Medial Calcaneal Nerve Entrapment
What is Entrapment of the Medial Calcaneal Nerve?
The Medial Calcaneal Nerve is a branch of the Posterior Tibial nerve which is involved in cases of Tarsal Tunnel Syndrome. Symptoms of the two are often very similar and so they may be easily confused.
When there is excessive overpronation or pressure from shoes then the medial calcaneal nerve can become trapped. Pain will radiate from the inside of the heel out towards the centre of the heel.
What are the Symptoms?
Burning pain below the medial malleolus (bony protrusion on the inside of the ankle).
Pain may radiate under the sole of the foot.
Activities such as running usually aggravate the condition.
Tenderness around the medial malleolus.
Positive Tinel's test.
What does treatment involve?
Treatment should initially consist of rest from aggravating activities, the use of cold therapy and anti-inflammatories (check with your Doctor first).
Biomechanical abnormalities such as overpronation should be corrected with a change of footwear or the use of insoles.
A rehabilitation programme may be used to ensure full range of motion and strength at the ankle.
A sports injury specialist may apply heat such as ultrasound.
If conservative treatment fails then a corticosteroid injection may be administered.
Surgery may eventually be required to decompress the nerve.
http://www.sportsinjuryclinic.net/gallery/foot/180tarsal_tunnel_syndrome.jpg
What is Entrapment of the Medial Calcaneal Nerve?
The Medial Calcaneal Nerve is a branch of the Posterior Tibial nerve which is involved in cases of Tarsal Tunnel Syndrome. Symptoms of the two are often very similar and so they may be easily confused.
When there is excessive overpronation or pressure from shoes then the medial calcaneal nerve can become trapped. Pain will radiate from the inside of the heel out towards the centre of the heel.
What are the Symptoms?
Burning pain below the medial malleolus (bony protrusion on the inside of the ankle).
Pain may radiate under the sole of the foot.
Activities such as running usually aggravate the condition.
Tenderness around the medial malleolus.
Positive Tinel's test.
What does treatment involve?
Treatment should initially consist of rest from aggravating activities, the use of cold therapy and anti-inflammatories (check with your Doctor first).
Biomechanical abnormalities such as overpronation should be corrected with a change of footwear or the use of insoles.
A rehabilitation programme may be used to ensure full range of motion and strength at the ankle.
A sports injury specialist may apply heat such as ultrasound.
If conservative treatment fails then a corticosteroid injection may be administered.
Surgery may eventually be required to decompress the nerve.
http://www.sportsinjuryclinic.net/gallery/foot/180tarsal_tunnel_syndrome.jpg
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