Severe Heel pain. And how to cure this!

Detail history and discussion is needed to suggest treatment, consult with me directly through Practo. Take care

This treatment is being suggested on bases of the information provided. However I would like to examine & investigate you  in detail. Control  Hypertension, Diabetes or metabolic disorder, if there is  any. Any way it may be tried, --. Dolokind Plus (Mankind) [Aceclofenac100 mg +Paracetamol 350 mg] 1 tab. OD & SOS. X 5 days. --. Caldikind plus  (Mankind) 1 tab OD x 10 days. (You may need help of your local doctor to get these medicines.) --. Fomentation with warm water. Let the part not be exposed to cold. --. Sleep on a hard bed with soft bedding. --. Use no pillow under the head. --. Avoid painful acts & activities. -- .Do mild exercises for feet and ankles. --.(Take help of a physiotherapist or, visit my you tube channel 'ncgupta me and my yoga'.) --Do not ignore, let it not become beginning of a major problem. --Do ask for a detailed treatment plan. Kindly make sure, there is no allergy to any of these medicines. --For emergency treatment visit nearest hospital. --Wish you a quick recovery & good health. --I hope, I have solved your problem to your satisfaction.  Dr N C Gupta MS (ortho).

You mentioned you already have a heel spur. Consult me on line for specific treatment options

Looking at the history given by you and assuming that you are unable to seek medical care due to corona virus lock down I am giving my opinion. This appears to be a case of Plantar fascitis secondary to calcaneal spur. It is a self limiting disease but has excruciating pain in initial stage.

The most important thing to do is AVOID WALKING BAREFOOT. Use a soft footwear like doctors slippers or Ortho slippers. Use silicon insoles inside your other footwears. As soon as you get up you should wear soft wears and walk on your toes for 5 to 10 min. Hot fomentation is very helpful in these cases. Exercises which includes Stretching or massaging the plantar fascia before standing up can often reduce heel pain. Stretch your foot by flexing it up and down 10 times before standing. Do toe stretches to stretch the plantar fascia. Use a towel to stretch the bottom of your foot (towel stretch). .Placing a tennis ball on the ground and gently rolling it under foot for a few minutes can help loosen up your plantar fascia, making it much less likely to become irritated. Put enough pressure on the ball to get a deep massage. You may feel some soreness, but back off if you feel any pain. Inspite of doing all above precautions and exercise if pain persists and if you don't have any history of diabetes , hypertension, renal disease or allergies then you can try Tab voveran d 50 mg twice a day along with hot fomentation and Volitra gel. You might need X-ray and Blood investigations that need to be done are CBC, RA, CRP, Serum vit D, serum creatinine, liver function test. You need to get examined by an orthopaedic surgeon and get an X-ray and blood investigations if the pain persists Review these reports with an orthopaedic surgeon or consult me with reports directly on Practo

Caution to be exercised before taking medication as there are chances of acidity, nausea , vomiting, gastric irritation, constipation and allergic reaction . if this happens then please show the nearest consultant on an emergency basis.

The first and most important step in these cases is to start using SOFT FOOTWEAR foot wear should be spongy like it should be compressible so that it relieves all the stress from your body weight OFF THE HEEL.. The moment you wake up there should be soft footwear underneath your foot.. untill you do this is not going to work and would be taking longer time.. I also need few more inputs from you. Do you have pain in other joints apart from the heel Bilateral heel pain sometimes point towards inflammation pathology or thyroid So you might need some tests

you might need to do CBP/ESR/RBS/ S CREATININE TSH/S URIC ACID/VIT D3 apart from these there are some exercises like calf stretches/ eccentric loading exercises /intrinsic muckle exercises hot fomentation immerse foot in a bucket of Luke warm water with added salt flexabenZ OINTMENT application may also may help

ping me for any other suggestions

It is plantar fasitis. It is mainly due to calf muscle tightening. Do calf stretching exercises. Use hot water immersion. Take vitamin d and calcium / vitamin b12. Consult orthopaedic dr or online for exercises instructions.