In calcaneal spur does the pain happens to be in both heels simultaneously? Does ultrasound therapy helps? If there is no uric acid or calcaneal spur problem what can be the other reason for heel pains (in both foot).

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Both heel pain can be due to plantar fascitis. Calcaneal spur can be radiological finding in asymptomatic patients. Ultrasound therapy helps in such conditions. Follow these lifestyle changes religiously to get benefit. 1. Reduce body weight as obesity will aggravate the stress on heel. 2. Avoid exercises like running / walking on hard surfaces. Stop such activities when you start developing pain. 3. Roll your feet on bottle of cold water for 20 mins 4 times a day or can apply ice pack. 4. Use shoes with silicone sole inserts. 5. Do calf muscle and heel stretches daily. 6. Avoid prolonged standing or sitting. 7. Use night splint to keep foot flexed at night. Stop using it once pain is relieved. 8. Use analgesics like ibuprofen for decreasing pain and inflammation. With proper lifestyle changes as above 90 % patients have relief and functionality. Only 10% patients would require surgical intervention like plantar fascia release or gastrocnemius recession. 

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