If your soles and heels hurt

A caring and sensitive specialist. He gave me recommendations, prescribed therapy and made an appointment for another session, during which the course of treatment would be determined in detail.

Doctors treat foot pain

The symptom of foot pain can be caused by a variety of medical conditions. If you are experiencing this symptom for the first time, you should make an appointment with your GP who will refer you to an appropriate specialist.

Which doctors treat foot pain?

  • podiatrist
  • neurologist
  • Foot reflexologist
  • surgeon
  • traumatologist
  • vertebrologist
  • therapist
  • orthopedist
  • chiropractor
  • pediatrician
  • mycologist
  • rheumatologist
  • Dermatologist.

Possible diseases for the symptom of foot pain

  • Obliterating vasculitis
  • hernia
  • Varus deformity
  • Osteosclerosis
  • fracture of the metatarsal bone
  • March foot
  • osteochondropathy
  • Pinch foot
  • clubfoot
  • hallux valgus
  • Tinea pedis
  • Pelvic foot
  • metatarsalgia
  • Tarsal syndrome
  • Neuropathy of the tibial and fibular nerves
  • Displacement of the heel bone
  • Deformations of the musculoskeletal system
  • Fracture of the intermediate phalanges of the toes
  • Tinea pedis
  • Morton's neuroma
  • Chondropathies
  • ditch foot
  • Congenital varus deformities of the foot.

Foot pain is a sign of possible serious health problems, see a doctor!

All doctors who treat foot pain 536

Choose a time for an appointment online Metro stations: Krasnye Voroty Sretensky Bulvar Turgenevskaya

Recommendations before visiting the surgeon

A surgeon specializes in diseases that require surgical treatment. There are many subspecialties in surgery that address a specific anatomical area or group of diseases. The surgeon is involved in many preventive examinations. He is consulted for abdominal pain to rule out surgical pathology.

No special preparation is required before visiting a surgeon. It is advisable to take a hygienic shower (if there is no pronounced pain syndrome) and wear comfortable clothing to allow access to the examination. All results of previous examinations should be brought with you.

Diagnosis of foot pain

Your doctor will tell you which diagnosis you should undergo. It can be prescribed for you:

  • Ultrasound examination of the arteries of the lower limbs
  • X-ray examination of the joints
  • Ultrasound examination of the foot
  • X-ray examination of the foot or hand
  • CT scan of the foot or hand
  • X-ray of the foot or hand
  • X-ray of the spine
  • X-ray of the toes or hand
  • Functional diagnostics Electroencephalography (EEG)
  • X-ray of the fingers or toes
  • Functional diagnostics Electrocardiography (ECG)
  • X-ray picture
  • Computed tomography of the foot or hand
  • joint ultrasound
  • MRI (Magnetic Resonance Imaging)
  • CT scan (computed tomography)
  • X-ray of the foot or hand
  • MRI scan of the foot
  • CT scan of the foot or hand
  • X-ray of the foot or hand
  • Functional diagnostics Electroneuromyography (ENMG)
  • MRI scan of the foot
  • CT scan of the foot or hand
  • X-ray examination of the extremities
  • MRI scan of the ankle
  • X-ray of the foot or hand
  • Ultrasound examination of the kidney
  • MRI (Magnetic Resonance Imaging)
  • X-ray imaging of the foot or hand
  • X-ray imaging of the foot or hand
  • X-ray of the foot or hand
  • Computed tomography of the foot or hand
  • CT scan of the foot or hand
  • MRI of the cerebral vessels
  • Functional diagnostics Electroneuromyography (ENMG)
  • Ultrasound examination of the foot
  • X-RAYS
  • X-ray of the extremity
  • Functional diagnostics Electroneuromyography
  • MRI foot
  • X-ray of the limb
  • Ultrasonography (USG)
  • densitometry
  • X-rays of the joints
  • X-ray of the foot or hand
  • MRI (Magnetic Resonance Imaging)
  • Ultrasound examination of the joints
  • Foot ultrasound
  • X-ray examination of the extremities
  • Ultrasound examination of the feet.

Heel pain, causes

Heel pain can be triggered by a number of factors. First and foremost, it is the constant stress and overuse of the foot that leads to pain. The most common cause is inadequate footwear, especially in women who regularly wear high-heeled shoes. Abnormally low heels, increased physical activity, or standing on your feet for long periods of time can also cause heel pain.

Heel pain can be caused by a number of conditions including arthritis and joint inflammation:

arthritis – Arthritis is a condition in which the tissue that runs along the foot and connects the toes to the heel bone becomes inflamed. The pain increases gradually, and the heel pain is particularly severe in the morning;
plantar fasciitis. Plantar fasciitis is a dense formation in the connective tissue that extends along the entire sole of the foot. Regularly wearing tight shoes or doing an activity that requires you to be constantly on your feet can lead to plantar fasciitis. Plantar fasciitis not only causes pain, but also salt deposits at the site of inflammation, which promote the formation of heel spurs;
heel spur – A chronic form of plantar fasciitis in which calcium salts build up under the skin and cause a type of growth. This puts pressure on the surrounding tissue, causing heel pain when walking. The pain is greatest in the morning after going to bed and subsides somewhat throughout the day, but may recur and worsen again;
Any tendon injury, sprain, or rupture can also result in a sharp, burning pain directly under the heel that is particularly severe when walking or exercising;
reactive arthritis – Sometimes heel pain is caused by the development of an infection in the body, most commonly chlamydia and other sexually transmitted diseases. The underlying infection triggers reactive inflammation of the heel tendon, causing constant pain that worsens at night;
Some other diseases, such as gout.

How to get rid of heel pain in the morning

If your heel hurts in the morning, there are several methods that can help with severe heel pain at the beginning of the day:

– Cold treatment – You can massage the heel with an ice cube for 5 to 7 minutes until it becomes numb. This treatment should be repeated 3 to 4 times a day. Alternating between cold and heat is also effective. To do this, first apply ice to the sore heel for 15 minutes, then take a break for 15 minutes and finish the treatment with a hot heating pad for another 15 minutes;
– Painkillers – Non-steroidal anti-inflammatory drugs such as ibuprofen are effective in treating all inflammatory conditions, including those that cause heel pain when stepped on;
– Using a heel pad – pain can be reduced by distributing the load more evenly across the heel. For this purpose, special insoles are recommended, which are inserted into the shoe and raise this part of the body by 3-6 mm, thereby somewhat reducing the load on the transition area between the sole and the heel.

When should foot pain be examined?

See a podiatrist immediately if

  • severe pain or swelling in the foot
  • an open wound with pus
  • Signs of infection, such as redness, tenderness in the affected area, or fever above 100°F (37.8°C).
  • has difficulty walking
  • suffers from diabetes and has a non-healing wound on his foot
  • has persistent swelling that does not go away after 2-5 days of home treatment
  • has persistent pain in the foot that does not go away even after several weeks
  • burning pain in the sole of the foot, numbness or tingling, especially in all or most of the lower foot.

X-rays, MRI and CT scans in diagnosing foot pain

The orthopedist begins the diagnosis with a detailed anamnesis and then prescribes tests to find the cause of the pain:

MRI imaging is based on the phenomenon of nuclear magnetic resonance imaging. In the scanner's magnetic field, positively charged hydrogen ions in the body begin to oscillate (vibrate) under the influence of high-frequency pulses. The sensor uses this information to create a three-dimensional image of the area being examined.

Computed tomography is based on X-rays that are directed at the human body. Some of the rays are retained in the tissue, while another part penetrates the body. Different tissues and organs stop X-rays differently: bones stop most of the rays, soft tissue stops less, and air stops the X-rays poorly. The sensor uses this data to create a three-dimensional image of the area being examined.

During x-rays, the human body is irradiated with x-rays. Some of the rays are retained in the tissue, while another part penetrates the body. Different tissues and organs stop X-rays differently: bones stop most of the rays, soft tissue stops less, and air stops the X-rays poorly. The sensor creates a two-dimensional image from this data.

An MRI examination is harmless to your health and can be carried out as often as you like without a doctor's referral.

CT scans can be dangerous due to radiation exposure and should therefore not be performed more often than once every six months upon a doctor's recommendation.

X-rays can be dangerous due to exposure to radiation, so these exams should only be done on the recommendation of a doctor.

The MRI scan is more time-consuming and takes between 20 and 40 minutes.

CT is a rapid type of diagnosis and can be performed within 2 to 3 minutes. For this reason, CT scans are more commonly used in emergencies.

What treatment can be given for foot pain?

Sprains and fractures are treated with a block, reduction, or repositioning, and a cast is applied. In complicated cases, surgery may be necessary. However, most treatments include medication and physical therapy.

Patients are prescribed topical and general anti-inflammatory medications to reduce inflammation, pain, and swelling. Infections are treated with antibiotics and antivirals, while vascular disorders are treated with drugs that normalize blood circulation. Massage, manual techniques and physiotherapy are very effective: UHF, electrophoresis, laser therapy.

The most common cause of foot pain is chronic musculoskeletal problems. Effective therapeutic and preventive methods can help prevent the development of diseases and restore health without injections and tablets.

5 How to check the thyroid?

Measure your temperature under your tongue in the morning for 5 days without leaving bed. In women it is best measured in the first phase of the menstrual cycle (days 1-5). If the mean basal body temperature is below 36.6, hypothyroidism is likely.
default 36,6-36,7.

Step 2 – Perform a thyroid hormone test, perform an ultrasound.

Pay attention to the following laboratory values:

  • 1) Thyroid hormone (TSH) below 2 µIU/ml, optimal 1-1.5,
  • 2) Free T3, free T4 – closer to the upper limit of normal.
  • 3) Ratio of sT3/sT4 over 0.33
  • 4) Free T3/reversible T3 ratio – over 6.
  • 5) Antibodies against TPO and Tg – ideally complete absence of antibodies! The above symptoms can also occur in people who are already taking thyroxine and have normal hormone levels, which means that the conversion of T4 to T3 is disrupted.

photo-1523246224990-496e9a19113a.jpg

1: No need to panic. It's a good thing you discovered them at all. Most nodules are not dangerous. Statistically, one in 2 women has such a lump.

2. If the nodule is larger than 1 cm, a punch biopsy should be performed. Only after a laboratory examination of the tissue sample can the doctor determine whether the lump consists of benign cells or whether there is a risk of cancer. A benign lump will not develop into cancer.

3 Perform a thyroid hormone test to determine whether there is thyroid dysfunction. In cases of hyperthyroidism and nodules, the source of excess hormones should be determined and technetium scintigraphy will be required.

Now what to do about knots?

Benign – You should see your doctor.

Indications for X-ray examination of the heel

Due to its special anatomical structure and the high daily load, the heel bone is exposed to frequent injuries and pathological processes. An X-ray of the heel is the easiest, fastest and most informative way to detect abnormalities in a timely manner.

An X-ray should be ordered if the following symptoms appear:

  • burning or severe pain in the heel
  • Restriction of joint mobility in the foot
  • pain and discomfort when walking
  • Changes in gait, shifting the center of gravity from the heel to the toes
  • Swelling, redness and local temperature increase in the area of the heel bone protrusion.

X-rays are taken after trauma to the foot when fractures, breaks, or dislocations are suspected. If there is bony hypertrophy in the heel area, the diagnostician can assess the development of a spur. X-rays help the doctor assess the effectiveness of treatment of inflammatory diseases, identify the features of bone fusion in fractures, and understand the causes of chronic pain.

Diagnostic x-rays are essential for the diagnosis of

  • osteoporosis
  • flat feet
  • osteitis
  • Achilles tendon rupture and heel bone dislocation
  • Arthritis, arthrosis, osteochondropathy.

The x-ray shows signs of inflammation characteristic of bursitis, plantar fasciitis and tendonitis. When describing the x-ray image, attention is paid to the integrity of the bony structures, the shape of the heel shaft and its position in relation to the rest of the tarsal area. If abnormalities are found, additional testing, including examination of the other foot, may be necessary to make an accurate diagnosis.

Preparing for surgery

X-ray examination of the heel bone for fracture, spur or inflammation is performed without preparation. A referral for the examination can be made by a traumatologist, orthopedist, podiatrist, rheumatologist, or surgeon. It is advisable to bring the results of previous examinations so that the radiologist can follow the progression of the pathological process.

Immediately before the X-ray, the specialist will ask you to take off your shoes and remove socks, jewelry and foreign objects from your foot.

Read more:
Save the article?
Orthopedic group practice in Radebeul
en_USEnglish