Medial calcaneal nerve entrapment as a cause for chronic heel pain.
Clinicians often have difficulty correctly identifying the etiology of heel pain. The purpose of the case report was to demonstrate differential diagnosis and possible interventions for heel pain. The article describes the diagnosis and management of a 36-year-old female patient with an 8-year history of heel pain. After all mechanical etiologies were ruled out, it was determined that her heel pain was the result of entrapment of the medical calcaneal branch of the tibial nerve. Correct diagnosis led to an intervention that resulted in complete symptom relief. The case presents an example for how careful differential diagnosis of heel pain is essential for achieving the desired intervention outcomes.
Diers
David J
DJ
Department of Physical Therapy, Governors State University, University Park, IL 60466, USA.
D000328:Adult; D000779:Anesthetics, Local / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002111:Calcaneus / Q000294:innervation*; D003348:Cortisone / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006365:Heel; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use; D008405:Massage; D010146:Pain / Q000209:etiology* / Q000503:physiopathology; D059408:Pain Management; D010147:Pain Measurement; D015612:Phonophoresis; D013641:Tarsal Tunnel Syndrome / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D013979:Tibial Nerve / Q000503:physiopathology*; D016896:Treatment Outcome
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D008012:Lidocaine; D003348:Cortisone