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Pain at heel
My wife is suffering from pain at her heel part. When I Google it, it shows exactly as plantar fasciitis. She is been having this pain, while she stands for hours in kitchen. After she takes rest, it will relax. Tried all pain gel but in vain. She has this problem for 2 months. Please advice to overcome this health issue.
Answers (18)
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Try doing the calf stretch every few hour especially before sleeping and after getting up
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This heel pain may cure with following few steps
1. Use soft heel with 1 inch heel shoes modification
2. Planter excrise - with standing heel up down
Ankle stretching exercises
3. contrast bath that is hot and cold water immersion of foot for 30 minute once daily for 7 day
Next Steps
continued to 10 day
Health Tips
avoid prolonged standing
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Every heel pain is not because of heel only, many times reasons are hidden somewhere else aswell.
As in your wife case, check her
if she has trouble to stand on one leg?
inequality in weight bearing time on left and right leg standing.
Another check on her stomach, or any other digestion issue aswell;
if so the Exercises protocol is completely different.
Only If these test are negative then it could be because of prolonged standing creating calf muscle tightness or plantar arch abnormalities or spurs.
But in both cases some relief is felt after calf streching so this exercise is totally safe and relaxing.
Link of Exercise is given below
https://youtu.be/ocsptosl7kq
Make her do this and answer my questions to know more about your treatment.
Next Steps
answer the questions asked for more treatment consultation. Contact me online further.
Health Tips
Do the Exercise given in link and don't ignore her pain to know more, about her treatment; be in touch with me.
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Do hot fermentation & apply ice as well (do contrasts bath dip your leg in warm water & cold water),go for plantar fascia stretching & TA stretching as well,kindly change your footwear,but stretching is more important (you can check it from YouTube)
Next Steps
Just follow al dis ,let me know hw you will feel
Health Tips
Dnt walk with bearfoot,dnt stand for long time & last nt d least change footwear & dnt forget to do stretching.
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Apply ice pack
Do dorsiflexion stretch of the ankle
US therapy for 10 mins for 15 days
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It may be either plantar fascitis or Calceneal spur. That can be confirmed with a simple X-Ray. In both the cases 1st priority is to reduce the pain.
Next Steps
1. Contrast bath:
Take to bucket, one with warm water and other one with Ice water. firstly deep your foot in warm water for 5 mins then deep in ice water for 5 mins, repeat this process 2 times, means (5 +5mins) + (5 + 5 mins). Do this twice a day for 7 to 10 days.
2. Use silicone insole on your shoes an chapels.
3. stop barefoot walking.
Health Tips
If pain continues after doing this all, then you need to visit a Physiotherapist for electrotherapy treatment. Thank you.
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Do contrast bath (dip your ankle in water one minutes in cold water and 1 minute hot water for 10 times twice a day)
Get a foot arch cushions in your shoes and sleepers during walk and avoid walk without sleepers or shoes.
It may be due calcanium spur with planter facietis?
Next Steps
After lock down went for physiotherapy for only 15 days.
Health Tips
Do some accupresure point over planter areas.
You can consult online for accupresure techniques at home.
Atay home stay safe.
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Patient feel more Pain at morning time in heel pain or Planter Fascitis.
Patent may be use hotwater formation for relex Pain at home
Next Steps
patuent can do heel streching exercise mor and evening or 3-4 time in a Day.
Health Tips
For best result take Appoitment with Physiotherapist for Physio treatment or Also take Advance Physio Treatment PEMF.for heel Pain.
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Laser physiotherapy treatment will help you
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Try manual therapy ....it gives instant cure
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Patients cant wait long to get normal or to get relief. Immediate relief is required. This problem arises due to prolong standing and over weight, and due to faulty or poor footwear. Pain gets worsen after prolong standing or if you remain in one position for long.
Next Steps
Streching of Ankle achilis tendon . (Stand on your toes for 10 to 15 repetitions 2 sets two times in a day)Contrast bath like giving heat and cold treatment simultaneously .keep ur feet first in hot water for 3 to 4 minutes followed by keeping feet in cold water for 3 minutes. Repeat for 3 to 5 times in a day at single stretch.Wear Foot wear like sketchers sport shoe or wear Insole of soft cushion gel inside your shoes. Do your most of Activity in sitting for the time being. If u can go to Physiotherapy centre than US therapy with class 4 laser can be given for 10 days. I hope that will help u a lot.
Health Tips
For long term try to reduce ur weight if u are overweight? Consult orthpaedics if u does not get any improvement.
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Main problem for plantar fasciitis is calf muscle tightening. Do calf stretching exercises hold it for 10 seconds - repeat 20 times. If not resolving Physio in form of Usg massage might be helpful. Consult orthopaedic dr.
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Hi.. As you said the heel pain aggrevates with prolonged standing, she can sit for sometime inbetween cooking, and during other daily chores. Then I would suggest her to do this simple exercise at home.
Procedure:
Ask her to take two tubs, in which one tub should contain warm water with rock salt and another tub should contain normal tap water.
She should dip her foot in warm water for two min and then followed by regular water for two minutes. Continue this process for 15 min alternately. This exercise should be done twice a day for ten days.
Note: The water level in the tub should be till her ankle height.
Next Steps
If the pain continues after ten days ask her to consult a Physiotherapist for further treatment.
Health Tips
She can wear a soft cushioned foot wear while standing. For example dr schol's foot wear.
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Ask her to take breaks from continued sitting or standing
Avoid putting full weight on that leg while standing
No sitting crossed and sitting at heights where it's difficult to get up
Wear heel lift footwear through the day when she is walking or standing.
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It's common in day to day life. Change ur wife shoes. Use soft shoes.
Next Steps
1.Apply ice twice a day(10 to 15 min). 2.Use heel cushion. 3.when pain reduced do ankle/foot/toe exercises gently, towel curl exercises and streachig exercises.
Health Tips
1.Avoid prolong standing. 2.Do not use hard shoes. 3.Apply ice. 4.Use heel cushion inside ur shoes or slipper. 5.if not reduced then contact me, I will check and then started treatment. 6.Take care and stay safe at home.
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1. Stretching of Achilles tendon
2. In lying position...ankle stretch with towel
3. Icing to that point
Next Steps
avoid long standing
weight distribution Between both legs
icing twice or thrice with stretching as possible.
Health Tips
it will be ok..
if any queries, contact me.
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Dr. Aditi Kulkarni
Physiotherapist
14 yrs exp
Pune
Hello get x ray done check for calcaneal spur....
For immediate pain relief at home do icing....take a tub add ice cubes and roll sole of feet on ice cubes.
Next Steps
If calcaneal spur present then contact nearby physiotherapist start ultrasound, stretching, balancing exercises and learn walking and footwear ergonomics.
Health Tips
while standing for prolong period of time use 2 to 3 inch footstool below one leg then keep switching from left to right.
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Dr. Faiyazuddeen Kuthbudeen (PT)
Physiotherapist
23 yrs exp
Chennai
Hai it said according to your google consultation it is plantar fasciitis why not it may be like calcaneal spur some female Because of prolonged standing u said heel but you didn’t say heel where downward or to the side some time a radiating pain may also be there did u notice any swelling like feeling by touching at the back of the lower leg just above the heel part if not then cool now kindly give her hot fermentation in a hot water bag because heel is a hard fascia so the heat may take time to get absorb and give her some soothing effect . More often the slipper used by female at home should be notice better to use a micro cellular rubber what they as MCR u can use one at home and the other at outside . Kindly do help her at this quarantine period so that she may feel happy so prolonged standing should be avoided . U can check Uric acid once the situation is improved at ur place kindly have a Physiotherapy treatment of ultrasound or shock wave therapy so it she may get better soon . All the best take care of ur family ji .
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