Conversation: The conversation between human and AI assistant.
[|Human|] hello I was told I had planter fascia over 18 mnths ago then assumed that a heal spur was causing the pain. Sometimes the pain in my heal is excruciating when I stand from rest or as my shift progresses ( I work in disabilities) most severe pain is in my right foot I also for over twelve months have pain in the left of my neck that has waves of severity xrays show nothing on the neck
[|AI|]  Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. The treatment for plantar fasciitis involves stretching the calf area, applying ice, taking several medications such as ibuprofen.  Seeing a physical therapist can also help.  Bone spurs are very common and in themselves do not usually cause pain.  Most of the pain from plantar fasciitis comes from the soft tissues. Sometimes for severe plantar fasciitis I will prescribe a night splint. Surgery is almost never indicated for this condition. As regards the neck issue, it sounds as though this might be soft tissue in origin, particularly if your x-rays are negative.  You could be experiencing mild muscle spasm or a simple strain of the soft tissues in the cervical region.  It might be a good idea to pay a visit to a physical therapist who can teach you some stretches and some exercises to do at home. If your neck feels stiffer than simple applications of heat will help. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A Chat Doctor.