High suspicion of gouty arthritis involves a history of joint pains especially in the toes. Oddly, gout pain always involve one joint at a time, as compared to multiple joint pains in other arthritic conditions. Finding urate crystals on joint fluids by needle aspiration is the mainstay for diagnosing gout. I continued to order these every about every 6 months for a couple a years, because I was afraid of what would happen if I didn't have them, but I now I no longer need them. This product apparently actually healed the source of my pain as their website claims. My only regret is that I didn't try these first. Heel pain is generally caused by Plantar Fasciitis. The plantar fascia is the main ligament that runs underneath your foot. Imagine a thick rubber band attached to your heel that is stretched under your foot and connected to the ball of your foot just behind your toes. This keeps your foot aligned and supports the foot's arch and surrounding muscles. When the ligament and surrounding tissue becomes irritated, inflamed or overworked Foot pain is the result. There are many things that can lead to heel pain including vigorous exercise, being on your feet many hours a day, weight gain, or excessively low or high arches in shoes without proper support. Slikker felt a tug on the cuff of his pants. It was their lunchtime stowaway. A pair of hungry eyes peering through the gloom. He surreptitiously cut a fair wedge from his pie and swung it down to the rough corner of the bench. Instantly a grubby hand shot out and the pie vanished. He was amused to find the pies movements could still be tracked by attending to the ring of dogs, their heads bobbing in exact unison as they followed the pie from the stowaway's lap, to mouth, and back again. Tarsal tunnel syndrome occurs due to compression of posterior tibial nerve. The tibial nerve that branches from the sciatic nerve, runs down the leg and connects to the ankle. The part of the nerve that lies inside the ankle is referred to as posterior tibial nerve. Standing or exercising for a long time puts undue pressure on the ankle, resulting in unbearable shooting pain from behind the heel. Exercise – Athletes often overdo it and find themselves adding strain to the heel of the foot. Taking the proper precautions before and after workout, wearing supportive athletic shoes, and gradually warming up to a more rigorous work-out can prevent possible injuries. Non-steroidal anti-inflammatory drugs ( NSAIDs ) - medications with analgesic (pain reducing), antipyretic (fever reducing) effects. In higher doses they also have anti-inflammatory effects - they reduce inflammation (swelling). Non-steroidal distinguishes NSAIDs from other drugs which contain steroids, which are also anti-inflammatory. NSAIDs are non-narcotic (they do not induce stupor). For patients with plantar fasciitis they may help with pain and inflammation. Footwear - proper-fitting shoes that provide good support are crucial. Athletes should be particularly fussy about the shoes they use when practicing or competing - sports shoes need to be replaced at specific intervals (ask your trainer).