calcification of bone

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---Topic: calcification of bone started by bousoulas

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bousoulas




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Feb. 2005
Feb. 01 2005,13:54

I was diagnosed with planter facitis heel spurs in the summer. An xray showed a bone spur but also calcification of both heels – though I can’t remember having a fall -  so perhaps the heel pad is worn down.  However before this pinpoint pain I had had pain in my heels and side of outer foot for sometime by midday – the heel spur point seems to be better after almost 6 months of rest ice and stretching etc  I can now push down with my finger onto my heel with no pain or stand immediately without the pinpoint pain of the heel spur.  However the pain of my weight on the heel and outer foot has not gone away.  My feet still have the burning pain when I am even lying down worse in the evening and my feet seem to be hot and often the underside seems very red.  Is this calcaneal nerve and lateral recurrent calcaneal nerve entrapment?    I have been bought various inner soles to wear – even custom made though hard soles that made it worse but were supposed to help the high arch they discovered.  The only ones that seem to help are silicone soles for the whole foot but even they haven’t completely helped since as soon as I take my shoes off I get the tingling/burning sensation.  Can you tell me what I should do from here – are they any tests for nerve entrapments to prove this problem so far I have had only an xray which showed a bone spur and the computer reading to show high arches.  What can be done about the calcification of the bone??Please help.
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Dr Foot




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Jan. 2003
Feb. 03 2005,12:06

The Medial Recurrent Calcaneal Nerve branches off the Posterior Tibial Nerve. This nerve can become entrapped and cause a burning pain to the underside of the heel.  The symptoms are very similar to plantar fascitis. The symptoms for Medial Recurrent Calcaneal Nerve is a burning pain which is often worse at night. Diagnosis is made by numbing the point of maximal tenderness and determining if the pain disappears while the local anesthetic is working.  Treatment would include removing whatever is pressurizing the nerve such as changing shoes, trying the use of a pad over the area to reduce the pressure on the nerve, cortisone injections to calm down the inflamed nerve and /or surgical decompression if necessary.  The condition that you are worried about is Lateral Recurrent Calcaneal Nerve which is a rarer. Often the pain would radiate toward the outside of the foot.  This condition is often associated with a large calcanial spur or calcification of the heels. This basically appears as a thorn like image on x-ray. You may need surgery to address this condition, however a positive diagnosis need to be made.
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