I have heel pain if I walk without shoes. Why?

Hi,

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You have weight gain and heel pain. You have mentioned that you have hyperthyroidism and after taking medication, you got recovered. Patients having hyperthyroidism can tend to go into hypothyroidism. Since you had hyperthyroidism and after taking medication, your level has decreased and it has gone below normal. In hypothyroidism, there is weight gain. You fail to lose weight even after doing exercise and reducing calories. Heel pain can occur due to various causes. Low levels of thyroid hormones can cause nerve damage and it results in neuropathy. It is characterized by tingling and numbness in extremities. A painful foot condition called plantar fasciitis can also cause it. It causes edema on the foot around the nerves. I suggest you do an X-ray of the foot to see for any bony spur. Kindly do TFT (thyroid function test). Use a silicon heel pad in your shoe to support your heel and it reduces friction.

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On looking at the reports (attachment removed to protect patient identity), your TSH (thyroid-stimulating hormone) is low and it is a sign of hypothyroidism. I suggest you consult an endocrinologist for it. You can take tablet Tapentadol 50 mg twice daily after food for two weeks.

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Yes, you can walk with proper shoe support and use a silicon heel pad in the shoe while walking.

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