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111 is a free-to-call single non-emergency number medical helpline operating in England, Scotland and Wales. The 111 phone service has replaced the various non-geographic 0845 rate numbers and is part of each country's National Health Service: in England the service is known as NHS 111; [1] in Scotland, NHS 24; [2] and in Wales, NHS 111 Wales.
Plantar fasciitis or plantar heel pain is a disorder of the plantar fascia, which is the connective tissue that supports the arch of the foot. [2] It results in pain in the heel and bottom of the foot that is usually most severe with the first steps of the day or following a period of rest.
Middle age is the most common age of affection, females are more affected than males, and the occurrence is often bilateral. A clinical feature of this condition is pain in the back of the heel, which is more after rest. Clinical evaluation and lateral radiographs of the ankle are mostly enough to make a diagnosis of Haglund's syndrome. [2]
Heel pad syndrome is a pain that occurs in the center of the heel. [1] There are many causes, but a mechanical etiology is most common: risk factors include obesity. [1] Other conditions with similar symptoms include plantar fasciitis. [1] Treatment includes rest, pain medication, and heel cups. [1] It becomes more common with age. [1]
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Strong muscles in the calves and lower legs will help take the stress off the bone and prevent heel spurs. Icing the area is an effective way to get immediate pain relief. There are several means to get pain relief from plantar heel pain. [8] Plantar heel pain can be a precursor to many pathologies of the foot. [9]
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Heel raisers or heel cushions [6] Foot orthotics [6] If pain is present in some footwear more than others, consider changing footwear to increase support or cushioning; Avoid being barefoot for long period of times while painful; If doing a sport in barefoot, a heel cushion or taping may assist during the activity