Posterior heel pain. Can it be gout?HI everyone. I am 30 years old and have been overweight for most of my life. Recently i started getting pain in the back of my heel where the achilles tendon attaches to the bone. It came on slowly, over the course of 3 or so days and is not associated with any trauma i can remember. This started about 2 weeks ago and has gotten progressively worse, with some days feeling slightly better and then worse in following days, but worse overall. It hurts most when i first get up after sleep or inactivity and feels better after some walking. It hurts to step on the heel, to stand on my toes to a lesser degree, and is red and warm to the touch and slightly raised. it hurts a lot to touch. when inactive i feel throbbing pain. Today after feeling slightly better yesterday, i can barely walk. It's so painful my eyes tear up. sorry to include so much but I've Googled the heck out of it and cant figure it out so I'm hoping one of you have better ideas.
politically correct
Sounds like a heel spur. Or plantar fasciitis.
http://en.wikipedia.org/wiki/Plantar_fasciitis
Take some ibuprofen to keep the inflammation down. In teh morning, before you get up, stretch really really well. The way to do this is get a towel, loop it around the ball of your foot, and gently pull back. Hold for 20 seconds. Do this a couple times. This will make it better when you first start walking.
Craig
It is not gout. It is not plantar fasciitis or a heel spur!!
Gout tends to come on suddenly and is very extremely rare at the back of teh heel.
Plantar fasciitis/heel spur happens on the bottom of the heel.
The most likely cause is either insertional achilles tendonitis or a retrocalcaneal bursitis.
Best advice, is to try some sort of heel raise; perhaps use an ice back to help the swelling go down or see a dr
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Posterior heel pain. Can it be gout?
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