[29F] Experiencing chronic heel pain and itchy thighs

Patient Description

A 29-year-old female has been experiencing chronic dull pain in the heels that lasts all day and worsens with standing. The pain has been present for years. Additionally, the patient reports having itchy thighs. There is no indication of pregnancy. Further details about the itchy thighs, such as duration, presence of rash, or exacerbating factors, were not provided. The chronic nature of the heel pain suggests a need for evaluation of potential causes such as plantar fasciitis, heel spurs, or other chronic conditions affecting the feet.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Plantar Fasciitis: This is a common cause of heel pain that occurs when the band of tissue that supports the arch of your foot becomes inflamed. It's often worse when you first wake up or when you stand after sitting for a long time.

    • Treatment often involves physical therapy, pain relievers, and sometimes orthotics or shoe inserts.
  • Flat Feet: This is a condition where the arches on the inside of your feet are flattened, allowing the entire soles of your feet to touch the floor when you stand up. This can lead to foot pain, particularly in the heel or arch area.

    • Treatment typically involves foot-strengthening exercises, supportive shoes, and in some cases, orthotics.
  • Achilles Tendinitis: This condition occurs when the tendon that connects your calf muscles to your heel becomes inflamed. It can cause pain in the heel and along the back of the foot.

    • Treatment typically involves rest, physical therapy, and pain relievers.

The itchiness on your thighs could be due to a variety of reasons, such as dry skin, allergic reactions, or certain skin conditions like eczema or dermatitis.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment, here are some general suggestions:

  1. Rest and elevate your feet when you can.
  2. Apply ice to your heels for 15-20 minutes a few times a day to reduce inflammation.
  3. Over-the-counter pain relievers may help with the pain.
  4. Stretch and strengthen your feet with exercises.
  5. Wear shoes that fit well and provide good support.

For the itchiness on your thighs:

  1. Avoid scratching, as this can worsen the itchiness and potentially cause infection.
  2. Apply a moisturizer to your skin daily.
  3. Use a mild, fragrance-free soap when bathing.
  4. Avoid wearing tight or rough clothing on the affected area.

What you should look out for

Please seek immediate medical attention if:

  • Your foot pain is severe or doesn't improve with rest and home treatment.
  • You have severe swelling or redness around your heel.
  • You cannot walk or bear weight on your foot.
  • You have an open wound or signs of infection, such as redness, warmth, or pus.

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

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1 yr ago

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People Also Ask


What are the common causes of chronic heel pain?

Common causes of chronic heel pain include plantar fasciitis, heel spurs, flat feet, and Achilles tendinitis. These conditions can result from inflammation, structural issues, or overuse.


How can plantar fasciitis be treated at home?

Home treatments for plantar fasciitis include resting the feet, applying ice to reduce inflammation, taking over-the-counter pain relievers, performing foot-stretching exercises, and wearing supportive shoes or orthotics.


What might cause itchy skin on the thighs?

Itchy skin on the thighs can be caused by dry skin, allergic reactions, eczema, dermatitis, or irritation from clothing. Moisturizing the skin and avoiding irritants can help alleviate the itchiness.


When should I see a doctor for heel pain?

You should see a doctor for heel pain if it is severe, does not improve with rest and home treatment, is accompanied by swelling or redness, or if you are unable to walk or bear weight on the foot.


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