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To the Editor.—
I read the remarks by Dr Giannestras in QUESTIONS AND ANSWERS. My interest in the topic of heel pain stems from my longstanding association with the Diabetic Foot Clinic at Georgetown University Hospital and through my position as clinical instructor of surgery in the Department of Orthopedics at Georgetown University Medical School.Dr Giannestras states that the heel pain in question is "probably circulatory in origin" because the pain is present when the patient awakens in the morning and disappears as soon as ambulation is begun. He further states that since the patient is mildly diabetic, there is probably some degree of peripheral vascular disease present. Further along it is suggested that the patient try applying a heat pad to the foot as a form of therapy for relief of the symptoms.It has been my experience that heel pain that is present on arising in the
Singer AE. Management of Heel Pain. JAMA. 1978;239(12):1131–1132. doi:10.1001/jama.1978.03280390027008