I have terrible pain in both the heels but more in right leg heel. Once I took injection for spur in right leg heel in one point. But now the pain is in both legs heel and the point where I had spur three years back. I wear soft chappals butcant stand for more than one hour in kitchen. As if now I am not in the opinion of taking injection during lockdown and I hv 5 yr old kid at home
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Hello dear
Need to see x-rays to comment on the heel spur. Plantar fascitis pain usually doesn't occur while working. It is more of an early morning awakening pain where the first few steps are the most difficult and the things ease out later on. That being the case, plantar fascia stretching, silicone heel pads, contrast bath and anti-inflammatories are your tools.
However, if the pain is more of what happens with prolonged standing and walking, i am considering an alternate pathology related to your heel pad or your heel tendon.
Regards
Dr Vipin Gupta
Next Steps
Consult online if it's the second scenario. Can connect in person too if based in delhi.
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Your are having plantar fasciitis...
take
Tab Etova ER 400 twice daily for 10 days
Tab pan 40 once daily for 5 days
tab chymoral forte one tab three times a day for 5 days
cap T heal one tab two times a day for 30 days
Use water bottle filled with water chilled to ice and roll your feet on it for 10 min twice a day
Plantar fasciitis can be very troublesome especially if associated with bone spur formation. Avoid barefoot walking and use silicone insole in your shoes. Use a soft sole slipper as well. Plantar fascia stretching exercises will help. Contrast foot bath will be useful. It is a type of fomentation in which foot is immersed in warm water for 3 min followed by cold water for 1 min. The procedure is repeated 20 times morning and evening. You can take some painkiller on sos basis.
Regards,
Dr Kritesh Mishra
MS Ortho
we have to find the reason for heel pain which is also called planter fascitis. normally their are one the the 5 associated reasons along with spur. we have to identify it and treat
1) long standing activity or overweight
2) diabetics
3) high uric acid
4) hypothyroid
5) low vitamin D
95percent of cases one of these 5 is the reason and pain doesnt go or reappear if we dont treat it.
so treatment goes as
1) identify the reason and treat it
2) wear soft footwear
3) do contrast bath of hot and cold water.
4) medicine can only be taken after phyical consultation with an orthopaedic doctor
steroid injection in heel should be the last treatment option amd only for those who dont respond to above treatments
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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.
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