Heel Conditions: Nerve Entrapment

Updated 8/2/2021
Baxter's Neuritis or Heal Nerve Entrapment

What's Calcaneal Nerve Entrapment?

 

Calcaneal Nerve Entrapment (Baxter’s Neuritis)  results when the branch of the tarsal tunnel nerves becomes trapped or scarred in the arch. This relatively common cause of heel pain's also known as Baxter’s Neuritis.

 

About 20% of the time patients come to us having been misdiagnosed with Plantar Fasciitis when they actually suffer from Calcaneal Nerve Entrapment (a pinched nerve in their ankle).

How we Test 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.

 

Conservative Care Options for Calcaneal Nerve Entrapment

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.

 

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

 

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

 

Surgical Options for Heel Nerve Pain

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 workup have been properly done.

 

UFAI's Experience Can Quickly Resolve Nerve Pain

The advanced care provided by the 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 on 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.

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