Hello everyone I have a question.. 58 year old male diabeti
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G Chandana
Hello everyone
I have a question.. 58 year old male diabetic and hypertensive patient with rheumatoid arthritis on DMARDS, antihypertensives and oral hypoglycemic agents presents with pain in the right heel since one month.. insidious in onset, gradually progressing to a state where even keeping the foot on the ground in painful...
On examination tenderness present in the region.. pain not reducing even after analgesics..
X ray shows calcaneal spur.. physiotherapy taken for nearby four weeks.. but still no improvement.
Later patient also developed swelling and pain of the little toe..
patient consulted the Endocrinologist, orthopedician, physician, immunologist etc.. but still no improvement in the symptoms..
some said it is due to cellulitis.. gave antibiotics for nearly two weeks.. while others prescribed physiotherapy and analgesics..
what could be the diagnosis and treatment..??
Dr. A●●●k G●●●●i and 11 others like this
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Dr. D●●●●t P●l
Dr. D●●●●t P●l General Surgery
Rest with elevated foot, clindamycin 600mg thrice, Phlogam 1 tab 3 times , Tramadol may be tried, Duplex USG of arteries to be done.
Apr 19, 2017Like1
A●●l S●●●●●i
A●●l S●●●●●i General Medicine
In neuropathy(diabetes) we should give vit B12& folic acid to relieve the numbness/tingling/pain in toes in
Apr 20, 2017Like
Dr. A●●●k G●●●●i
Dr. A●●●k G●●●●i General Medicine
May be Gout. Uric acid has nothing to do with Gout. treat Gout. if RA is active, then biological agents
May 3, 2017Like