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Heel pain
Facing heel pain from last 6 months, cant stand and do work without wearing slippers, cant feel pressure when wearing slipper, but started paining without it
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Its mostly due to plantar fasciitis. Treatment includes anti inflammatory medication, physio including ultrasound therapy, hot water bag. If no relief local steroid injection.
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Your symptoms are most commonly seen with plantar fasciitis (plantar heel pain), particularly if the pain is under the heel and worsens with prolonged standing, walking barefoot, or the first few steps after rest. Cushioned slippers may reduce the pressure on the painful plantar fascia, which can explain why walking barefoot is more painful. Other causes such as heel-pad irritation, Achilles tendon problems, nerve irritation, or occasionally a calcaneal stress injury should be excluded on examination.
Next Steps
Since the pain has persisted for 6 months, please consult an orthopaedic/foot-and-ankle specialist for examination. Initial treatment usually includes plantar-fascia and calf stretching, activity modification, supportive footwear with good cushioning/arch support, heel pads and physiotherapy. Most cases improve without surgery.
If symptoms remain persistent or the examination suggests another cause, an X-ray may be obtained initially; ultrasound or MRI can be considered when soft-tissue pathology is suspected despite normal or inconclusive radiographs.
Health Tips
Avoid prolonged barefoot walking on hard floors and avoid suddenly increasing running or high-impact activity. Do regular calf and plantar-fascia stretching and use supportive footwear rather than very flat slippers. Seek earlier assessment if there is significant swelling, redness/warmth, numbness, night/rest pain, fever, recent injury, or inability to bear weight
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Your symptoms are commonly seen with plantar fasciitis, especially when heel pain has been present for several months and is aggravated by standing or walking. However, the fact that you describe reduced sensation/pressure perception while wearing slippers should also be assessed, as nerve-related causes can sometimes produce heel discomfort or altered sensation.
Next Steps
Avoid prolonged barefoot standing and high impact activity for now. Use well cushioned footwear with good arch support and start gentle calf and plantar fascia stretching. Since this has persisted for 6 months, an orthopaedic examination would be useful to confirm the diagnosis and assess the sensation around the foot.
Health Tips
If you have true numbness, tingling, burning, weakness, or loss of sensation in the foot, please mention this specifically during consultation, as it may indicate a nerve related problem rather than simple plantar fasciitis.
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Dr. Deependra Singh Shekhawat
Orthopedist
3 yrs exp
Jaipur
Plantar fasciitis
Tight fascia inflamed at heel attachment causes pain on putting the heel on graund.
Next Steps
Health Tips
Wear soft shoe , Calf strength and foot and ankle stretching
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.