Neuritis of the Plantar Nerve - Senior Podiatrist Ari Tria, East Coast Podiatry скачать в хорошем качестве

Neuritis of the Plantar Nerve - Senior Podiatrist Ari Tria, East Coast Podiatry

What is Plantar Nerve Neuritis? Patients coming into our clinic limping with heel pain mostly commonly have plantar fasciitis. In most of these cases, the heel pain will reduce effectively with our plantar fasciitis management plan. However, there will be some cases where the pain does not resolve. This may be due to a condition mimicking or related to plantar fasciitis, such as plantar nerve neuritis. What is Plantar Nerve Neuritis? Plantar nerve neuritis is an inflammation of the nerve in the foot and is found to be very common that can cause pain and loss of function. The innervations in the foot are branches from posterior tibialis nerves, namely the medial and lateral plantar nerve that covers the sole of the foot and supplies multiple intrinsic muscles of the foot. Signs and Symptoms: Plantar nerve neuritis can be debilitating affecting daily activities. Pain can be gradually increasing over time. The irritation or entrapment of the nerves can result in constant pain that radiates to the lower part of the heel and ankle. This symptom worsens with forceful or continuous activity, where adding pressure to the foot either by walking or sitting, just standing is often difficult. If it is left untreated, the continuous irritation will make the nerve inflamed resulting in symptoms such as numbness, tingling or buzzing sensation, pins and needles, burning, and cramping. Causes: The most common cause of plantar nerve neuritis is a repetitive irritation or impingement of the nerves from abnormal movement (the musculoskeletal) around the ankle area. Although, the nerves can also easily be damaged when any other part of the foot suffers an injury or trauma. In some cases, where there is a microtear in the plantar fascia, the inflamed and thickened fascia can impinge the nerve running underneath the plantar fascia. Management: A podiatrist's goal is to reduce the pain and symptoms while addressing the primary cause of the condition with complete conservative treatment modalities. Reducing the repetitive movement around the ankle area is through customized foot orthotics tailored to the patient’s full musculoskeletal assessment. Reducing pain and symptoms may be through a combination of settings from the high-intensity pulsed electromagnetic field therapy (Super Inductive System) and shockwave therapy, depending on our podiatrist’s assessment of the condition and cause. So it is important for an individual with heel pain to consult a medical professional such as a podiatrist, because heel pain may not always be plantar fasciitis, it may also be a nerve pain.