My husband is suffering from pain in heels. Mostly in the morning when he wakes up. Which means when the feet is at rest for longer time. After than when he starts to use his feet. He feels extensive pain in heels. What shud he do? He is also suffering from varicose veins.

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Heel pain as in your husband's situation is most likely due to plantar fascitis. The treatment mostly is conservative and lifestyle modifications to achieve maximum functionality with minimum pain. 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. In some patients with severe pain injection of anti inflammatory drugs into plantar fascia can help. 10% patients would require surgical intervention like plantar fascia release or gastrocnemius recession. 

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