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nerve entrapment

Posted by Dan D. on 6/28/03 at 21:10 (123135)

How would one know if nerve entrapment is involved in PF and would ESWT help matters if nerve entrapment is a factor?

Re: nerve entrapment

Dr. Z on 6/29/03 at 10:50 (123148)

Hi Dan
An examination by your foot specialist would be the first thing. There would possible numbness on the bottom of the foot. Positive Tinnel Sign over the posterior tibial nerve. Burning, Tingling area are other signs. There would be pain with palpation of the first branch of the lateral plantar nerve. An ultrasound of the plantar fascia would be normal. The
presentation would be different then the classic heel pain. May not have first step pain
ESWT isn't indicated when the cause is nerve entrapement. The best way to determine if ESWT is right for you is with an ultrasound evaluation and a good history and physical examination

Re: nerve entrapment

Lynn B on 6/29/03 at 19:49 (123162)


I was just wondering about nerve entrapment. My Dr. told me I have a heel spur and probable nerve entrapment but that it would resolve in about a year. How does it rsolve? Does the nerve shift or is it that the inflammation goes down?

Lynn Thanks.

Re: nerve entrapment

Sharon W on 6/29/03 at 20:26 (123163)


I'm not a doctor, and I don't know the history of your foot problems (or what treatments you've already had done), so I might be way off base here. But without SOME kind of treatment for the serious foot problems you mentioned, it would be VERY over-optimistic for a doctor to tell you that 'it will resolve on its own in about a year'!!

Many doctors just don't know very much about these kinds of foot problems, and there are doctors out there giving very poor advice on this subject. If your situation is what I mentioned, above, I would immediately ask for a referral to a good foot and ankle SPECIALIST, either a podiatrist or a foot-and-ankle specialized orthopedic surgeon.

Of course, you may already be gettting (non-surgical) treatment for these problems and I hope they will indeed resolve completely within a year... It does turn out that way for many people, and that's what all of us hope for.


Re: nerve entrapment

Lynn B on 6/30/03 at 09:17 (123187)

Hi Sharon

Thanks for the advice. My MD (gen prac) put me on Vioxx and heel lifts which didn't do much good. The best things I've tried have come from this message board and I have to say I am 85% better than I was in March 2003 so maybe it is just a classic PF and not nerve entrapment. If I do get any of the TTS symptoms I definitely will see a specialist. The biggest single thing for me was ripping out the heel lifts and using the NB shoes without inserts. Thanks again. Lynn B

Re: nerve entrapment

john h-moderator on 6/30/03 at 09:26 (123190)

Lynn I would not just wait around for a year in hopes it will resolve on its on as there are probably things you can do. Nerve entrapment is sometimes treated just like PF and that is with ice. There are somethings you should not do if you have nerve entrapment like get a vigorous foot massage. Like the other poster I would get a referral to a foot and ankle surgeon and get a second opinion and course of treatment you might pursue.