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Where is the pain the worst?
Back of heel and achilles tendon and around the outside of the foot (whole foot swollen)
It is a friend with me. It is worst in the back and bottom of heel.
Any ideas Dr. B. ??
Thank you what do I need to do next to learn your answer or are you thinking still??
Have you had an MRI?
No MRI Should one be done in an ER???
Next ARNP appointment is in a week.
Ultra Sound and x-ray only. Sorry if I am chatty
I don't think you need to go to an ER
Is that your complete answer Dr. B.? Get an MRI?
I think you should consider getting an MRI to determine where the inflammation is coming from
has anyone evaluated you for plantar fasciitis?
Yes we do not know There is no redness of heat
Is that planters wart???
no redness or heat
No, it is when there is severe pain in your foot, towards your heal, and it is usually worse in the morning
It has nothing to do with redness or heat
Was worse in day ... But today worse in am
Does MRI help for that ... or what constitutes evaluation??
When did this all start?
About 7 and 1/2 days ago....
How bad is the swelling, can you wear your normal shoes?
Sneakers need to be more unlaced
So the pain does not improve as the day goes on?
Pain is gradually worse over last 4 days and swelling increased some
does not improve as day goes on
I see, there could be a stress fracture, or it could be tendinitis
no fractures in x-ray
but there may be error
no injury preceded that we know of
An MRI will evaluate the soft tissue and detect any subtle fractures. X rays will rarely detect stress fractures until after 2-3 weeks
Can it wait a week? There is pain level 7 or 8
It just gets worse
It can wait, it all depends on your level of pain
I think you might be best served with a walking moon boot or an air cast boot for now
okay Anything else Dr B?
No, that is all for now
can the boot or cast be purchased over counter?
it would cost a fortune, it is better to get your doctor to prescribe it
Ty Dr. B.
You're welcomePlease let me know if you have any other questions or concerns on this topicIf not please click the green ACCEPT button to end this session
That is Great Thank You !