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Xray of the ankle appears to be normal , calcaneal spur is an accidental finding in an ankle xray.Though there's no fracture ,pain could be due to sprain or tear in the ankle ligaments which could be the reason for the pain.To reduce the pain she could use etocoxib 120 mg once daily . However she may need an MRI of the affected ankle and physiotherapy.

Painful calcaneal spurs in a 44-year-old female with arthritis likely indicate a condition where bony outgrowths, known as bone spurs or osteophytes, form on the heel bone (calcaneus). These can cause significant discomfort, especially when standing or walking Causes and Contributing Factors:Arthritis: Osteoarthritis or rheumatoid arthritis can lead to the development of bone spurs due to chronic inflammation and joint degeneration. Other causes are plantar fasciitis,mechanical stress as in your case as she had ankle sprain , age snd weight factors .

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According to your query and sign and  know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation  and please keep positive  attitude to fight any disease and any problem of your life

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