2 doctors weighed in:

My daughter has been complaining about extreme pain in her right heel she works in retail and is constantly on her feet.

2 doctors weighed in
Dr. Joy Jackson
Family Medicine

In brief: She

She could be dealing with a bone spur or a condition called plantar fasciitis etc.
She should see her primary care doctor for initial evaluation, possible x rays and treatment. Her doctor will decide if she needs a podiatry(foot doctor).Evaluation. In the meantime, she should buy over the counter in-soles or orthotics; some pharmacies have an actual machine that analyzes the feet and recommends a specific orthotic. She can also try Ibuprofen or advil (ibuprofen) for pain, and ice the foot after a long day at work. A frozen can of juice is a great way to relieve the pain. She can roll it back and forth on her foot like a rolling pin. I hope she finds relief soon.

In brief: She

She could be dealing with a bone spur or a condition called plantar fasciitis etc.
She should see her primary care doctor for initial evaluation, possible x rays and treatment. Her doctor will decide if she needs a podiatry(foot doctor).Evaluation. In the meantime, she should buy over the counter in-soles or orthotics; some pharmacies have an actual machine that analyzes the feet and recommends a specific orthotic. She can also try Ibuprofen or advil (ibuprofen) for pain, and ice the foot after a long day at work. A frozen can of juice is a great way to relieve the pain. She can roll it back and forth on her foot like a rolling pin. I hope she finds relief soon.
Dr. Joy Jackson
Dr. Joy Jackson
Thank
Dr. Howard Fox
Podiatry

In brief: There

There are many, many causes for heel pain.
Probably the most common is plantar fasciitis, an inflammation of the plantar fascia (a ligament that connects your heel bone on the bottom of your foot to your metatarsal heads by the ball of your foot), and plantar fasciitis is characterized by something called post-static dyskinesia, or in simple terms, pain after rest. The first step getting out of bed in the morning is the killer, and then it seems to ease up as you walk, but if you sit for a while, take a long car ride, etc., then get up, it starts all over again. Other causes of heel pain are stress fractures of the heel bone or a fractured heel spur, tarsal tunnel syndrome (like carpal tunnel, but in the ankle), nerve compression and entrapment, neuromas, loss of fat pad protection, and referred pain from the low back called “radiculopathy.” some collagen vascular disorders, like rheumatoid arthritis, ankylosing spondylitis, lupus and reiter’s disease can all produce heel pain, as well as bone and soft tissue tumors. The diagnosis is made by clinical examination and x-rays. Sometimes, an MRI or nerve conduction tests are also needed. The treatment for heel pain varies widely, and some treatment for one cause of heel pain can make a different cause of heel pain much worse. For instance, a steroid injection has a dramatic effect on alleviating pain from plantar fasciitis, but if there is a stress fracture present, a steroid injection could prevent the fracture from healing. The single most important thing in dealing with heel pain is an accurate diagnosis. Many people with heel pain are told they have heel “spurs.” a heel spur is a small lip of bone that is formed from years of pulling from the plantar fascia. We now know heel spurs are not a source of pain. Millions of people have heel spurs and are unaware of it. Conversely, it is common to treat plantar fasciitis and become completely pain-free without ever addressing the actual spur. Treatment for plantar fasciitis can involve anti-inflammatory medication, stretching exercises, orthotics, physical therapy and steroid injections. Some patients find impressive relief from acupuncture too. A recent study showed that a night splint (to keep your foot at a 90 degree angle to the leg) while you sleep is one of the single most effective treatments for plantar fasciitis. Your first step in dealing with heel pain should be an accurate diagnosis, so a visit to a podiatrist or orthopedic surgeon is the best starting place.

In brief: There

There are many, many causes for heel pain.
Probably the most common is plantar fasciitis, an inflammation of the plantar fascia (a ligament that connects your heel bone on the bottom of your foot to your metatarsal heads by the ball of your foot), and plantar fasciitis is characterized by something called post-static dyskinesia, or in simple terms, pain after rest. The first step getting out of bed in the morning is the killer, and then it seems to ease up as you walk, but if you sit for a while, take a long car ride, etc., then get up, it starts all over again. Other causes of heel pain are stress fractures of the heel bone or a fractured heel spur, tarsal tunnel syndrome (like carpal tunnel, but in the ankle), nerve compression and entrapment, neuromas, loss of fat pad protection, and referred pain from the low back called “radiculopathy.” some collagen vascular disorders, like rheumatoid arthritis, ankylosing spondylitis, lupus and reiter’s disease can all produce heel pain, as well as bone and soft tissue tumors. The diagnosis is made by clinical examination and x-rays. Sometimes, an MRI or nerve conduction tests are also needed. The treatment for heel pain varies widely, and some treatment for one cause of heel pain can make a different cause of heel pain much worse. For instance, a steroid injection has a dramatic effect on alleviating pain from plantar fasciitis, but if there is a stress fracture present, a steroid injection could prevent the fracture from healing. The single most important thing in dealing with heel pain is an accurate diagnosis. Many people with heel pain are told they have heel “spurs.” a heel spur is a small lip of bone that is formed from years of pulling from the plantar fascia. We now know heel spurs are not a source of pain. Millions of people have heel spurs and are unaware of it. Conversely, it is common to treat plantar fasciitis and become completely pain-free without ever addressing the actual spur. Treatment for plantar fasciitis can involve anti-inflammatory medication, stretching exercises, orthotics, physical therapy and steroid injections. Some patients find impressive relief from acupuncture too. A recent study showed that a night splint (to keep your foot at a 90 degree angle to the leg) while you sleep is one of the single most effective treatments for plantar fasciitis. Your first step in dealing with heel pain should be an accurate diagnosis, so a visit to a podiatrist or orthopedic surgeon is the best starting place.
Dr. Howard Fox
Dr. Howard Fox
Thank
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