Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I m a 48 yr old African American male. Over the last couple weeks I ve developed a small bulge just on the inside of my left heel. Its not very painful but painful enough if that males any sense. After resting, it takes time to warm up so to speak. And its also tender to a firm touch. Any ideas? Thanks
[|AI|]  Dear sir/ madam would like to know do you have taken the first step in the morning after waking up, and as day progress does the pain gradually comes down?based on your description my differentials would be plantar fasciitis for which silicone rubber soles, Achilles strengthening exercises, contrast baths, and some analgesics is recommended. Or posterior tibial tendinitis for which I would examine for heel rise and recommend rest ice fomentation, ankle brace and ankle room exercises.calcaneal stress fracture for which radiograph of the ankle would help for diagnosis.