Medial calcaneal neuropathy: A rare cause of prolonged heel pain
Banu Kuran1, Tolga Aydoğ2, Cem Erçalık3, Pınar Arda3, Figen Yilmaz3, Beril Doğu3, Julide Oncu3, Gülgün Durlanık3
1Deparment of Physiotherapy and Rehabilitation, İstanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey
2Department of Physical Medicine and Rehabilitation, Acıbadem University Faculty of Medicine, İstanbul, Turkey
3Department of Physical Medicine and Rehabilitation, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey
Keywords: Heel pain, medial calcaneal, nerve.
Abstract
Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.