A Case Study on Management of Calcaneal Spur with Ḍimād (Paste) of Polyherbal Unani Medication

Objective- To evaluate the effectiveness of Dimād therapy, a traditional Unani treatment method, in alleviating heel pain caused by calcaneal spur, and to explore its potential as a safe, affordable alternative to conventional therapies Design - This is a single-case report detailing the clinical presentation, diagnosis, and treatment of a patient with a calcaneal spur using Dimād therapy within the Unani medical framework. Intervention - The patient underwent Dimād therapy, which involves the local application of heat to the affected heel area, based on the principles of Unani medicine, which aim to restore humoral balance and eliminate morbid materials. Treatment was tailored according to the six essential factors of life in Unani medicine. Main Outcome Measure- Reduction in heel pain, improvement in mobility, and overall patient satisfaction following completion of Dimād therapy. Results- The patient experienced significant relief from heel pain and reported enhanced mobility following the course of Dimād therapy. No adverse effects were observed, and the therapy was well tolerated. Conclusion- This case suggests that Dimād therapy may be an effective and non-invasive approach to managing calcaneal spurs. It supports the Unani view that addressing underlying humoral imbalance and lifestyle factors can contribute to sustainable pain relief. Further clinical studies are needed to validate these findings. Keywords- Unani medicine, Waja-ul-Aqib, heel pain, traditional therapy, Ilaj bit tadbeer