University Foot & Ankle Institute
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  • University Foot & Ankle, a Preferred Provider to:
  • UCLA Health System - UCLA Medical Group
  • MPTF - Motion Picture Television Fund
  • And consulting physicians for:
  • C&S - Cedars-Sinai
  • Saint John's Health Center

Neuroma and Nerve Pain: Calcaneal Nerve Entrapment

Could your Heel Pain actually be Nerve Pain?

 

Baxter's Neuritis or Heal Nerve Entrapment

Certain cases of plantar fascitis may not only be due to plantar fascia scarring and swelling, but may also be due to a nerve pinched in the ankle region. As much as 20 percent of the people treated for heel plantar fasciitis do not experience relief with traditional therapy.

 

The reason for this may be calcaneal nerve entrapment, which is a branch of the tarsal tunnel nerves that are trapped or scarred in the arch. This relatively common cause of heel pain is also known as Baxter’s neuritis.

 

The advanced care provided from the UCLA faculty at University Foot and Ankle Institute is second to none. We are one of only a few international practices whose Podiatrists and surgeons have the experience in neurosensory testing and ultrasound uses in the diagnosis and treatment of nerve entrapments of the ankle and heel.

Thank you so much for your skill and kindness before and during my surgery. I am sure that you have many patients that appreciate your work. I am thankful of your professionalism and how attentive you are. Rashi

How we test for Nerve Pain Entrapment

 

A proper diagnosis of the cause of heel pain is essential when developing an accurate diagnosis. Our clinicians utilize cutting-edge technologies for exacting results.

 

University Foot and Ankle Institute performs neurosensory testing to check for nerve compression and ultrasound testing to reveal plantar fascia problems — prior to surgical care and diagnosis.

 

Calcaneal Nerve Pain - University Foot and Ankle Institute

Calcaneal Nerve Entrapment Conservative Care

 

Conservative care will often include a cortisone injection about the nerve, physical therapy, and possible bracing for a period of time. custom insoles called orthotics are often used to relieve the pain along the problematic nerve.

 

Cyrotherapy is an out-patient method using extreme cold to remove the Baxter’s nerve, is sometimes used as treatment to improve nerve pain symptoms without surgery.  A 2 millimeter incision is made and the cryoprobe us used to freeze the damaged nerve under local anesthesia.  A shoe may be worn after about 3 days and full return to activity can take 2 weeks.  It may be necessary to repeat the procedure an additional time for ideal outcome in about 30% of cases.

 

All aspects of conservative care are attempted prior to surgical care consideration.

 

Heel Nerve Pain and Surgery Options

 

The surgical release of the nerve is commonly necessary if pain continues. The surgical procedure is done in an outpatient setting with a fairly rapid recovery. The nerve is freed up as part of a more comprehensive fascia and nerve release.  Patients are not allowed to put weight on the foot for about two weeks and then physical therapy is begun.  The results of the procedure have been excellent when patient selection and work up have been properly done.

 

Choose University Foot and Ankle Institute for your Foot and Ankle Nerve Pain treatment

 

The advanced care provided from the UCLA faculty at University Foot and Ankle Institute is second to none. We are one of only a few international practices whose Podiatrists and surgeons have the experience in neurosensory testing and ultrasound uses combined in the diagnosis and treatment of nerve entrapments of the ankle and heel. We pride ourselves in dealing with our patients in a timely and personable manner. Request an appointment with a physician at one of our Los Angeles or Southern California locations.