LATERAL PLANTAR NERVE ENTRAPMENT

WHAT IS LATERAL PLANTAR NERVE ENTRAPMENT?

The lateral plantar nerve passes through the tarsal tunnel between the abductor hallucis muscle and the quadratus plantus muscle. This nerve can become trapped causing pain under the heel on the inside or outer aspect of the heel and up into the inside of the ankle.


TREATMENT OF LATERAL PLANTAR NERVE ENTRAPMENT


Treatment of Lateral Plantar Nerve Entrapment is similar to treatment for Tarsal Tunnel Syndrome. Addressing foot biomechanics with custom molded foot orthoses is critical to re-align and balance the rearfoot with the forefoot to optimize foot function. Treatment with oral anti-inflammatory medications, vitamin B supplements, or steroids may provide some benefit, but are rarely curative. Calf muscle stretching can be useful, because it eases the tension and strain about the ankle joint. If the Tarsal Tunnel Syndrome is caused by a soft tissue mass, then surgical removal of the mass may be necessary.

Our recommended, and most effective treatment for any type of heel pain is Cryoplantalis, a revolutionary procedure that utilizes controlled cooling cryoprobe to facilitate regeneration of injured nerve cells.

Surgical correction of Tarsal Tunnel Syndrome in the absence of a soft tissue mass has a very low success rate. This surgery, called nerve decompression, is intended to release the pressure on the nerve by freeing the soft tissue structures about the nerve as it passes through the tarsal tunnel. (See surgical Exploration for Tarsal Tunnel Syndrome) This surgery does not correct the over-pronation of the foot, however, and functional foot orthotics should be worn following the surgery.