Dr Foot
Super Administrators
644
Jan. 2003
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Feb. 03 2005,12:06 |
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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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