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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain In The Heel

My daughter is stating that she has had pain in her heel over a very long time period, and at times it would be VERY painful, but not for very long. I suspect that means not more than an hour. Now it is the same pain, very intense and over several days. She is having difficulty walking and is sitting out of activities. We have a doctor appt, but not for a few days. Nothing seems to help, when I touch the area it hurts her more.
Fri, 26 Apr 2019
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General & Family Physician 's  Response
Hello,

I would like to suggest some tests:

1. X-Ray of the foot
2. Nerve Conduction Studies
3. Fasting Blood Glucose
4. If possible, MRI of the foot

I would also like to ask:

1. Is there swelling in the foot or heel?
2. Is there any stiffness in the heal?

I also suggest these medications:

1. Ibuprofen 400mg every 6 hours maximum of 3 doses. Not more than that.
2. Naproxen 550 mg orally once, followed by 275 mg orally every 6 to 8 hours or 550 mg orally every 12 hours as needed

There are many forms of treatment:

If it is severe, we will add Physical therapy as adjunctive therapy. In this case, you have to go to a physiotherapist.

Meanwhile, follow these:

Rest as directed. Rest decreases swelling and prevents your pain from getting worse.

Apply ice on your heal for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.

Wear a compression bandage or use tape. This will decrease swelling and pain. Ask your healthcare provider how to wrap a compression bandage or apply tape.

Elevate your heel above the level of your heart as often as you can. This will help decrease swelling and pain. Prop your heel on pillows or blankets to keep it elevated comfortably.

Always warm up your muscles and stretch before you exercise. Do cool down exercises and stretches when you are finished. This will keep your muscles loose and decrease stress on your heal.

Post another question and answers to the above questions. Any doctor can follow you up. Do not worry as you are under good supervision.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dipan Samanta, General & Family Physician
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Suggest Treatment For Severe Pain In The Heel

Hello, I would like to suggest some tests: 1. X-Ray of the foot 2. Nerve Conduction Studies 3. Fasting Blood Glucose 4. If possible, MRI of the foot I would also like to ask: 1. Is there swelling in the foot or heel? 2. Is there any stiffness in the heal? I also suggest these medications: 1. Ibuprofen 400mg every 6 hours maximum of 3 doses. Not more than that. 2. Naproxen 550 mg orally once, followed by 275 mg orally every 6 to 8 hours or 550 mg orally every 12 hours as needed There are many forms of treatment: If it is severe, we will add Physical therapy as adjunctive therapy. In this case, you have to go to a physiotherapist. Meanwhile, follow these: Rest as directed. Rest decreases swelling and prevents your pain from getting worse. Apply ice on your heal for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain. Wear a compression bandage or use tape. This will decrease swelling and pain. Ask your healthcare provider how to wrap a compression bandage or apply tape. Elevate your heel above the level of your heart as often as you can. This will help decrease swelling and pain. Prop your heel on pillows or blankets to keep it elevated comfortably. Always warm up your muscles and stretch before you exercise. Do cool down exercises and stretches when you are finished. This will keep your muscles loose and decrease stress on your heal. Post another question and answers to the above questions. Any doctor can follow you up. Do not worry as you are under good supervision. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dipan Samanta, General & Family Physician