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heel spur and stress fracture

I AM A 38 YEAR OLD FEMALE.  I HAVE BEEN HAVING ALOT OF PAIN IN MY FOOT (HEEL AREA). I WENT TO THE DOCTOR. SHE SAID IT WAS A SPUR. SHE GIVE ME VOLTAREN GEL FOR THE PAIN AND SENT ME FOR A X-RAY. THE X-RAY RESULTS:

There is distal Achilles enthesophyte formation on the calcaneus. There is a linear anterior calcaneal spur observed which measures 12 mm in length. Also seen on the AP image is linear sclerosis in the calcaneal body, which could reflect early changes from a stress fracture of the calcaneus. Correlation of these findings with MR imaging of the left/ankle could be considered both to evaluate the plantar fascia and to exclude bone marrow signal alteration which would be compatible with a calcaneal stress fracture, based on the patient's symptomatology. No acute or displaced calcaneal fracture or talar fracture is seen. There is a prominent os trigonum observed. No aggressive or destructive lytic bony lesion is evident. There is no evidence for an erosive or inflammatory arthritis. No radiopaque foreign body seen.

I am still in alot of pain. I am on my feet about 12 to 13 hours a day at work. I have tried the Voltaren Gel, NSAIDs, and Tylenol #3 which does not seem to help. The doctor was suppose to set up me an Orthopedic appointment but it has been 2 weeks. What advice can you give me and what do you think is causing me the pain? It hurts alot when I am in bed and first get up or bump it.

Thanks, Rebecca
1 Responses
1711789 tn?1361311607
MEDICAL PROFESSIONAL
Hey Rebecca!

Well, actually though a spur is evident it could be more than a spur such as a stress fracture or sift tissue injury which would need to be correlated with further investigations. I would suggest getting this evaluated by an orthopedician for an accurate diagnosis and appropriate management. Meanwhile I would advice resting the foot and avoiding putting weight on it. Ice-packs/ warm compresses and tylenol/ OTC NSAIDS may be helpful for pain relief.
Hope this is helpful.

Take care!
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