Inner Heel Pain: Causes and Treatments in Traditional Chinese Medicine

Q: Inner Heel Pain: Causes and Treatments in Traditional Chinese Medicine

Mr. Wang： 1. Elevated uric acid levels should be managed not only with medication but also through dietary control. It is advisable to avoid high-purine foods as much as possible. If you have any questions, please consult a nearby hospital. 2. For heel pai

Internal heel pain in the foot?

1.
Elevated serum uric acid levels have been present for three months, and despite treatment, there has been no reduction; the patient is still on medication.

2.
An X-ray was performed, and the physician noted no evidence of bone spurs.

3.
The main symptom is that the feet feel fine after adequate sleep, but there is pain after walking or working.

4.
The pain point is located on the inner side of the right heel, approximately 5 cm from the heel and 0.5 cm from the inner side of the foot, with a deep sensation near the bone.

5.
The symptoms have been present for over six months.

Terry Wang, 50~59 year old female. Ask Date: 2002/06/22

Dr. Chen Weili reply Traditional Chinese Medicine

Mr.
Wang: 1.
Elevated uric acid levels should be managed not only with medication but also through dietary control.
It is advisable to avoid high-purine foods as much as possible.
If you have any questions, please consult a nearby hospital.
2.
For heel pain, please apply a hot compress or soak your feet in warm water up to your calves at least once a day for twenty minutes each time.
Additionally, you have a noticeable tender point; consider seeking acupuncture treatment from a traditional Chinese medicine practitioner and taking herbal remedies that nourish the kidneys, strengthen the tendons, promote blood circulation, and dispel stasis, which have shown good results.
If you need to stand or walk for extended periods, wearing cushioned shoes is recommended.
Wishing you a speedy recovery.

Reply Date: 2002/06/22

More Info

Inner heel pain, particularly when associated with elevated uric acid levels, can be a complex issue that may require a multifaceted approach for effective treatment. In Traditional Chinese Medicine (TCM), the understanding of pain and its treatment is often rooted in the concepts of Qi (energy), blood flow, and the balance of Yin and Yang within the body.

Causes of Inner Heel Pain
1. Qi and Blood Stagnation: In TCM, pain is often attributed to stagnation of Qi and blood in the affected area. This stagnation can be caused by overuse, injury, or even prolonged periods of inactivity. The heel, being a weight-bearing part of the body, can experience such stagnation, especially after activities that put stress on it.

2. Kidney and Liver Disharmony: The kidneys are believed to govern bones and the liver is responsible for the smooth flow of Qi and blood. Elevated uric acid levels can indicate a disharmony in these organs, leading to pain and inflammation in the heel area.
3. Dampness and Heat: TCM also considers the presence of dampness and heat in the body, which can contribute to inflammation and pain. This is particularly relevant in cases where there is a history of dietary indiscretion or lifestyle factors that may lead to the accumulation of dampness.

Treatment Approaches in TCM
1. Acupuncture: Acupuncture can be an effective treatment for inner heel pain. By inserting fine needles into specific points, it can help to alleviate pain, improve blood circulation, and restore the flow of Qi. Points that may be targeted include those along the kidney and liver meridians, as well as local points around the heel.

2. Herbal Medicine: TCM practitioners may prescribe herbal formulas that target the underlying causes of pain. For instance, herbs that invigorate blood flow, dispel dampness, and clear heat may be included. Common herbs might include Dan Shen (Salvia miltiorrhiza) for blood circulation and Du Huo (Angelica pubescens) for relieving pain.

3. Dietary Adjustments: Managing elevated uric acid levels through diet is crucial. TCM emphasizes the importance of a balanced diet that avoids high-purine foods (like red meats and certain seafood) and incorporates foods that promote kidney health, such as black beans and leafy greens.

4. Cupping and Moxibustion: These techniques can also be beneficial. Cupping can help to relieve muscle tension and improve circulation, while moxibustion (the burning of mugwort near acupuncture points) can warm the area and promote healing.

5. Lifestyle Modifications: Encouraging regular, moderate exercise can help maintain joint health and prevent stiffness. Additionally, ensuring proper footwear that provides adequate support can alleviate pressure on the heel.

Conclusion
In summary, inner heel pain, especially in the context of elevated uric acid levels, can be effectively addressed through a combination of TCM approaches. By focusing on restoring balance within the body, improving circulation, and addressing dietary factors, patients may find significant relief from their symptoms. It is essential to consult with a qualified TCM practitioner who can provide a personalized treatment plan based on a thorough assessment of the individual's condition. Regular follow-ups and adjustments to the treatment plan may be necessary to achieve optimal results.

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