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Calcanean Spur
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Calcanean Spur

2562907?1204026559
I have a severe pain on my right ankle,which is swollen on the inner side.As per the doctor,I had ultra-magnetic treatment for a week,which seems to be of very little use to me.I'm flatfeet,What do I do now,Please suggest.This pain I'm having for the past 2 months.
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Avatar_n_tn
Hi,
Is that your picture of your ankle?
Flatfoot, or Pes planus, is a deformity of the foot in which the normal medial longitudinal arch of the foot has been lost. It may present as an asymptomatic incidental finding or as a painful condition secondary to an associated anatomic abnormality or pathologic condition of the foot.
You should be started on Non-Steroidal Anti-Inflammatory Drugs and rest. Short-term immobilization with a below-the-knee cast or boot brace. Long-term maintenance includes usage of custom orthotic arch support or ankle-foot orthosis (brace). Injection of corticosteroids is not recommended because it may weaken or rupture the tendon. Weight loss if you are over weight.
What treatment modalities you have been put on to till now?
Keep me posted if you have any queries.
Bye.
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Avatar_f_tn
Yes Doctor,Thats my ankle.I'm 5 ft 7 inches,female.My weight is 75 kgs now because of my kidney transplant,having steroids and immuno suppressing drugs. But my ideal weight is 65 kgs.I had a kidney transplant 1.9 yrs back.As of now I'm not having any tablets for my ankle.My pain is little better because of the "orthotic arch support footwear " and moving a tennis ball up and down under my feet as an exercise.I DONT want to take injections.Will the pain subside in due time Doctor,and when will the swelling disappear ? How does this "spur" come,is it due to excess or insufficient calcium,since I had a hysterectomy 4 yrs back ? Does this problem come for all flatfeet people ? Please explain.Thank You.
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Avatar_n_tn
Hi,
You are going through enough with kidney disease and other ailments. I can understand your condition. Are you alone or is someone taking care of you?
I am sorry but pain would not subside in due course though your pain threshold will go up. Swelling could be due to local inflammation or can also be due to kidney disease though swelling would be more in and around the eyes in kidney diseases.
You are right when you say that spur can be due kidney disease as your renal ailment would cause renal osteo-dystrophy and hence calcium imbalance.
Kindly evaluate your condition with help of nephrologists and endocrinologist for further assistance.
I don't think that due to flat feet you are predisposed to you Calcaneal spur.
Keep me posted if you have queries.
Bye.
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Avatar_f_tn
Thank You for your explaination.I'm not alone,but with family and they take very good care of me.I checked with my nephrologist,about this and after lot of blood test found that my new kidney is working well.So its purely ortho. problem only.Both the doctors-Nephro. and Ortho. are in the same hospital which I go.Does walking aggrevate the pain and is it possible to get a cured by tablets alone instead of injections and surgery.What other alternatives do I have ? Am I fit to travel abroad with this ankle problem like this-planning to visit my son.I'm from India,and my son is in Canada.As of now.I'm in good health in general,other than this problem.Please advice.Sorry to bother you.
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Avatar_n_tn
Hi Gigi,
You have mentioned that your new kidneys are working well. What do you mean by this? Is it that you have undergone kidney transplantation? If yes, when was the surgery and where was it being done?
Yes you are right walking would probably aggravate the pain. I think you are having long standing pain which might not get corrected by tablets alone; you do need other interventions too.
Your stepwise approach suggests that you have epidural injection, physiotherapy and higher narcotic analgesics.
So you are an Indian, which place do you belong to?
If you feel you are in good health then you can definitely travel with necessary travel documents.
Hope this helps you.
Keep me posted.
Bye.
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Avatar_f_tn
Yes Doctor,I had a kidney transplant done on 8 th June 2006,because of renal failure due to SLE.I'm an Indian, from Chennai,so had the transplant also done here.Will the pain with swelling in my right ankle subside in due course,if I wear the "Orthotic arch support footwear" everyday,one for house and one for outside use,as I'm a housewife or do I need to go to the Ortho.for further treatment,if this is not enough.As mentioned in the earlier letters addressed to you,both-- the Nephrologist and the Ortho.are in the same hospital.So,if the Ortho.decides to give any tablets further for me,he will consult my Nephro.before giving me,as he was referred to,by my Nephrologist.Please advice.Thank You.
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Avatar_n_tn
Hi,
I think you need to go to orthopaedician for orthotic arch support footwear for guidance.
Your pain should subside in due course of time and also you can consult a pain management specialist if there is one available.
Which hospital are you consulting? Is it Apollo hospital?
Keep me posted if you have any queries.
Bye.
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Avatar_f_tn
I'm already wearing an "orthotic arch support chappals" one for home and I have another pair for outside use.It was prescribed by the Ortho.,to whom I went.I had my surgery done in Mehta Nursing Home,Chetput and not in Apollo Hospital.I'm able to tolerate the pain as of now,but little walking hurts me and thats what is bothering me,whether I can go to Canada,even if my general health is good.Doctor,I'm planning to go in May,1st week,before that will my ankle become okay?
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