No need to worry about being PC. I am a large women, although in the process of losing weight (no fads - a regulated, well-balanced diet along with exercise - mostly walking). I've lost about 20 pounds in the past two months but still have another 45-50 pounds to lose. It is QUITE possible that the extensive amount of walking I am doing could be a major contributing factor in my heel pain, however, I did buy a good pair of Dr. Scholl's sneakers for my walking purposes and don't seem to feel the pain nearly as much during my treks.
I do work in an office which requires me to wear business attire so I am frequently in dress shoes and on my feet a good bit of the day. Most of my shoes have lower heels but, no matter how comfortable they feel when I first put them on in the morning, they always feel constricting by the end of the day.
Need any other info from me?
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Okay Amy . . Since you seem to be a good sport, we'll continue. But firstly, you haven't confirmed or refuted my assumption that the pain of which you speak is NOT on the bottom of the foot, so that's not real helpful to me. Secondly, you haven't indicated whether my guesses in any way came close to the mark and thirdly, you haven't added any dramatic new descriptions of your problem with which I might work. End of the day tight shoes are very common and is, of course, due to swelling. This may or may not be a factor in your case.
As far as shoes are concerned, too much schtick is placed on buying "good" shoes as after nearly 30 years in practice, I don't really know what a good shoe is, other than that it fits, feels good and serves the function of protection that any article is intended to do. That's not to say that certain styles of shoes aren't more appropriate for certain conditions, eg. shoes with large square toe boxes for people with hammer toes, chronic ingrown nail and soft corns, shoes with combination lasts for people with undersized heels, shoes with some amount of heel for people who have plantar fasciitis or heel spur syndrome. But basically, if the shoe fits (and it's comfortable) . . wear it.
Oh . . one thing I missed . . but it's seldom, if ever, painful . . Fat herniations are not uncommon in the area of concern.
If there is nothing more to be added in the way of description, scenarios of pain presentation or any objective symptoms, such as redness, or local heat, then what I might consider doing is injecting about 0.25-0.5 cc of a long acting cortico-steroid such as Celestone Soluspan, (which has less tendency be cause of it's small weight to cause cortico-steroid rebound pain) into the area of your discomfort, and I would probably mix it with a small amount of lidocaine, which is a popular local anesthetic, as patients always appreciate quick pain relief and both of us are much happier when they "limp in and leap out" as we like to say in professional-speak . . . even though the pain might return when the local wears off. I would use the local cortico-steroid injection imperially, which in medical terms means that I have no real basis in diagnosis for the treatment other than that it often works. I'd see you back in a week or so, and hope you'd been pleased. Remember, when non-life threatening conditions are present its better to fix it for unknown reasons than to understand it completely but fail to fix the problem.
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