Q13 : Goodbye to SORE SOLEs, vie for a Healing sole.

Query :
Dear Doctor
I have the below said problems.
1. Pain in the right ankle
2. Pain in the right sole, when I stand for few hours or several minutes.
3. Burning sensation in both the feet ( sole)
4. Numbness started in left foot If I sit for long ie. 2 to 3 hours
5. Burning in the foreskin.

I have undergone following tests. I have family diabetic history.
1. GTT – the results are normal except for 2 hrs result (after 2 hrs it was 137 Normal range is up to 130)
2. Once PP blood sugar was 173 as I have taken more sugar for breakfast.
3. Otherwise my sugar is just between 90 and 110. I have tested it many times.
4. Nerve conduction study (NCS), Neurologist ruled out the problems with nerve but prescribed some medicines for depression ( Serta, Olapin, and zolfresh). I am on these medicines for the past 15 days but for no improvement. Neurologist suggested if there is no improvement I may have to undergo CT scanning of spinal card.
5. Nero Psycologist suggested just to take the above medicines for 2 months and asked me not to undergo any tests / or consultation for 2 months.
6. I hv also taken mecobalamin tablets for a month and no improvement.
7. I hv also taken 3 \4 ME12 injection (500mcg) but for no improvement.
8. I hv also taken 10 – 15 Roff tablets but for no improvement.

I feel that these problems are due to erratic change in blood sugar level.
- Padmanabha, Bangalore

Answer :
Dear Mr.Padmanabha,
Pain in your padham is always due to some strain or sprain, caused by injury or undue exertion or occassionally due to oncoming Arthritis. The leading cause, you already know now, or see an Orthopaedist who has the know-how.

THE SOLE REASON FOR YOUR PAIN IN YOUR SOLE NEED NOT BE DIABETES ALONE. This may have gone wrong with some injury sustained while landing from a step or a vehicle or ocassionally due to a calcanial spur (a small spiky growth in the heel bone, named calcanium), which may need a local anaesthetic treatment. Generally, Diabetics have painless joint diseases,even fractures called charcots arthropathy. Only certain neural involvements cause severe pain. Methycobal injection is not a panacea for all neuropathic problems, foot or elsewhere. Your undulating blood sugar levels indicate more a impaired Glucose intolerance rather than a frank Diabetes.

WEAR A MICROCELLULAR RUBBER FOOTWEAR, OR BEAR A LITTLE MORE, TIME MAY HEAL YOUR HEEL.

yours truly,
Dr.Ravindranath