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Heel Pain Tips

Planter Fasciitis And Heel Spur

Dr. Mukesh Vyas 87% (547 ratings)
BPTh/BPT
Physiotherapist, Pune

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

Rest: taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.

Supportive footwear: using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.

Exercise: indulging in mild musclestrengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.

Painkillers: use pain killers only when absolutely necessary and with due advice from the doctor or orthopaedic specialist. The use of ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.

Anti-inflammatory drugs: your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.

Surgery: heel spur removal or plantar fascia release are some of the surgical options for chronic and severe cases.

 

Heel Spurs - 7 Ways To Treat Them!

Dr. Umesh Jain 90% (328 ratings)
DNB Orthopaedics
Orthopedist, Kolhapur
Heel Spurs - 7 Ways To Treat Them!

For some people, the simple act of walking can be very uncomfortable. This is because they may be suffering from a heel spur. Heel spurs are calcium deposits that cause a bony protrusion on the underside of the heel bone. Heel spurs themselves may be painless but walking or jogging can make the person like a knife or pin is sticking into his or her sole. This may also be felt while standing up after being seated for a long time. Heel spurs do not heal on resting and usually need medical attention. Some ways of treating a heel spur are-

  1. Stretching Exercises: Heel spur exercises help strengthen the tissue in the heel and increases the fascia and Achilles tendon flexibility. This, in turn, helps reduce the pain and prevents a recurrence of the condition. Try standing with both feet apart and flex your knees while squatting. Keep your heels on the ground for as long as possible.

  2. Wearing The Right Shoes: Wearing shoes that do not fit well is one of the leading causes for heel spurs. When buying shoes look for a firm heel counter, a ¾-1 1/2 inch heel, a long vamp, semi-rigid or rigid shank and a toe box that is wide enough to accommodate your toes without pinching them.

  3. Taping or Strapping to Rest Stressed Muscles and Tendons: Taping or strapping your foot tightly can help protect the fascia and allow the spur to heal. It also rests the muscles and tendons and distributes the pressure being put on them.

  4. Shoe Inserts or Orthotic Devices: Using an insole can help cushion the heel and reduce the pain of a heel spur. It also reduces the impact felt while walking or standing.

  5. Physical Therapy: Physiotherapy for heel spurs aims at strengthening the foot and calf muscles. Your doctor will try and gradually increase the possible range of motion and restore muscle control in the foot arch. You will also be taught how to improve your running and landing techniques.

  6. Medication: Over the counter medication like ibuprofen may help temporarily ease the pain caused by heel spurs. In some cases, corticosteroid injections may also be prescribed to reduce the inflammation and pain.

  7. Surgery: If there is no improvement in a heel spur within 9 to 12 months, surgery may be considered to remove the spur or release the plantar fascia. However, this is rare and most heel spurs do not need surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3771 people found this helpful

6 Ways To Deal With Plantar Fasciitis!

MBBS, DNB - Orthopedics, Mch Orthopedics
Orthopedist, Hyderabad
6 Ways To Deal With Plantar Fasciitis!

Plantar fasciitis is an orthopedic problem that gives rise to pain in the foot and heel due to strain or pressure on the plantar fascia. This is a ligament or connective tissue which lies in a flat band, connecting your heel with the toes and effectively, providing a basis for the motion of the feet in general. Inflammation, swelling and bruising of this tissue or ligament can lead to excessive pain in the heel.

Let us look at ways that can help you deal with this pain:

  1. Rest: Taking rest and giving your feet a break from all kinds of strain inducing activities can help in relieving the pain. Also, you can keep your feet elevated to help in reducing the pain in the area.
  2. Supportive footwear: Using pads within your shoes with gel built into them, or using specific footwear that help in walking without feeling too much of pain is a good way of dealing with Plantar fasciitis. The shoe inserts must be rubber, felt or plastic so that they are soft for your feet. They also give your heel and its arch good support, while Orthotics pulls the ligament so that there is less stress on the same. You can also pull on a pair of night flints which will keep the foot and the ligament stretched while you enjoy a good night of sleep.
  3. Exercise: Indulging in mild muscle strengthening exercise that also involves stretching and heel hooks can help in alleviating chronic pain that you may be suffering from. Lie flat on your back and take a towel. Lift your leg and hook your foot into it. Now press against the towel and pull down the towel simultaneously. Repeat at least ten times per foot. This will give you flexibility and strength in the area.
  4. Painkillers: Use pain killers only when absolutely necessary and with due advice from the doctor or Orthopaedic specialist. The use of Ibuprofen and other pain relievers can help in numbing the pain inducing nerves in the brain and give you instant relief.
  5. Anti-inflammatory drugs: Your doctor may prescribe anti-inflammatory medication that can bring down the swelling for more comfortable functioning when you are on your feet. Naproxen is one such drug that helps in bringing down the inflammation. Also, corticosteroid injections can relieve severe pain.
  6. Surgery: Heel spur removal or Plantar fascia release are some of the surgical options for chronic and severe cases.
1 person found this helpful

Heel Spurs - How To Get Rid Of Them?

Dr. Ashutosh Jha 90% (76 ratings)
AO TRAUMA, DNB (Orthopedics), MS Ortho, MBBS
Orthopedist, Ghaziabad
Heel Spurs - How To Get Rid Of Them?

For some people, the simple act of walking can be very uncomfortable. This is because they may be suffering from a heel spur. Heel spurs are calcium deposits that cause a bony protrusion on the underside of the heel bone. Heel spurs themselves may be painless but walking or jogging can make the person like a knife or pin is sticking into his or her sole. This may also be felt while standing up after being seated for a long time. Heel spurs do not heal on resting and usually need medical attention. Some ways of treating a heel spur are-

  1. Stretching Exercises: Heel spur exercises help strengthen the tissue in the heel and increases the fascia and Achilles tendon flexibility. This, in turn, helps reduce the pain and prevents a recurrence of the condition. Try standing with both feet apart and flex your knees while squatting. Keep your heels on the ground for as long as possible.

  2. Wearing The Right Shoes: Wearing shoes that do not fit well is one of the leading causes for heel spurs. When buying shoes look for a firm heel counter, a ¾-1 1/2 inch heel, a long vamp, semi-rigid or rigid shank and a toe box that is wide enough to accommodate your toes without pinching them.

  3. Taping or Strapping to Rest Stressed Muscles and Tendons: Taping or strapping your foot tightly can help protect the fascia and allow the spur to heal. It also rests the muscles and tendons and distributes the pressure being put on them.

  4. Shoe Inserts or Orthotic Devices: Using an insole can help cushion the heel and reduce the pain of a heel spur. It also reduces the impact felt while walking or standing.

  5. Physical Therapy: Physiotherapy for heel spurs aims at strengthening the foot and calf muscles. Your doctor will try and gradually increase the possible range of motion and restore muscle control in the foot arch. You will also be taught how to improve your running and landing techniques.

  6. Medication: Over the counter medication like ibuprofen may help temporarily ease the pain caused by heel spurs. In some cases, corticosteroid injections may also be prescribed to reduce the inflammation and pain.

  7. Surgery: If there is no improvement in a heel spur within 9 to 12 months, surgery may be considered to remove the spur or release the plantar fascia. However, this is rare and most heel spurs do not need surgery.

In case you have a concern or query you can always consult an expert & get answers to your questions!

Heel Bone Spurs - Understanding The Risks Associated With Them!

Dr. Krishna Kumar M S 88% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Sports Injury
Orthopedist, Bangalore
Heel Bone Spurs - Understanding The Risks Associated With Them!

Heel bone spur is a form of calcium deposit that causes a bony protrusion under the heel bone. An X-ray can reveal up to a half inch elongation under the hill. Without image report, this condition is commonly known as heel spur syndrome. Heel spurs are mostly painless but reports of pain in not uncommon. They are often related to plantar fasciitis. The latter is an inflammation of the connective tissue that stretches through the foot bottom connecting the heel bone and the football.

What causes heel spurs?
Heel spurs are a result of prolonged calcium deposit. This condition can result from the heavy strain on the muscle of the foot and ligament, stretching of fascia and wear and tear of the heel bone membrane. These injuries are frequently observed among athletes who are involved with activities such as jumping and running. 

What are the risk factors?
1. Walking abnormalities that involve putting more than normal stress on the bone, nerve and ligament in and around the heel.
2. Running on surfaces that are hard in nature
3. Shoes lacking arch support
4. More than normal body weight 
5. Spending too much time on the feet
6. Too flat or too high arches
7. A person suffering from diabetes
8. In case the protective pad of the heel is fading away due to old age or other bone disorder

Non-Surgical treatment
Unlike common belief, only rest may not be the best way to treat heel bone spurs. On the contrary, a patient might feel sharp pain immediately after sleep. This happens when he tries to walk and the plantar fascia elongates all of a sudden. The pain decreases with more walking. Some treatment methods that work for 90 percent of the sufferers includes wearing the right shoe, stretching exercises, wearing orthotic devices inside the shoes and physical therapy. Over the counter medicine such as Aleve, Tylenol and Advil can be consumed to reduce the pain and for improving the overall condition. Corticosteroid injection also tends to give relief from the inflammation.

Surgical treatment
If heel spurs persist for more than 8-9 months, surgical options should be explored by the patient. There are two angles on which a doctor works, either removing the spur or release the plantar fascia. Pre-surgical exams are necessary to ensure that a person is eligible for surgery and all non-surgical avenues are explored. Post-surgical activities are equally important for the process of healing. Usage of bandages, crutches, splints and surgical shoes is a mandate to avoid complications such as infection, numbness, and scarring. Possible side effects should be discussed with the surgeon well before the surgery. The estimated healing time from this procedure is close to 8-12 weeks. In case you have a concern or query you can always consult an expert & get answers to your questions!

2425 people found this helpful

High Heels And Foot Pain

Dr. Prof.M.Anand 90% (137 ratings)
T.M.M.F, pain management, T.M.M.F.,
Physiotherapist, Madurai
High Heels And Foot Pain

High heels alter the biomechanics of joints in foot, causing abnormal weight bearing in joints, which lead to arthritis and pain.

1 person found this helpful

Heel Pain Treatment - एड़ी में दर्द का उपचार

Dr. Sanjeev Kumar Singh 87% (52 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Heel Pain Treatment - एड़ी में दर्द का उपचार

मानव शरीर की संरचना में एड़ी पैरों के तलवे के पिछले हिस्से को कहा जाता है. हमारे पैर में 26 हड्डियां होती हैं, जिनमें से एड़ी की हड्डी सबसे बड़ी होती है. एड़ी की संरचना इस प्रकार की होती है, जिससे वह दृढ़ता से शरीर के वजन को उठा सके. चलते या दौड़ते समय जब हमारी एड़ी ज़मीन से टकराती है, तो यह पैर पर पड़ने वाले दबाव को अवशोषित कर लेती है और हमें आगे की ओर बढ़ने में सक्षम बनाती है. दौड़ने के कारण पैरों पर ज़्यादा दबाव पड़ सकता है. परिणामस्वरूप एड़ी कमजोर हो जाती है और इसमें दर्द होने लगता है. अधिकांश मामलों में, एड़ी के दर्द के लिए एक यांत्रिक कारण ज़िम्मेदार है. गठिया, संक्रमण, एक स्वप्रतिरक्षित समस्या, आघात, एक न्यूरोलॉजिकल समस्या या कुछ अन्य प्रणालीगत स्थिति (ऐसी स्थिति जो पूरे शरीर को प्रभावित करती है) के कारण भी यह दर्द हो सकता है. आइए एड़ी दर्द के उपचार को विस्तार से जानें.
सामान्य उपचार
1. गद्देदार सोल या एड़ी कप का इस्तेमाल:- एड़ी बर्साइटिस का उपचार बर्साइटिस को उत्पन्न करने वाली गतिविधियों को सीमित करने के लिए रोगी गद्देदार सोल या एड़ी कप का इस्तेमाल कर सकते हैं. इस उपचार के साथ-साथ एड़ी को पर्याप्त आराम देना प्रभावी होता है. गंभीर मामलों में, मरीज को एक स्टेरॉयड इंजेक्शन की आवश्यकता हो सकती है.
2. ये भी कर सकते हैं:- एड़ी की गांठों के लिए उपचार एड़ी के पीछे होने वाली सूजन में बर्फ और फुटवियर बदलने से राहत मिल सकती है. अचिल्लेस पैड और एड़ी ग्रिप पैड भी अस्थायी रूप से आराम देते हैं. कभी-कभी डॉक्टर दर्द के लिए कॉर्टिसोन इंजेक्शन लगा सकते हैं. गंभीर मामलों में गाठों को सर्जरी के द्वारा निकाला जा सकता है.
नॉन स्टेरायडल एंटी इंफ्लेमेटरी ड्रग्स
दर्द कम करने के लिए एनाल्जेसिक दवा का उपयोग किया जा सकता है. इस दवा की अधिक खुराक सूजन को भी कम कर सकती है. एनएसएआईडी गैर-मादक पदार्थ हैं (ये बेहोशी उत्पन्न नहीं करते हैं). ये प्लान्टर फ़ेशियाइटिस से ग्रसित रोगियों के दर्द और सूजन में राहत दिला सकते हैं. कॉर्टिकोस्टेरॉइड – कॉर्टिकोस्टेरॉइड का सुझाव आमतौर पर तब दिया जाता है, जब एनएसएआईडी का कोई प्रभाव नहीँ हो रहा हो. कॉर्टिकोस्टेरॉइड का घोल त्वचा पर दर्द वाले हिस्से पर लगाया जाता है, फिर एक विद्युतीय प्रवाह को अवशोषण करने के लिए प्रयोग किया जाता है. वैकल्पिक रूप से, डॉक्टर दवा को इंजेक्शन के द्वारा भी दे सकते हैं. हालांकि, कई इंजेक्शन लगाने के परिणामस्वरूप प्लान्टर फ़ेशिया कमजोर हो सकता है. इससे एड़ी की हड्डी के चारों तरफ स्थित वसा की मोटी परत के टूटने और संकुचित होने का जोखिम बढ़ सकता है. कुछ डॉक्टर अल्ट्रासाउंड का उपयोग करके सुनिश्चित कर सकते हैं कि मरीज़ को सही जगह पर इंजेक्शन दिया गया है या नहीं.
फिजियोथेरेपी के द्वारा
फिजियोथेरेपिस्ट मरीज को ऐसे व्यायाम सिखा सकते हैं, जिससे प्लान्टर फ़ेशिया और अचिल्लेस पेशी का लचीलापन बढ़ता है. इससे पैर के निचले हिस्से की मांसपेशियां मजबूत होती हैं, जिसके कारण टखने और एड़ी का संतुलन बेहतर होता है. मरीज को एथलेटिक टैपिंग करना भी सिखाया जा सकता है, जिससे पैर के निचले हिस्से को अच्छा आधार मिलता है.
1. रात को पट्टी लगाकर सोना – स्प्लिन्ट को पिंडली और पैर के लिए उचित माना जाता है. रोगी इसे सोते वक्त लगाता है. स्प्लिन्ट के कारण प्लान्टर फ़ेशिया और अचिल्लेस पेशी रात भर अपनी जगह पर स्थिर रहते हैं.
2. ऑर्थोटिक्स – पैर की समस्याओं को ठीक करने के लिए इन्सोल्स और ऑर्थोटिक्स (सहायक उपकरण) उपयोगी हो सकते हैं. साथ ही, चिकित्सा के दौरान एड़ी के लिए आरामदायक और सुरक्षित होते हैं.
3. एक्स्ट्रा कॉरपोरल शॉक वेव थेरेपी - उपचार को प्रभावशाली बनाने के लिए प्रभावित हिस्सों में ध्वनि तरंगों को प्रेषित किया जाता है. इस प्रकार की चिकित्सा का परामर्श केवल उन पुराने (दीर्घकालिक) मामलों के लिए दिया जाता है, जो दवाओं से ठीक नहीं होते हैं.
4. सर्जरी – इसमें प्लान्टर फ़ेशिया को एड़ी की हड्डी से अलग कर दिया जाता है. इस प्रक्रिया का सुझाव केवल तब दिया जाता है, जब कोई और इलाज काम नहीं करता.इस सर्जरी के बाद एड़ी के आर्च (एड़ी और पंजे के बीच का निचला भाग) के कमज़ोर होने का जोखिम होता है.
5. आराम – ज़्यादा देर तक भागने या खड़े रहने या कठोर सतह पर चलने से बचें. एड़ियों पर दबाव डालने वाली गतिविधियां न करें.
6. बर्फ – लगभग 15 मिनट तक दर्द से प्रभावित हिस्से पर आइस पैक रखें. बर्फ को त्वचा के साथ सीधे संपर्क में न लाएं.
7. जूते – आरामदायक जूते पहनना बहुत महत्वपूर्ण है. एथलीटों को अभ्यास या प्रतिस्पर्धा के दौरान पहने जाने वाले जूतों का चुनाव सावधानी से करना चाहिए. खेल के दौरान पहने जाने वाले जूतों को निश्चित समय के बाद बदल देना चाहिए.

Heel Pain: How Homoeopathy Can Help In Getting Rid Of It?

Dr. Sameer Kumar Singh 86% (115 ratings)
B.Sc, BHMS
Homeopath, Lucknow

Homeopathic medicines for calcaneal Spur and Heel Pain.

Homeopathic medicines for Calcaneal SpursPain in the heel not only restricts movement, but the general discomfort on walking or standing also disturbs the whole persona of a person. The pain can be attributed to a medical condition known as Calcaneal Spur. It refers to a sharp, pointed, horny outgrowth on the calcaneal bone present in the heel. The outgrowth is the build-up of calcium deposit on the heel bone. The reason behind Calcaneal Spur formation is repeated stress on the heels. When the heels are exposed to repeated stress, it leads to damage of muscle, ligaments and fascia that cover the heel bone. As a result, the heels are exposed and become prone to trauma and formation of Calcaneal Spur. People who are obese and athletes are prone to develop Calcaneal Spurs. Wearing of high heels and ill-fitting shoes also spurs the formation of calcium deposits on the heel bone. The main symptom of Calcaneal Spur is pain in heel around the spur. The pain gets worse when a person steps on ground after a period of inactivity especially in morning following a long rest. The pain increases while walking, running and standing. The character of pain may be described as sharp pain, dull pain or pain as from pin-pricking. Homeopathic medicines offer a very safe and complete treatment of Calcaneal Spur. The Homeopathic medicines for calcaneal spur are made of natural substances and have no side effects.

Homeopathic Treatment for Calcaneal Spur
Top Homeopathic Medicnes for Calcaneal Spur
Calcarea Fluor:
#Calcarea Flour: It is the most effective natural Homeopathic medicine with the best healing power to dissolve the Calcaneal Spur. This Homeopathic remedy is of great help in all cases of Calcaneal Spur whether painful or not. Calcarea Fluor acts as the best resolving agent for Calcaneal Spur and is considered the first choice of Homeopathic remedy in every case of Calcaneal Spur.
#Ammonium Mur: One of the top most Homeopathic Medicine for Calcaneal Spur when there is pain in heel on walking
Ammonium Mur is a very beneficial natural Homeopathic medicine for Calcaneal Spur. This Homeopathic remedy is of great help in decreasing the pain in heel on walking due to Calcaneal Spur. Ammonium Mur helps in decreasing the pain as well as dissolving the spur. Apart from specific worsening of pain on walking, the person also complains of pain in morning. A few people needing Ammonium Mur may get relief by slight rubbing of the heel. The pain can be stitching or tearing in nature for using Ammonium Mur.

1 person found this helpful

Exercises for Heel Pain or Tightness

Dr. Ritesh Kharnal 87% (601 ratings)
MSPT (Master of Physical Therapy)
Physiotherapist, Indore
Exercises for Heel Pain or Tightness

You may be able to relieve heel pain by stretching tight calf muscles exercises.

Stand about 1 ft (30 cm) from a wall and place the palms of both hands against the wall at chest level. Step back with one foot, keeping that leg straight at the knee, and both feet flat on the floor. Your feet should point directly at the wall or slightly in toward the center of your body. Bend your other (front) leg at the knee, and press the wall with both hands until you feel a gentle stretch on your back leg. Hold for a count of 10 (increasing the count to 30 or longer as you continue over several weeks). Switch legs and repeat. Do this 3 to 6 times a day.

Foot-strengthening exercises done with a towel and weights curls exercise.

Place a towel on the floor, and sit down in a chair in front of it with both feet resting flat on the towel at one end. Grip the towel with the toes of one foot (keep your heel on the floor and use your other foot to anchor the towel). Curl your toes to pull the towel toward you. Repeat with the other foot. To increase strength, later use& 3 lb (1.5 kg) to 5 lb (2.5 kg) weights on the other end of the towel (such as a can of fruits or vegetables.

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Plantar Fasciitis - Causes, Symptoms And Treatment

Dr. Shekhar Srivastav 81% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
Plantar Fasciitis - Causes, Symptoms And Treatment

There are many conditions that can affect the foot. Plantar fasciitis is one of the most common causes of heel pain. The plantar belt is the level band of tissue (tendon) that can give your heel unresolved issue toes. It can form curves on your foot. In the event that you strain your plantar belt, it gets powerless, swollen, and chafed (excited). Mobility also becomes an issue in such cases. At this point, your heel or the base of your foot will hurt when you try to stand or walk.

Plantar fasciitis is commonly found in middle aged people. It also affects elderly individuals who are constantly on their feet. It is known to affect people who are into sports or even those in the defense forces. It can happen in one foot or both feet.

Causes: Rehashed strain can cause the tendon to tear. These can prompt agony and swelling. This will probably happen if the following conditions are met:

  • Your feet roll inward excessively when you walk (too much pronation)
  • You have high curves or level feet
  • You walk, stand, or keep running for drawn out stretches of time, particularly on hard surfaces
  • You are overweight
  • You wear shoes that don't fit well
  • You have tight Achilles tendons or calf muscles

Symptoms: A vast majority of patients with plantar fasciitis experience pain when they begin to move about after getting out of bed or sitting for a while. You may have less stability and experience pain after you take a couple strides. The motion also begins to sting the feet.

Treatment: There are numerous things you can try to improve your foot:

  • Avoid walking or running on hard surfaces.
  • To lessen the pain and swelling, you can try applying ice on your heel. You can also take an over-the-counter pain reliever like Ibuprofen, (for example, Advil or Motrin) or naproxen, (for example, Aleve).
  • Do toe stretching exercises and calf and towel extensions a few times a day, particularly when you wake up in the morning. (To perform towel extensions, you have to pull on both closures of a moved towel that you put under the bundle of your foot.)
  • Get another pair of shoes. Pick shoes with great curve support and a padded sole. Additionally, you can wear heel glasses or shoe embeds (orthotics). Use them in both shoes even if only one foot is affected.
  • Plantar fasciitis is caused by wounds that have happened after some time. With treatment, you will have less agony in a couple of weeks. The recovery period could also range from a couple of months to a year.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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