JanNP

Pain and tenderness in the sole of foot under the heel bone is a common occurrence and treated in primary care. Avoiding running, jogging and loosing weight helps a lot. The stress to the heel tissues causes inflammation and calcification of ligaments of the foot. Avoid prolonged standing. Wear shoes with good arch and heel support. Avoid flat shoes and tennis shoes that have lost their support. Dr. Scholl heel cup inserts can be purchared at most drug stores to relieve pressure on the heel. Icing the heel 3 - 4 times a day for 15 minutes is also helpful to relieve inflammation as well as NSAIDS. A healthcare provider can inject the inflammed area with a steroid to reduce inflammation in the acute phase of heel pain. Their are also taping and wrapping techniques for the foot that can be done before going to sleep. You can see a Podiatrist to have a custom shoe insert designed. If the condition does not improve with conservative treatment after three months, consider seeing a Podiatrist that does surgery. If this is a heel spur and not plantar fasciitis, it may need a surgical consult. Good Luck! JanNP Ft. Worth, Texas

If you are using a 1 gm vial of Rocephin (powder), You can reconstitute with either lidocaine (plain), sterile saline or a combination of both to make the liquid mixture. You then agitate the mixture till it is homogenized and then draw out into 2 syringes ALL of the MEDICATION. You would be giving 500mg into each IM site, usually gluteus or deltoid, or thigh, so it will be 2 injections. It is just too much once rconstituted to give into one location. Jan FNP

Hello - I am an experienced NP who also would like to branch out into aesthetics. I am trying to decide if I want to work in a physician office or independently and do Botox. Trying to establish an account with Allergan has been a nightmare. They are NOT midlevel provider friendly at all. Product can only be delivered to a physician office. There are definitely some hurdles into getting into good old boys club.