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What Is Baxter鈥檚 Neuritis?
Baxter鈥檚 neuritis, also known as Baxter鈥檚 nerve entrapment, is a condition caused by compression of the inferior calcaneal nerve, a branch of the tibial nerve. This nerve runs along the inside of the heel and supplies sensation to parts of the foot. When compressed, it can lead to persistent heel pain, often mistaken for plantar fasciitis.
At University Foot & Ankle Institute, our specialists provide expert diagnosis and treatment for Baxter鈥檚 neuritis, helping patients find relief from chronic foot pain.
Causes of Baxter鈥檚 Neuritis
Baxter鈥檚 neuritis occurs when the inferior calcaneal nerve becomes compressed, inflamed, or irritated. Several factors can contribute to this nerve entrapment, including:
- Flat Feet (Pes Planus): Overpronation can cause excessive strain on the nerve.
- High Arches (Pes Cavus): Increased pressure on the heel can lead to nerve compression.
- Plantar Fasciitis: Chronic inflammation of the plantar fascia may affect the nerve.
- Heel Spurs: Bony growths in the heel can press against the nerve.
- Tight Footwear: Poorly fitting shoes may compress the nerve, exacerbating symptoms.
- Trauma or Repetitive Stress: Running, jumping, or prolonged standing can contribute to nerve irritation.
- Soft Tissue Masses or Cysts: Abnormal growths in the heel region may impinge on the nerve.
Symptoms of Baxter鈥檚 Neuritis
Baxter鈥檚 neuritis often presents with symptoms similar to plantar fasciitis, which can make diagnosis challenging. Key symptoms include:
- Burning or Tingling Pain: Typically felt on the inner side of the heel.
- Pain that Worsens with Activity: Symptoms may increase with prolonged standing, walking, or running.
- Tenderness along the Inner Heel: Pain is often localized near the medial aspect of the heel.
- Lack of Morning Stiffness: Unlike plantar fasciitis, Baxter鈥檚 neuritis usually does not cause significant stiffness upon waking.
- Weakness in the Foot Muscles: In severe cases, nerve compression can lead to muscle weakness, affecting gait and foot function.
Diagnosing Baxter鈥檚 Neuritis
Physical Examination
Imaging Studies
- X-rays: Rule out fractures, heel spurs, or bony abnormalities.
- MRI or Ultrasound: Helps identify nerve inflammation, soft tissue compression, or structural abnormalities.
- Electromyography (EMG) and Nerve Conduction Studies: Can confirm nerve dysfunction.
Treatment Options for Baxter鈥檚 Neuritis
Non-Surgical Treatments
Many cases of Baxter鈥檚 neuritis can be successfully managed with conservative treatments, including:
- Orthotics and Supportive Footwear
- Custom orthotics help correct foot biomechanics and relieve nerve compression.
- Cushioned shoes with proper arch support reduce strain on the heel.
- Physical Therapy
- Stretching exercises for the plantar fascia and calf muscles can improve flexibility.
- Strengthening exercises enhance foot stability and reduce pressure on the nerve.
- Anti-Inflammatory Medications
- NSAIDs (non-steroidal anti-inflammatory drugs) help reduce pain and swelling.
- Corticosteroid Injections can provide temporary relief from nerve inflammation.
- Activity Modification
- Reducing high-impact activities like running and jumping can alleviate symptoms.
- Switching to low-impact exercises (e.g., swimming, cycling) can help maintain fitness without worsening symptoms.
Surgical Treatments
If non-surgical treatments fail to relieve symptoms, surgical intervention may be necessary.
- Nerve Decompression Surgery
- A small incision is made to release the entrapped nerve, reducing pressure and inflammation.
- This procedure is typically performed on an outpatient basis with minimal recovery time.
- Heel Spur Removal
- If a heel spur is compressing the nerve, removal may be required to relieve pressure.
Recovery and Rehabilitation
Recovery depends on the severity of the condition and the chosen treatment plan. Patients undergoing surgery can expect:
- Initial rest and limited weight-bearing for a few weeks.
- Gradual return to activity with physical therapy.
- Long-term use of orthotics to prevent recurrence.
Can Baxter鈥檚 Neuritis Be Prevented?
While not always preventable, steps can be taken to reduce the risk of developing Baxter鈥檚 neuritis, including:
- Wearing supportive shoes with proper arch support.
- Using custom orthotics if prone to foot misalignment.
- Avoiding excessive strain on the heel with proper stretching and strengthening exercises.
- Seeking early treatment for foot pain to prevent worsening nerve compression.
Why Choose University Foot & Ankle Institute?
At University Foot & Ankle Institute, we specialize in diagnosing and treating complex foot conditions like Baxter鈥檚 neuritis. Our expert team offers cutting-edge treatments, personalized care, and state-of-the-art diagnostic tools to ensure the best possible outcomes for our patients.
If you鈥檙e experiencing persistent heel pain that hasn鈥檛 improved with treatment, schedule an appointment today to explore your options for relief.
Dr. Abimbola Johnson completed his undergraduate degree at Loyola University Chicago, where he played Division II rugby and was also involved in social justice clubs aimed at helping younger students prepare for college.
Upon graduation, he entered Scholl College of Podiatric Medicine, where he served as president of the practice management club and volunteered as coordinator at the Free Foot Clinic in Chicago. He served his residency at Regions Hospital/Health Partners in St. Paul.
Dr. Johnson provides comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common and complex disorders and injuries. The doctor is uniquely qualified to detect the early stages of disease that exhibit warning signs in the lower extremities, such as diabetes, arthritis, and cardiovascular disease.
Dr. Johnson can be seen at our Santa Barbara location
