From the Department of Anesthesiology and Pain Management, Health World Hospitals, Durgapur, West Bengal, India.
Department of Anesthesiology and Pain Management, University Health Network, Sinai Health Network, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.
A A Pract. 2020 Nov;14(13):e01339. doi: 10.1213/XAA.0000000000001339.
Plantar heel pain is a common pain condition encountered in clinical practice. The common etiologies include plantar fasciitis, calcaneal spur, calcaneus stress fracture, systemic causes, and trauma. Neurogenic causes, including entrapment at the tarsal tunnel or Baxter's nerve entrapment, can contribute to the heel pain and should not be overlooked. In this case report, we describe a patient with severe heel pain, presenting with overlapping features of plantar fasciitis and neuropathic pain. Magnetic resonance imaging suggested Baxter's nerve entrapment, and a subsequent ultrasound-guided hydrodissection of Baxter's nerve provided long-lasting pain relief.
足底足跟痛是临床实践中常见的疼痛病症。常见病因包括足底筋膜炎、跟骨骨刺、跟骨应力性骨折、全身性原因和创伤。神经源性病因,包括跗管内卡压或 Baxter 神经卡压,也可导致足跟痛,不应忽视。在本病例报告中,我们描述了一位足跟痛严重的患者,其临床表现既有足底筋膜炎又有神经病理性疼痛的特征。磁共振成像提示 Baxter 神经卡压,随后行超声引导下 Baxter 神经水分离术,为患者提供了持久的疼痛缓解。