What could cause heel pain that does not subside with medications or exercise?

Hello,

Welcome to icliniq.com.

I can understand your concern.

The most common cause of heel pain is plantar fasciitis, and the uric acid levels are also raised. 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. Normally, the plantar fascia acts like a shock-absorbing bowstring, supporting the arch in your foot. If tension on that bowstring becomes too great, it can create small tears in the fascia. Repetitive stretching and tearing can cause the fascia to become irritated or inflamed. I suggest you follow the below-mentioned instructions:

1. Take a tablet of Piroxicam 20 mg daily once for ten days after food.
2. Take a tablet of Rabeprazole 20 mg once daily for ten days before food.
3. Take a tablet of Febuxostat 40 mg twice daily for 15 days after food.
4. Take a tablet of Vitamin D 60 K once daily for ten days and then once a month for 11 months.
5. Apply Dolonex ointment (piroxicam) 5 mg once in the morning.
6. I advise you not to take these medications if you are having bronchial asthma.
7. You need to do the following exercise, assisted by a physical therapist to stretch the plantar fascia and Achilles tendon to strengthen lower leg muscles, which stabilize your ankle and heel. A therapist can teach you to apply athletic taping to support the bottom of your foot.
8. Wear shoes with soft soles, or insert silicon heels or silicon soles.
9. Apply ice twice daily.

I advise you to consult a specialist talk to them, and take the medications with their consent.

I hope this information will help you.

Thank you.