Dr. Florilyn Joyce Chulsi Bentrez
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have had this pain around my left Achilles area, and the pain tends to ease away in the morning. The pain eases off after resting or sleeping. I have been experiencing it for over two years and do not have swelling or redness. I usually feel a tingling sensation on my leg. I feel pain in my lower Achilles area whenever I wear hard-sole shoes. At times I feel a cold sensation on my foot at night. I have done X-rays and CT scans, but nothing unusual was seen. My vitals are fine. My blood sugar level is between 4.4 to 4.6 mmol/L. I have attached my blood test result. Yesterday I started taking Naproxen. I am taking Biopentin for a month. Kindly help me.
Hello,
Welcome to icliniq.com.
I saw your blood reports (attachments removed to protect the patient's identity), and you probably have tendonitis. It is due to repetitive strain on the heel. I suggest you choose well-fitted shoes and provide adequate cushions for your feet. Better assessment can be done if you answer the following questions:
1. Did you have sudden weight gain?
2. Do you have other diseases?
Patient's Query
Hi doctor,
I do not have any disease, and I have gained weight a little. I did a CT scan and X-rays, which showed nothing. Kindly suggest a medication for it.
Hello,
Welcome back to icliniq.com.
I suggest you take a magnetic resonance imaging (MRI) scan so we can visualize the tendon. Meanwhile, I suggest you take the following medications:
1. Tablet Etoricoxib 120 mg once a day in the morning.
2. Tablet Eperisone thrice a day for three days.
3. Tablet Pregabalin 75 mg at night if there is still pain.
4. Try stretching exercises.
5. Have physical therapy if this would not work.
Consult with a specialist, talk with them and take the medication with their consent.
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Neurology
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