Calcaneal Nerve Entrapment: causes, symptoms and treatment

Updated 3/17/2021
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.

16,096 Total 1st Party Reviews / 4.9 out of 5 Stars
  • Yelp
    Wonderful doctor! Dr. Briskin is a genius! I love his physical therapy doctors and workers as well. Doesn't get better than thi...
    Jacqueline F.
  • GatherUp
    The staff is pleasant. The wait time is short. The doctor was quick, maybe a bit too quick.
    Jon N.
  • GatherUp
    I’m so happy to see everyone on my appt.especially my Doctor Franson I been with him so many years.
    Martha P.
  • GatherUp
    I am so very , very , very happy my medical provider referred to Dr . Franson . Much gratitude , thank you !
    Reznick L.
  • GatherUp
    The staff is superb. All of them. Dr. B is super nice and does every thing in his power to help me with my foot problem. Very ...
    Maritza G.
  • Google
    I felt very comfortable and relaxed with the doctor. I was a first time patient and was very pleased with my experience. The do...
    Jean H.
  • GatherUp
    Fantastic
    James G.
  • GatherUp
    I felt very good, calm and trustful.
    Frank S.
  • GatherUp
    You have a great office. The gals at the front desk are terrific. I love everything about your office. I wish more doctors ra...
    Kathleen A.
  • Google
    Great experience, everyone was kind, fast and knowledgeable!
    Susan M.
  • GatherUp
    I’m grateful that I was able to get a same day appointment. I was in the waiting room fir a very short time and the staff and ...
    Linda R.
  • GatherUp
    everything went well. was easy. well taken. are of.
    Nancy K.
Same Day Appointments
Now Available!

Or call 877-989-9110

24 hours a day, 7 days a week