Other Causes. If your puppy or dog has not been properly vaccinated and begins to shiver, cough, run a fever or discharge mucus from his eyes and nose he may have distemper, a virus common in puppies and adolescent dogs.
Evaluation and Treatment. Heel pain can have many causes. If your heel hurts, see your primary care doctor or orthopaedic foot and ankle specialist right away to determine why and get treatment. Tell him or her exactly where you have pain and how long you've had it. Your doctor will examine your heel, looking and feeling for signs of tenderness and swelling.
1 A rheumatologist (if your back pain is caused by arthritis or other joint problem) 2  A physical therapist and/or occupational therapist (to help you learn to move and exercise in ways that don't worsen the pain but may improve it)  A pain management specialist.