Hi. I am having terrible pain on my foot sole. I have visited an ortho was asked to do x-ray but he said it's normal. He gave me pain killers but now it's 2 weeks and I have no relief. The pain is unbearable I am not able to walk or do any activities. Please if you can help.

Dr. Poonam Patel VasaniPain Management Specialist11yrs exp

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Sole pain as in your situation is most likely due to plantar fascitis. There is inflammation of tissue at sole of foot. 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. If problem persists consult a pain specialist to get plantar fascia injection for relief. 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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