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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Get Heel Pain In The Mornings?

I am suffering from heel pain for last around 8 months. I have taken treatment from orthopedics, who have prescribed several medicines with finally three nos of injection injected in the ankle with a interval of 15 days in between. But after all these effort the heel pain is still alive. In the morning when I wake up, the first few steps are very much painful. please advise a permanent resolution.
Mon, 20 Feb 2017
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Pain Medicine & Palliative Care Specialist,  's  Response
The symptoms and ensuing treatment you explained, suggests one thing, that you are suffering from PLANTAR FASCITIS. In this, soft tissue and underlying fat pad at heel causes pain. Usually the injections in affected area reduce the pain or completely control it. In your case, as it has not helped, here are certain things you can do:
1. Take NSAIDs prescribed by your orthopedics doctor.
2. Contrast bath the painful area- 10 min of hot water fomentation, followed by 5 min of ice fomentation, followed by hot water again. Twice daily repeat the procedure.
3. Use a medial arch support in your footwear. Throw away any heel pad, if prescribed (they actually worsen the condition).
4. You can get a planter fascia injection again after a while. Make sure you get it from a Podiatrist, or a PMR physician
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Why Do I Get Heel Pain In The Mornings?

The symptoms and ensuing treatment you explained, suggests one thing, that you are suffering from PLANTAR FASCITIS. In this, soft tissue and underlying fat pad at heel causes pain. Usually the injections in affected area reduce the pain or completely control it. In your case, as it has not helped, here are certain things you can do: 1. Take NSAIDs prescribed by your orthopedics doctor. 2. Contrast bath the painful area- 10 min of hot water fomentation, followed by 5 min of ice fomentation, followed by hot water again. Twice daily repeat the procedure. 3. Use a medial arch support in your footwear. Throw away any heel pad, if prescribed (they actually worsen the condition). 4. You can get a planter fascia injection again after a while. Make sure you get it from a Podiatrist, or a PMR physician