[26M] With heel pain and tingling sensation

Patient Description

A 26-year-old male has been experiencing sudden onset heel pain for one week, accompanied by a burning sensation and intermittent tingling. The pain worsens after sitting for a while. There is no swelling or redness, and no history of foot or ankle injuries. The patient recently changed footwear, which exacerbated the pain, but reverting to previous shoes did not help significantly. The patient spends extended periods standing or walking and has not yet tried stretching exercises. Medical history includes high blood pressure diagnosed six months ago, managed with Wellbutrin 100 mg once daily and Losartan 25 mg once daily. The patient also takes Vitamin D3 100 mg daily. No known allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Plantar Fasciitis: This is a common cause of heel pain, especially if the pain is worse after sitting or in the morning. It involves inflammation of the tissue that runs across the bottom of your foot.

    • Treatment typically includes rest, ice, stretching exercises, and possibly orthotic devices. Over-the-counter pain relievers like ibuprofen can help reduce pain and inflammation.
  • Nerve Irritation: The tingling and burning sensation might suggest irritation of a nerve in your foot, possibly due to the new footwear.

    • Treatment involves identifying and removing the source of irritation, and sometimes physical therapy.

What you can do

  1. Rest and Ice: Rest your foot and apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation.

  2. Stretching Exercises: Try stretching exercises for your foot and calf to relieve tension in the plantar fascia.

  3. Footwear: Consider wearing supportive shoes with good arch support and cushioning. Avoid walking barefoot on hard surfaces.

  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

  • If the pain persists or worsens despite self-care measures.
  • If you notice any new symptoms like swelling, redness, or severe pain.
  • If the tingling becomes constant or is accompanied by numbness.

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are common causes of heel pain and how can they be treated?

Common causes of heel pain include plantar fasciitis, Achilles tendonitis, and nerve irritation. Treatment often involves rest, ice, stretching exercises, proper footwear, and over-the-counter pain relievers.


How can footwear affect foot health and potentially cause pain?

Footwear can significantly impact foot health. Shoes that lack proper support or cushioning can lead to conditions like plantar fasciitis or nerve irritation. It's important to choose shoes with good arch support and cushioning to prevent pain.


What are some effective stretching exercises for plantar fasciitis?

Effective stretching exercises for plantar fasciitis include calf stretches, rolling a tennis ball under the foot, and toe stretches. These exercises help relieve tension in the plantar fascia and improve flexibility.


When should I see a doctor for heel pain?

You should see a doctor if heel pain persists despite self-care measures, if you experience new symptoms like swelling or redness, or if the tingling becomes constant or is accompanied by numbness.


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