Egyptian Rheumatology and Rehabilitation

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 44  |  Issue : 4  |  Page : 147--152

Medial calcaneal neuropathy: a missed etiology of chronic plantar heel pain


Emmanuel Kamal Aziz Saba, Sarah Sayed El-Tawab, Hussein Al-Moghazy Sultan 
 Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Alexandria, Egypt

Correspondence Address:
Emmanuel Kamal Aziz Saba
Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Alexandria, 21131
Egypt

Introduction Medial calcaneal neuropathy had been implicated as a source of chronic plantar heel pain. Aim The aim was to determine the presence of medial calcaneal neuropathy as a cause of chronic plantar heel pain. Patients and methods The present study included 43 heels obtained from 38 patients with chronic plantar heel pain and 30 apparently healthy volunteers as a control group. Clinical examination was done. Sensory nerve conduction study of the medial calcaneal nerve was performed. This was a single-center, public hospital-based study. It was designed as a cross-sectional examination of consecutive patients with chronic plantar heel pain. Results There were 27 (62.79%) heels, from 23 (60.52%) patients, who had medial calcaneal neuropathy. From them, unobtainable medial calcaneal nerve response was present in 10 (37.03%) heels of nine (39.13%) patients. Medial calcaneal neuropathy was the solitary cause of chronic plantar heel pain in 10 (37.03%) heels from 10 (43.48%) patients. However, it was associated with other local heel pathologies in the remaining patients. The majority of them were having plantar fasciitis in nine (33.34%) heels from five (21.73%) patients. Conclusion Medial calcaneal neuropathy is present in a considerable number of patients with chronic plantar heel pain. It should be taken into consideration during the assessment of any patient with chronic plantar heel pain.


How to cite this article:
Saba EA, El-Tawab SS, Sultan HA. Medial calcaneal neuropathy: a missed etiology of chronic plantar heel pain.Egypt Rheumatol Rehabil 2017;44:147-152


How to cite this URL:
Saba EA, El-Tawab SS, Sultan HA. Medial calcaneal neuropathy: a missed etiology of chronic plantar heel pain. Egypt Rheumatol Rehabil [serial online] 2017 [cited 2018 Jun 23 ];44:147-152
Available from: http://www.err.eg.net/article.asp?issn=1110-161X;year=2017;volume=44;issue=4;spage=147;epage=152;aulast=Saba;type=0