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Does she have pain elsewhere besides the heel of her foot?
But this doesn't hurt worst on her first few steps of the day?
Has she had any further imaging of the foot via xrays or MRI?
At this point, I would have her orthopedic doctor order further imaging for the foot.
It seems as if her symptoms are related to inflammation in the area, but perhaps not related to inflammation of the plantar fascia.
Evaluation of the bones is important to rule out issues with small fractures.
Evaluation of conditions like tarsal tunnel:
evaluation of other issues that can cause referred pain to this area, like a pinched nerve in the lower back.
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