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What Causes Foot Pain?
Question: Problem
1. Shifting pain from top of right foot to heel, ankle with minimal swelling for past 5 days.
2. Becomes difficult to bear bodyweight.
3. Pain repeating after every 2/3 months for past one yr.
Lifestyle
1. High potato intake
2. High protein intake in terms of pulses, grams etc.
3. Moderate drinking once in 10 days.
4. Use to exercise once in 4 days(5 Km run, Aerobics, weights etc.) but no exercise for past one yr.
Fwg tests done with results
X ray OK no fracture, Uric Acid - 7.5, ASO titre - positive, Lymhocyte - 45.
Rheumatoid factor - negative, Haemoglobin - 16.3, RBC - 5.6, PCV - 47.5, MCV- 84.8, MCH - 29, MCHC - 34.2, Platelets - 2, WBC 7300, NEUTROPHIL - 46, LYMPHOCYTE - 45, monocyte - 03, eosinophil - 06, basophil - 0, esr - 10
Request diagnosis, remedies, lifestyle changes, medication etc
1. Shifting pain from top of right foot to heel, ankle with minimal swelling for past 5 days.
2. Becomes difficult to bear bodyweight.
3. Pain repeating after every 2/3 months for past one yr.
Lifestyle
1. High potato intake
2. High protein intake in terms of pulses, grams etc.
3. Moderate drinking once in 10 days.
4. Use to exercise once in 4 days(5 Km run, Aerobics, weights etc.) but no exercise for past one yr.
Fwg tests done with results
X ray OK no fracture, Uric Acid - 7.5, ASO titre - positive, Lymhocyte - 45.
Rheumatoid factor - negative, Haemoglobin - 16.3, RBC - 5.6, PCV - 47.5, MCV- 84.8, MCH - 29, MCHC - 34.2, Platelets - 2, WBC 7300, NEUTROPHIL - 46, LYMPHOCYTE - 45, monocyte - 03, eosinophil - 06, basophil - 0, esr - 10
Request diagnosis, remedies, lifestyle changes, medication etc
Brief Answer:
Plantar fasciitis should be ruled out.
Detailed Answer:
Hello XXXX
Thanks for writing to HCM
Foot pain in your case may be due to many reasons like plantar fasciitis,rheumatoid arthritis,calcaneal spur,bursitis etc.
You need proper clinical examination.
Most of the relevant investigations has been done and by exclusion plantar fasciitis is most likely diagnosis.However,it should be clinically confirmed by a orthopedician.
Plantar fasciitis is an inflammation of the band of fibrous connective tissue (fascia) running along the bottom of the foot,from the heel to the ball of the foot. It is common among athletes who run and jump a lot and it can be painful.
It occurs when the plantar fascia is strained over time beyond its normal extension causing the soft tissue fibers of the fascia to tear or stretch at points along its length.This leads to inflammation and pain.
Inflammation may be aggravated by shoes that lack appropriate support especially in the arch area.
You can take oral anti-inflammatory medicines(NSAIDs) like ibuprofen.
If needed,injection can also be prescribed .
Splints or heel pads also give relief.
Pain that does not subside with NSAIDs may require more intensive treatments, including leg supports and even surgery.
Surgery involves the release of the plantar fascia.
A variety of steps can be taken to avoid heel pain:
1.Wear shoes that fit well and have shock absorbent soles and supportive heel counters.
2.Wear the proper shoes for each activity.
3.Do not wear shoes with excessive wear on heels or soles.
4.Prepare properly before exercising. Warm up and do stretching exercises before and after running.
5.If you are obese,try to lose weight.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Plantar fasciitis should be ruled out.
Detailed Answer:
Hello XXXX
Thanks for writing to HCM
Foot pain in your case may be due to many reasons like plantar fasciitis,rheumatoid arthritis,calcaneal spur,bursitis etc.
You need proper clinical examination.
Most of the relevant investigations has been done and by exclusion plantar fasciitis is most likely diagnosis.However,it should be clinically confirmed by a orthopedician.
Plantar fasciitis is an inflammation of the band of fibrous connective tissue (fascia) running along the bottom of the foot,from the heel to the ball of the foot. It is common among athletes who run and jump a lot and it can be painful.
It occurs when the plantar fascia is strained over time beyond its normal extension causing the soft tissue fibers of the fascia to tear or stretch at points along its length.This leads to inflammation and pain.
Inflammation may be aggravated by shoes that lack appropriate support especially in the arch area.
You can take oral anti-inflammatory medicines(NSAIDs) like ibuprofen.
If needed,injection can also be prescribed .
Splints or heel pads also give relief.
Pain that does not subside with NSAIDs may require more intensive treatments, including leg supports and even surgery.
Surgery involves the release of the plantar fascia.
A variety of steps can be taken to avoid heel pain:
1.Wear shoes that fit well and have shock absorbent soles and supportive heel counters.
2.Wear the proper shoes for each activity.
3.Do not wear shoes with excessive wear on heels or soles.
4.Prepare properly before exercising. Warm up and do stretching exercises before and after running.
5.If you are obese,try to lose weight.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear HCM,
May I kindly request you to kindly re- analyse & elaborate a bit as the brief answer says that Plantar fasciitis should be ruled out whereas detailed answer says that plantar fasciitis is most likely which I suppose is completely contradictory. The tests conducted are enumerated as below for your ready reference:-
My reports which are not normal are follows:-
Uric Acid - 7.5, ASO titre - positive, Lymhocyte - 45.
Other results are as follows:-
X ray - No fracture, Rheumatoid factor - negative, Haemoglobin - 16.3, RBC - 5.6, PCV - 47.5, MCV- 84.8, MCH - 29, MCHC - 34.2, Platelets - 2, WBC - 7300, Neutraphil - 46, Lymphocyte - 45, monocyte - 03, Eosinophil - 06, Basophil - 0, ESR - 10
Thank you
May I kindly request you to kindly re- analyse & elaborate a bit as the brief answer says that Plantar fasciitis should be ruled out whereas detailed answer says that plantar fasciitis is most likely which I suppose is completely contradictory. The tests conducted are enumerated as below for your ready reference:-
My reports which are not normal are follows:-
Uric Acid - 7.5, ASO titre - positive, Lymhocyte - 45.
Other results are as follows:-
X ray - No fracture, Rheumatoid factor - negative, Haemoglobin - 16.3, RBC - 5.6, PCV - 47.5, MCV- 84.8, MCH - 29, MCHC - 34.2, Platelets - 2, WBC - 7300, Neutraphil - 46, Lymphocyte - 45, monocyte - 03, Eosinophil - 06, Basophil - 0, ESR - 10
Thank you
Brief Answer:
Please find detail answer below.
Detailed Answer:
Hello XXXX
Thanks for writing back
There are many differential diagnosis in your case and plantar fasciitis comes first in diagnosis.Diagnosis can only be confirmed by clinical examination.
There is only difference in language,We have limitation of words in heading writing.
Regarding positive blood reports,
1.Uric acid level in normal males is 3.5 to 7.2 mg/dL. Yes,you have mild raised uric acid level,but pain in hyperuricemia is different as described by you.Pain is generally limited to great toe.
You should avoid purine diet.Your condition can be managed by diet modification.There is no necessity of drugs at present.
You should avoid alcohol completely.
2.Positive ASO titre is non specific and it only signifies past streptococcal infection.
3.Increased lymphocyte may be due to recent viral illness.
So,you should get clinically examined by a orthopedician.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Please find detail answer below.
Detailed Answer:
Hello XXXX
Thanks for writing back
There are many differential diagnosis in your case and plantar fasciitis comes first in diagnosis.Diagnosis can only be confirmed by clinical examination.
There is only difference in language,We have limitation of words in heading writing.
Regarding positive blood reports,
1.Uric acid level in normal males is 3.5 to 7.2 mg/dL. Yes,you have mild raised uric acid level,but pain in hyperuricemia is different as described by you.Pain is generally limited to great toe.
You should avoid purine diet.Your condition can be managed by diet modification.There is no necessity of drugs at present.
You should avoid alcohol completely.
2.Positive ASO titre is non specific and it only signifies past streptococcal infection.
3.Increased lymphocyte may be due to recent viral illness.
So,you should get clinically examined by a orthopedician.
Get well soon.
Hope I have answered your question.
Further queries are most welcome.
Take Care
Dr.Indu XXXXXXX
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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