Novel Therapeutic Approach for Tibial Nerve Entrapment in Chronic Heel Pain Diagnosed as Plantar Fasciitis: A Case Report
10.5763/kjsm.2023.41.4.241
- Author:
Cheol-Jung YANG
1
;
Jeong Won SEONG
;
Dongrak KWON
;
Yuntae KIM
Author Information
1. Department of Orthopedic Surgery, Borntouch Orthopaedic Clinic, Seoul, Korea
- Publication Type:Case Report
- From:The Korean Journal of Sports Medicine
2023;41(4):241-245
- CountryRepublic of Korea
- Language:English
-
Abstract:
Plantar heel pain is common in sports medicine and orthopedics; it is usually diagnosed as plantar fasciitis. We report the case of a 43-year-old healthy man with chronic pain over the right heel for 5 years. He was diagnosed with plantar fasciitis and received conservative treatment. Surgery was recommended for the intractable pain, which he refused. He had tenderness in the medial calcaneal tubercle region and midportion of soleus muscle near the tendinous arch. At a tibial nerve entrapment point (NEP) over the tender soleus, 4-mL isotonic saline was injected at presentation and 1, 3, and 6 weeks later. The pain improved significantly. He had no adverse effects or aggravation of symptoms at 6 months later. The injection therapy at NEP of the soleus can be considered in chronic unhealed plantar heel pain, including plantar fasciitis, to release the entrapped tibial nerve.
