. Please suggest me the basic foods which i should avoid and foods for the cure of this irritating disease as its effecting my daily routine work.
Asked On : Fri, 15 Mar 2013
Answers:  2 Views:  51
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Diseases and Conditions
General & Family Physician 's  Response
Jun 2015
Hello Shirjeel,

The symptoms as mentioned in your post indicates towards gout.
It is caused due to deposition of uric acid crystals in the joints.
Pain killers can provide only temporary relief, & the underlying cause needs to be treated.
High uric acid in blood indicates increased purine metabolism in the body. Purines are found in high amounts in animal food products (such as poultry, fish and seafood) as well as few vegetables like cauliflower, spinach, mushrooms, green peas, lentils, beans, etc.
Avoid them in your diet.

Wishing you a good health.
Take care.
Answered: Fri, 2 Aug 2013
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Jul 2013
Hi Mr. Malik, thanks for writing to HCM.

As per your description, an Uric acid level of 6.2mg% can be taken as normal and it is desirable to keep the levels below 6mg%. No medicines are necessary to treat the uric acid levels right now.

Based on your symptomatology, I suspect PLANTAR FASCITIS in you causing pain in your heels.

This problem of plantar fascitis has got no relationship with the type of food you take nor it can be cured with foods.

The management of this condition is as follows -
* Relative rest and simple massage of the foot along with stretching excercises
* Simple analgesics like paracetamol or aceclofenac will work
* Night splints may be useful to keep the foot in plantigrade position
* Use of MCR (micronised rubber) or silicon heels in the foot wear
* Maintaining appropriate body weight so as to reduce load on the heels
* At time a single injection of corticosteroid in to the area of maximum pain will provide good pain relief

Hope this information is helpful. Good day
Answered: Sat, 3 Aug 2013
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