Baxter’s Nerve Entrapment.

Is your Chronic heel pain really Plantar Fasciitis?

Baxter's nerve entrapment is when the calcaneal nerve is compressed causing chronic heel pain. Often, this is misdiagnosed as the more common Plantar Fasciitis due to their similarity in pain locations. However, it is believed that compression of the Baxter's nerve accounts for up to 20% of all chronic heel pain cases.

Causes of the entrapment could be due to the calcaneal nerve becoming trapped between the abductor hallucis and quadratus muscle or due to the nerve becoming entrapped by a thickened Plantar Fascia.

Unlike Plantar Fasciitis, the nerve entrapment pain tends to be more localised around the medial heel/arch of the foot. The pain worsens on physical activity, and sometimes burns.

Obtaining the correct diagnosis for heel pain is important because the treatment for nerve entrapment differs from that of Plantar Fasciitis. Conservative treatment for Baxter's nerve entrapment includes appropriate footwear, orthotics, and prolotherapy sessions to dislodge the entrapped nerve.

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