Hello doctor, A 40 year old male having pain in both feet for four to five months. The pain is in the bottom of the feet going from the heel to balls of feet and toes. Enclosed X-ray of feet and foot images. Please suggest diagnosis and treatment. I am not diabetic and uric acid is normal. RA factor is also normal.
Hello. Mostly this appears to be plantar fasciitis but I could not see your X-rays as it is not attached. 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: Tablet Piroxicam (20 mg) 0-0-1 for 10 days after food. Tablet Rabeprazole (20 mg) 0-0-1 for 10 days before food. Tablet Shelcal (Calcium) 500 mg 1-0-0 for 30 days before food. Tablet Vitamin D (60 K) once daily for 10 DAYS, then once a month for 11 months. 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. Follow up immediately in case of any untoward reactions. You need to do the following exercise: Physical therapy. A physical therapist can instruct you in a series of exercises to stretch the plantar fascia and Achilles tendon and to strengthen lower leg muscles, which stabilize 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), Wear shoes which have soft soles, or alternatively, you can insert silicon heels or silicon soles, Apply ice twice daily.“This is only a second opinion platform.This professional advice provided by me stands subject to the actual examination of report/image and is based entirely on inputs provided to me. It should be correlated with clinical findings.” For more information consult an orthopaedician and traumatologist online -->