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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Painful Swelling In The Left Heel?

Hello, I m a 48 yr old African American male. Over the last couple weeks I ve developed a small bulge just on the inside of my left heel. Its not very painful but painful enough if that males any sense. After resting, it takes time to warm up so to speak. And its also tender to a firm touch. Any ideas? Thanks
Fri, 12 Jan 2018
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Orthopaedic Surgeon,  's  Response
dear sir/ madam
i would like to know do you have taking the first step in the morning after waking up, and as day progress does the pain gradually comes down?

based on your description
my differentials would be
plantar fascitis for which silicone rubber soles, achilles strenghtening exercises, contrast baths, and some analgesics is recommended.

or
posterior tibial tendinitis for which i would examine for heel rise and recommend rest ice fomentation ,ankle brace and ankle rom exercises .


or
calcaneal stress fracture for which radiograph of the ankle would help for diagnosis.
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What Causes Sudden Painful Swelling In The Left Heel?

dear sir/ madam i would like to know do you have taking the first step in the morning after waking up, and as day progress does the pain gradually comes down? based on your description my differentials would be plantar fascitis for which silicone rubber soles, achilles strenghtening exercises, contrast baths, and some analgesics is recommended. or posterior tibial tendinitis for which i would examine for heel rise and recommend rest ice fomentation ,ankle brace and ankle rom exercises . or calcaneal stress fracture for which radiograph of the ankle would help for diagnosis.