Question: Hi Doctors,
I was diagnoised with plantar fascitis in my left foot 3.5yrs back. First it started with some pain in the calf, cramps, tightness in the calf ( was not able to sit for long time without removing socks and shoes) . Symptoms were mostly dull pain and sharp pain if i walk more distance. Now after 3 years the symptoms have changed the right leg which was stronger has become weaker and is showing some symptoms eventhough it is better than left foot. Left foot the inflammation is always there in the foot (not easily noticeble, but a layer of inflammation which is always there ) heel is very soft, MAIN thing imbalance if i walk, that too if i walk some distance or would have stood for longer time (attend some functions), then the imbalance is more at the end of the day. Pain is dull pain not sharp pain, more than that if i walk bare foot on harder surfaces discomfort and does not support normal walk the arch become flatter.....another thing back stiffness and if i sit on harder chairs some times i feel some pain along the spain as though it feels spain is becoming bent on left or right side...

My BMD is in border
Vitamin D was less now it is normal after taking medicine
Thyroid was also reported now it seems to be normal after taking medicine (now i hav stopped taking it)
Vitamin B12 was less now it is normal after taking medicine
My digestion is not so good i go for poop (when in office only) 4times a day (it is there from child hood now conscious of it after this problem started) endoscopy showed some minor inflammation doctor said take some tablet for a year
Could any one help in providing solution?

Thanks and Regards
XXXXXX

Hello Dr XXXXXXX

Nice to see your answer.
Dont you think it is related to chronic long time plantar fascitis problem?
There is no sharp leg pain and all it is more of imbalance, flattening of arch (left foot), may be some stiffness and dull pain
Another thing not mentioned in my previous email is i cannot stand at a place for more than a minute without some resistance (may be dull pain) from the heel (or not sure whether it is calf tightness)

Latest my doctor asked me to check different blood parameter levels
The ESR reads 20 mm/hr which is more than the reference. Does it indicate anything?

I had told about my digestion problem in my previous mail. Do you have any comments on that? Add to that some days I have bloating problem.
Some days i am sure bloating problem is due to indigestion or unabsorbtion, but other days when i go out and walk some distance with this bloating problem, I am not sure whether it is due to indigestion or stiffness due to the other problem related to heel/leg . Do you want to see endoscopy report? shall i attach it?


Rgds/
XXXXXX

Hello Dr XXXXXXX

I donot have the soft copy. I am writing what i see in the final report.

Clinical History : OGD - Gastroesophageal junction nodule with oesophagitis grade 'A'

Microscopic examiniation: Sections studied show of gastro-oesophageal mucosa. The mucosa is lined by hyperplastic stratified squamous epithelium and focally lined by gastric type of epithelium. The subepitheilium shows mucosal glands with mild reparative atypia and intra-epithelial neutrophilic infiltration. The lamina propria shows moderate to dense mixed inflammatory cellular infiltrate. No evidence of dysplasia or malignancy in the sections studied.

Impression : Chronic non-specific inflammatory pathology with reperative atypia

Doctor said it is some inflammatory thing so asked me to take some tablet(T. OMez 20mg) everyday for one year

Rgds/
XXXXXX