What causes heel pain which not relieved by painkillers?

Question

Hello doctor,

I am a 24-year-old male. I have a pain in my heels for three to four months. I used a lot of painkillers like Ibuprofen, Voltral, Nims, Dicloran injection, Brexien, Movax, Muscoril, Rotec, Bonate, Carlex D, and Vitamin D injection, and Methicobal injection. etc., but the result is zero. I also try to warm the feet in warm water but there is no decrease in pain. I also took some lab tests:

1. Serum uric acid that has a value of 3.9 on my report and the reference value given on my test report is 3 to 7 for males.

2. Serum RA Factor that is negative.

3. ESR value on my report is 12 mm/ 1st hr, and the reference value for males is 0 to 10.

4. CRP high sensitive result is 0.9 mg/ dL on my report, and the reference value is up to 0.6.

Answer 1

Hello,

Welcome to icliniq.com.

This is a condition in which the fascia or the tissue at the heel is inflamed, and pain is there, especially in the morning after getting up from sleep. I suggest the following medications:

1. Tablet Piroxicam (20 mg), one tablet after food for ten days.

2. Tablet Rabeprazole (20 mg) one tablet before food for ten days.

3. Tablet Shelcal (Calcium) 500 mg once daily before food for 30 days.

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

Consult your specialist doctor, discuss with him or her and start taking the medicines with their consent. Take these tablets only if you are not allergic to them. Also, do not take these tablets if you are a known case of bronchial asthma. You need to do the following:

1. Physical therapy. A physical therapist can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and strengthen lower leg muscles, stabilizing your ankle and heel. A therapist may also teach you to apply athletic taping to support the bottom of your foot (alternatively, you can do the exercises at home too).

2. Wear shoes that have soft soles, or alternatively, you can insert silicone heels or silicone soles.

3. Apply ice twice daily.

4. Doing all these things will help reduce this pain.

5. Do an X-ray of both heels - lateral view and upload it for me to see.

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