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Suggest Treatment For Shooting Pain Across The Sole Of Foot
Posted on
Thu, 29 Oct 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Thu, 29 Oct 2015
Answered on
Wed, 25 Nov 2015
Last reviewed on
Question : I've had a pain on my underfoot, where the arch and heel meet, for over 2 months now. I am a type 2 diabetic.
The pain is only on my left foot. My A1C is 7 and blood sugar is around 140 fasting. What can I do to relieve the pain?
The pain is only on my left foot. My A1C is 7 and blood sugar is around 140 fasting. What can I do to relieve the pain?
Brief Answer:
Could be plantar fascitis
Detailed Answer:
Hello,
Thanks for writing to HCM. Noted your concern.
Well your sugar level is quite good. The pain in the area you mentioned is highly suggestive of either of two things - a plantar fascitis or a heel spur.
May I ask you if you have pain upon walking after a period of rest like for instance on waking up in the morning which improves after a period of walking>
Or do you have pain all the time on walking?
I will be glad to reply and help you out.
Warm regards.
Could be plantar fascitis
Detailed Answer:
Hello,
Thanks for writing to HCM. Noted your concern.
Well your sugar level is quite good. The pain in the area you mentioned is highly suggestive of either of two things - a plantar fascitis or a heel spur.
May I ask you if you have pain upon walking after a period of rest like for instance on waking up in the morning which improves after a period of walking>
Or do you have pain all the time on walking?
I will be glad to reply and help you out.
Warm regards.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
I have pain all the time but mostly at night
Brief Answer:
As mentioned below
Detailed Answer:
Well, the pain being worse at night during rest points more towards a neuropathic kind of pain. The issue is that neuropathic pain is never localised and almost never unilateral unless there is a compression of a particular nerve in the foot which rarely can be seen in diabetics. My sincere advise would be to get your foot examined by a podiatrist. Your feet needs to be checked for neuropathy and blood circulation. The area you mentioned needs to be felt and palpated as well. That would give us a clear diagnosis. Until then, we can only assume its a certain condition. Certain tests that could be of use would be to do a monofilament test, an xray of the foot and sometimes a nerve conduction velocity test.
Until you get this done, you could try a tablet of tramadol 50 mg at bed time. Warm saline soak for 5 minutes at night also helps. Physiotherapy - stretching exercises with an apt diabetic footwear is useful in cases of plantar fascitis.
Hope this helps. I hope I have given you some insight into the matter. Wishing you good health.
warm regards.
Dr Praveen
As mentioned below
Detailed Answer:
Well, the pain being worse at night during rest points more towards a neuropathic kind of pain. The issue is that neuropathic pain is never localised and almost never unilateral unless there is a compression of a particular nerve in the foot which rarely can be seen in diabetics. My sincere advise would be to get your foot examined by a podiatrist. Your feet needs to be checked for neuropathy and blood circulation. The area you mentioned needs to be felt and palpated as well. That would give us a clear diagnosis. Until then, we can only assume its a certain condition. Certain tests that could be of use would be to do a monofilament test, an xray of the foot and sometimes a nerve conduction velocity test.
Until you get this done, you could try a tablet of tramadol 50 mg at bed time. Warm saline soak for 5 minutes at night also helps. Physiotherapy - stretching exercises with an apt diabetic footwear is useful in cases of plantar fascitis.
Hope this helps. I hope I have given you some insight into the matter. Wishing you good health.
warm regards.
Dr Praveen
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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