HomeAnswersOrthopedician and Traumatologyheel painI am having heel pain despite taking medications and following other measures. Kindly help.

How to get rid of pain in the heels?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At August 25, 2023
Reviewed AtAugust 25, 2023

Patient's Query

Hello doctor,

I am experiencing heel pain suddenly. Initially, I had continuous pain while walking. It is slightly more when I take the first few steps after rest or sleep. The doctor said that it could be because of bad shoes and suggested taking the tablet Zerodol SP for five days (once a day after dinner). I changed my shoes, and I am doing stretching exercises and using ice packs at home. Keeping hot water on the foot did not help much. The pain is continuing for 15 days and does not seem to improve. Since I traveled to a western country, I could not continue my treatment. Kindly help.

Hello,

Welcome to icliniq.com.

I completely understand your concern. Let us discuss how to solve it.

This is a condition in which the fascia or the tissue in the heel is inflamed. Since you are experiencing pain, especially in the morning after getting up from sleep, I suggest you take the following medications:

  1. One tablet of Piroxicam 20 mg at night for 10 days after food.

  2. One tablet of Rabeprazole 20 mg at night for 10 days before food.

  3. One tablet of calcium and vitamin D3 (Shelcal CT) in the morning for 30 days before food.

  4. One tablet of vitamin D3 (D-Shine 60K) once daily for 10 days, and then once a month for 11 months.

  5. Apply Piroxicam (Dolonex) ointment after getting up in the morning.

Take the above tablets only if you are not allergic to them. Also, do not take these tablets if you are a known case of bronchial asthma. Also, I suggest you do the following:

  1. Do calf strengthening exercises twice daily for 15 minutes.

  2. Wear shoes that have soft soles.

  3. Apply ice packs twice daily.

Doing all these things will help reduce your pain.,

This professional advice provided by me stands subject to the actual examination of the report or image and is based entirely on inputs provided to me. It should be correlated with clinical findings.

Your health is our utmost priority.

Thank you.

Investigations to be done

No investigations are required at present.

Differential diagnosis

The differential diagnosis is a calcaneal spur.

Probable diagnosis

The probable diagnosis is plantar fasciitis.

Treatment plan

After consulting with your physician, I advise you to change your previous medications and take the ones mentioned above.

Preventive measures

Refrain from wearing shoes with hard soles.

Regarding follow up

Kindly follow the above guidelines for 10 days. If you do not find any relief, you might require an injection in the heel to cure the condition.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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