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Suggest Remedy For Pain In Heels And Toes After Waking Up

Posted on Mon, 21 Dec 2015

Question: Hi,

Continuing the discussion.

Let me draw a picture of the issues I am facing:-

1) In the month of May I have hurt my left and right heel during trekking
2) I visited the doctor in office and he re-directed me to a physiotherapist
3) He declared it as an issue due to trekking and gave me some simple exercises
4) Continuing the exercises for last 6 months but pain not receding fully
5) Symptoms:- after getting up from sleep each morning I feel pain on the heels and heaviness of my toes. It goes away after some walking. Also if I sit on chair for long the same symptoms come back and goes away after some walking
5) Visited doctor again and asked me to do just Vitamin D3 test whose reports I have already shared
6) Medicines already started as you have told
7) Do I need to do any other test?
8) Is this the problem of Vitamin D3 deficiency or something else

Please suggest. I travel a lot due to office work. If I cannot travel its a problem for me.

Answered by Dr. Vaibhav Gandhi (18 hours later)

Brief Answer:
There is possibility of early plantar fasciitis

Detailed Answer:

Hello,

I have studied your case. As per your history I will like to give differential.
There is possibility of early plantar fasciitis another possibility of inflammatory arthritis.

You may need to do blood test to confirm diagnosis.
When such patients come to our hospital I advise them blood test like RA factor, ACCP, ESR, complete blood count, HLA B27, and x ray foot lateral view and if required MRI.

Start plantar exercises consulting physiotherapist also Physiotherapy like TENS and ultrasound will help. Take calcium supplement with vit D.
Do exercises of foot before getting out of bed.

For these symptoms medication like methylcobalamine and heel injection will reduce pain; you can take them consulting your treating doctor.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vaibhav Gandhi (19 minutes later)

Hi Doctor,

Thanks for you reply.

I have tested Vitamin D3 which is just less than 4.2. My family doctor has asked to take Wal-D3 60000UI and Shelcal-500 mg. Do I need to take any other medicines?

Thanks nad Regards,
xxxxxxxx XXXXXXX

Answered by Dr. Vaibhav Gandhi (3 hours later)

Brief Answer:
continue vit D for 3 months

Detailed Answer:
Hello

You should take vit D at least for 3 months.

Other medication can be started after above mentioned investigation.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Vaibhav Gandhi (1 hour later)

Hi Doctor,

Vitamin D3 60000UI will be taken once a week?

Thanks and Regards,
xxxxxxxxxx XXXXXXX

Answered by Dr. Vaibhav Gandhi (2 hours later)

Brief Answer:
yes once a week

Detailed Answer:
Hello

Yes take once a week for around period of 3 months.

Take care.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D