Brief Answer:
Please give details.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male / 28 - recently - pain in right knee - heels pain after waking up in the morning - noise in foot and knee. . .

My views: would like to know more and details please.
First of all please provide me some information.
- Since when is the knee pain (date if possible)
- What sort of injury / incidence caused the pain on that or just a day before pain started?
- Any swelling, redness ?
- Any particular position that increases or reduces the pain ?
- Any investigations done till date? if yes, attach the reports please.

* Pain in the heels:
- Since when is the pain?
- Started simultaneously?
- Does it settle as the day passes / sun rises?
- Any treatment done

*General questions:
May I please know your height and weight?
Any medical disease / disorder do you have like diabetes, hypothyroidism, hypertension? If yes, which medicines do you take.

Answers to these questions have in-built answer/s.
We can go for further investigations and treatment accordingly.

I hope this helps us both to come to a conclusion, please feel free to answer all questions, give any additional feedback and ask for further relevant queries or if you feel that there is a gap-of-communication.
26 years is too an early age to have knee pain and heel; pain is suffered usually by the females.

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Brief Answer:
management as suggested.

Detailed Answer:
Hi XXXXXXX
Thanks for your feedback and the picture get a bit clearer.
-Your BMI is 23.72, perfectly normal hence your weight can not be the reason for any of the symptoms.
- No specific incidence as a cause (you feel like the jogging may be the cause), pain at the back of the knee joint on bending.

The Principles for pain in the knee of an young person of your age.:
- First of all rest to the ailing part.
- Find the cause:
This is possible by a a good MRI at least 1.5 tesla.
Actual physical evaluation by an Orthopedic Surgeon to see ad find the cause.
Both these things will lead to a proper diagnosis and give a plan for further treatment.
The Orthopedic Surgeon will also see for the proper reason of your back and ask for X-rays or MRI.
- Anti-inflammatory medicines Like Ibuprofen at 8 hourly interval after food, with milk and PPI like Pantoprazole.
- Crepe bandage or loose fitting kneecap will help a bit.

A for the Planter fascitis of the heels:
- I can suggest the following in such a patient;

Take broad based bucket or a bowl in which you can rest your both feet comfortably.
Pour in a water till it fills up to 8 inches. Remove the feet and start adding common salt to the water. Go on adding till you can see the salt not being able to dissolve. This makes it supersaturated solution.
Once this saturated solution is made, you have to make it warm on a stove to an extent that the back of your hand can tolerate, pour it into the bucket, test the temperature again, rest your feet in to the bucket. Keep part of the solution on the stove so that you can add warm solution to the bucket with feet. Continue for 15 minutes minimum twice daily. Do not throw away this solution as it will look dirty after some days; use the same.

You may take an additional oral steroids in the form of deflazacort under the prescription of your Doctor, in tapering dosage and may take diuretics if needed as you are allergic to pain-killers.
Always take multivitamins as they act like anti-oxidants.

I hope this helps you as it helps many of my patients.
Please feel free to ask for more if you need to and you may please rate this answer.
Wishing you an early recovery.

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Brief Answer:
Certainly will help you.

Detailed Answer:
Thanks for your appreciation XXXXXXX
Wishing you all the best for getting the complete cure for both of your problems.
You may please rate this answer before closure of the discussion and can certainly contact me on the bellow link in future, whenever you may need me.
http://bit.ly/askdrtchandrakant

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