[74M] Experiencing sharp heel pain upon waking

What might be happening

Based on the information you've provided, here are some possible explanations for your heel pain:

• Plantar Fasciitis: This is a common cause of heel pain, especially in the morning. It occurs when the thick band of tissue that runs across the bottom of your foot becomes inflamed. The pain is often sharp and can be worse after periods of inactivity, such as sleeping.

  • Treatment typically involves stretching exercises, physical therapy, and sometimes orthotic devices. Over-the-counter pain relievers like ibuprofen or naproxen can help reduce pain and inflammation.

• Heel Spurs: These are bony growths that develop on the heel bone and can cause pain, especially when standing up after a period of rest. They often occur in conjunction with plantar fasciitis.

  • Treatment is similar to that for plantar fasciitis and may include physical therapy, orthotics, and anti-inflammatory medications.

• Tarsal Tunnel Syndrome: This condition involves compression of the nerve that runs along the inside of the ankle and can cause pain in the heel. It is less common but can be considered if other symptoms like tingling or numbness are present.

  • Treatment may involve rest, ice, anti-inflammatory medications, and in some cases, surgery.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Stretching Exercises: Regularly stretch your calves and the bottom of your feet. This can help alleviate tension in the plantar fascia.
2. Footwear: Ensure you are wearing supportive shoes with good arch support and cushioning. Avoid walking barefoot on hard surfaces.
3. Rest and Ice: Rest your feet and apply ice to the affected area for 15-20 minutes several times a day to reduce inflammation.
4. Pain Relief: Consider over-the-counter pain relievers like ibuprofen or naproxen to help manage pain and inflammation.
5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Persistent or worsening pain despite self-care measures
• Swelling or redness in the heel area
• Difficulty walking or bearing weight on the affected foot
• New symptoms such as tingling, numbness, or severe pain

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a proper diagnosis and treatment plan.