In the 3 boxes below, click on the areas where there's pain. The numbers correspond to the numbers in the image. Do not select the same location twice. 1 ball 2 lateral arch 3 center arch 4 medial arch 6 front heel 7 center heel 8 front inside heel 9 back heel 10 all 11 entire center 12 deep in arch 1 ball 2 lateral arch 3 center arch 4 medial arch 6 front heel 7 center heel 8 front inside heel 9 back heel 10 all 11 entire center 12 deep in arch 1 ball 2 lateral arch 3 center arch 4 medial arch 6 front heel 7 center heel 8 front inside heel 9 back heel 10 all 11 entire center 12 deep in arch If the image was inadequate, use the following space to describe the area of the pain. Do not type "=".
What is your arch type? high arch flat foot normal unknown How did your foot pain begin? unknown. running. walking. sudden injury. increased activity. changed activity. weight gain. changed shoe. aerobics. stair climbing. other. How far can you walk before the pain increases? less than 10 yards between 10 and 100 yards between 100 yards and 1/2 mile over 1/2 mile How long can you be on your feet before the pain increases? Less than 5 minutes 5 to 15 minutes 15 to 30 minutes 30 minutes to an hour 1 to 2 hours 2 to 4 hours over 4 hours How painful is it after standing 5 minutes? none mild moderate very I cant stand that long How painful is it after WALKING 5 minutes? none mild moderate very I cant walk that long What type of pain is it? Numb Dull Sharp Tingling Stone Bruise Throbbing What is the pain level when walking? none Mild Moderate Severe What is the pain level when sitting? none Mild Moderate Severe How has it affected your life? very little some a fair amount a lot it's been devastating How has it affected your job? very little some a fair amount a lot it cost me my job I didn't have a job Is it painful when pressed with a finger? Yes. No. sort of. Do both feet hurt? Yes+ No+ sort of+ When does it hurt? 24hrs a day during morning standing & walking standing walking running other Is it often worse with the first few steps in the morning? yes. no. Is it MUCH worse with the first few steps in the morning? yes. no. Is there inflammation? Yes- its visible Yes- but its not visible No- Maybe- Your daily activities or job are mostly sitting mostly standing mostly walking mostly walking or standing varied hard to say/other Are you a waiter/waitress, nurse, postal carrier, k-12 teacher, in retail (sales clerk, etc) or other that requires more than 6 hours a day on the feet? no retail (sales clerk, etc) waiter/waitress nurse postal carrier k-12 teacher other 6 hours on feet Male or Female? Male Female Do you sometimes crawl to avoid foot pain? Yes No It is worse in LeftRightboth equal The injection felt: no injection Not too bad Pretty bad Horrific Have you ever used a wheelchair to avoid heel pain? Yes No Sometimes How many months has it been since your heel surgery? no heel surgery 0-3 4-6 6-12 over 12 months since my heel surgery. Do you wear shoes with high heels at least once a week? (include cowboy boots) No Yes
Enter a number for each of the following: (only a number!) I have had it for months. I have seen doctors for it. I am years old. I have had injections (2 injections in each foot counts as 4).
My height without shoes is feet inches. My weight in pounds without clothes is
Press the button above to fill in the blank below. Do not type over the number below. Your Body-Mass Index (BMI) is BMI is your weight in kg divided by the square of your height in meters. If the BMI is more than 25, I would lose weight. 55% of Americans have a BMI greater than 25.
When your foot pain began, had any of the following occurred a few months before? none of these gained weight increased activity changed shoes had been depressed a combination of the above
A podiatrist reports that he has often seen patients with severe chronic heel pain who had someone close to them pass away near the time their heel pain began, so I'm checking for several possibilities in the next question. When your heel pain began, had someone close to you recently pass away get severely ill (but not terminal) leave for other reasons (job, etc) none of the above It is hard to define "depression", but it sometimes may be a cause (or result) of heel pain and other health problems. Are you currently "depressed" due to your foot pain? noyesmaybe Are you currently "depressed" due to things other than foot pain? noyesmaybe
In the next section, if you have tried the indicated treatment, please indicate how beneficial it was.
Click on any of the following health conditions that you have been diagnosed with or are absolutely sure you have. Do not select the same condition more than once. cracked heels tennis elbow high arch flat foot over-pronation thin heel pad heel spur plantar fasciitis stress fracture nerve entrapment arthritis in foot arthritis in back osteoarthritis tarsal tunnel syn carpal tunnel syn sciatic nerve heel bursitis diabetes other cracked heels tennis elbow high arch flat foot over-pronation thin heel pad heel spur plantar fasciitis stress fracture nerve entrapment arthritis in foot arthritis in back osteoarthritis tarsal tunnel syn carpal tunnel syn sciatic nerve heel bursitis diabetes other cracked heels tennis elbow high arch flat foot over-pronation thin heel pad heel spur plantar fasciitis stress fracture nerve entrapment arthritis in foot arthritis in back osteoarthritis tarsal tunnel syn carpal tunnel syn sciatic nerve heel bursitis diabetes other cracked heels tennis elbow high arch flat foot over-pronation thin heel pad heel spur plantar fasciitis stress fracture nerve entrapment arthritis in foot arthritis in back osteoarthritis tarsal tunnel syn carpal tunnel syn sciatic nerve heel bursitis diabetes other cracked heels tennis elbow high arch flat foot over-pronation thin heel pad heel spur plantar fasciitis stress fracture nerve entrapment arthritis in foot arthritis in back osteoarthritis tarsal tunnel syn carpal tunnel syn sciatic nerve heel bursitis diabetes other
Describe the test results and the actions and treatments your doctor(s) took and initiated. For example you might type "1st visit x-ray tape naproxyn 2nd visit shot orthotic 3rd visit MRI nothing gave up the horror begins". Try to make the comments as brief as possible but also as informative as possible. Do not type "=".
