Baxter’s Nerve Entrapment
Baxter’s nerve entrapment is a frequently overlooked cause of heel pain; it affects up to 20% of individuals with this condition. This condition arises when the inferior calcaneal nerve becomes compressed between the heel bone and nearby foot muscles. Because its symptoms resemble those of plantar fasciitis, misdiagnosis is common. In addition to heel pain, Baxter’s nerve entrapment often leads to neurological symptoms like numbness, burning, and tingling feelings.
Signs and Symptoms
Common symptoms of Baxter’s nerve entrapment comprise:
- Sharp pain on the inside part of the heel, sometimes extending to the outer heel.
- Burning feeling, especially after prolonged standing or walking
- Possible numbness and tingling in the affected area
- Pain that subsides with rest
Causes
Baxter’s nerve, the first branch of the lateral plantar nerve, is essential for giving the heel with sensory feedback. It passes through numerous musculotendinous structures, including the abductor hallucis, plantar fascia and quadratus plantae muscles. Entrapment happens when the opening between these muscles and the heel bone becomes restricted. The two primary causes are a thickened plantar fascia and excessive pronation.
Thickened plantar fascia. In conditions like plantar fasciitis, the fascia degenerates and thickens, reducing available space and exerting stress on Baxter’s nerve near the inner heel. Inflammation and swelling further increase compression, hence heightening the risk of entrapment.
Pronation (flat feet). Excessive pronation makes the plantar fascia as well as abductor hallucis muscles to overstretch when bearing weight. Combined with a collapsed heel bone, this leads to increased pressure on Baxter’s nerve and contributes to nerve entrapment.
Treatment and Management of Baxter’s Nerve Entrapment
Baxter’s nerve entrapment treatment focuses on addressing the underlying causes. It also alleviates inflammation around the affected nerve, particularly in structures like the plantar fascia.
Treatment options involve:
- Calf and plantar fascia stretching exercises
- Custom foot orthoses to support proper foot posture; however, improper use may worsen compression.
- Extracorporeal shockwave therapy & magnetotransduction therapy aimed at easing pain and inflammation.
Bottom Line
Pain and discomfort caused by Baxter’s nerve entrapment can significantly interfere with daily activities. Nevertheless, with the right treatment plan, relief is usually achievable. Addressing the root causes can lead to effective management in addition to improved quality of life.
Book an appointment right now to discuss your symptoms and explore treatment options.