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Suggest Treatment For Severe Debilitating Pain In The Right Heel
Question: I have been having severe, debilitating pain in my right heel, towards the back. It radiates up to my calf. At times my ankles will swell,a nd there are areas that feel fluid filled. On my feet most of day as I am a nurse. Pain worsens as day goes on.
Brief Answer:
Might be plantar fascitis
Detailed Answer:
Hi XXXXXX
Welcome.
I have gone through your query.
There are numerous causes and conditions that produce heel pain. But the commonest causes for - Pain "under" the heel is PLANTAR FASCITIS.
The management is by conservative methods which includes -
Relative rest and simple massage of the foot along with stretching exercises.
Regular, gentle stretching of your Achilles tendon and plantar fascia may help to ease your symptoms.
Use of analgesic antiinflammatory medicines like Advil or Aleve as needed
Shoe inserts - Use of MCR (micronised rubber) or silicon heels (orthoses) in the foot wear so as to produce a cushioning effect and taking off the pain
Maintaining appropriate body weight so as to reduce the load bearing on the heels.
Quit smoking, if you are a smoker
At times, a single injection of corticosteroid in to the area of maximum pain will provide good pain relief.
Ankle swelling is due to long duration of standing, whenever possible, sit with your legs elevated. While sleeping also keep one or two pillows under the leg.
I would also like to know , are you hypertensive? If so that might also be responsible.
For plantar fasciitis, I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management.
Hope this helps.
Take care
Might be plantar fascitis
Detailed Answer:
Hi XXXXXX
Welcome.
I have gone through your query.
There are numerous causes and conditions that produce heel pain. But the commonest causes for - Pain "under" the heel is PLANTAR FASCITIS.
The management is by conservative methods which includes -
Relative rest and simple massage of the foot along with stretching exercises.
Regular, gentle stretching of your Achilles tendon and plantar fascia may help to ease your symptoms.
Use of analgesic antiinflammatory medicines like Advil or Aleve as needed
Shoe inserts - Use of MCR (micronised rubber) or silicon heels (orthoses) in the foot wear so as to produce a cushioning effect and taking off the pain
Maintaining appropriate body weight so as to reduce the load bearing on the heels.
Quit smoking, if you are a smoker
At times, a single injection of corticosteroid in to the area of maximum pain will provide good pain relief.
Ankle swelling is due to long duration of standing, whenever possible, sit with your legs elevated. While sleeping also keep one or two pillows under the leg.
I would also like to know , are you hypertensive? If so that might also be responsible.
For plantar fasciitis, I suggest you to consult an orthopedic surgeon for a detailed evaluation and further management.
Hope this helps.
Take care
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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