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Baxter’s nerve entrapment, also known as Baxter’s neuritis, is a condition where the inferior calcaneal nerve, which branches from the lateral plantar nerve, gets compressed or pinched near the heel. This can lead to pain in the heel, often mistaken for plantar fasciitis.
Signs and Symptoms of Baxter’s Nerve Entrapment
Signs and Symptoms of Baxter’s Nerve Entrapment
Heel Pain: A sharp or burning sensation in the heel, usually on the inner side or the bottom of the foot.
Tingling or Numbness: Feelings of tingling or numbness in the heel or along the arch of the foot.
Increased Discomfort with Activity: Pain that intensifies with walking, running, or prolonged standing.
Relief with Rest: Pain often decreases with rest or reduced activity.
Tenderness: Sensitivity or tenderness in the heel area when touched.
These symptoms can overlap with other conditions like plantar fasciitis, so a proper diagnosis from a podiatrist is essential.
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Causes and Risk Factors of Baxter's Nerve Entrapment
Overuse: Repetitive activities, especially those involving excessive walking or running.
Foot Structure: Abnormal foot mechanics or structural issues like flat feet.
Footwear: Wearing unsupportive or poorly fitting shoes.
Injury: Trauma or injury to the heel area.
Obesity: Extra weight can increase stress on the feet.
Biomechanical Issues: Problems with the alignment or function of the foot and ankle.
Heel Spurs and Plantar Fasciitis: Concurrent heel conditions can heighten the risk of nerve compression. Bony growths on the heel or swelling from plantar fasciitis can increase pressure on the nerve, worsening entrapment.
Treatment and Management of Baxter's Nerve Entrapment
Rest and Ice: Reducing activity and applying ice can help relieve pain and inflammation.
Footwear Changes: Switching to supportive, well-cushioned shoes can reduce pressure on the nerve.
Orthotics: Custom foot inserts can help correct structural issues and relieve pressure.
Stretching and Strengthening Exercises: Exercises can improve foot biomechanics and alleviate symptoms.
Shockwave Therapy: Shockwave therapy may be used to reduce inflammation and pain.
Corticosteroid Injections and Surgery: Corticosteroid injections may be considered for reduction of inflammation and symptoms. In severe cases, surgical intervention may be necessary to release the trapped nerve.
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