Cruise medicine

On cruise we get people mostly with plantar surface pain in the heel.

Usual presentation- complaints of sudden onset of plantar surface pain which increases early morning and more on stepping first step from the bed.
Pain is severe on putting weight and walking.
He will be seen limping and scared to put complete weight on the heel.
Signs-On examination you will find exclusive tenderness over the heel region near the origin of plantar fascitis

Management-
ICE APPLICATION

NSAID

EXERCISE

exercise play an important role in rapid reduction of the pain.
These 3 exercises play an important role
1)rolling you foot on cold bottle

1. stretching the sole of foot by using belt applied to distal end of foot.
   3)mild stretching of plantar fascia by lifting your heel on standing posture.
   USING SOLE IN THE SHOES.

REFRACTORY PROBLEM
steroid injection
Surgery