I am so grateful to your writing this wonderful blog. Thank you!
For about 12 month I have severe, debilitating heel pain, very similar to plantar fasciitis. I do not have any first step pain and my pain gets progressively worse over the course of the day.
Dr Blake's comment: This sounds like possible calcaneal (heel) stress fracture/bone reaction. This diagnosis is only made by MRI or bone scan.
Over the past few months, we have ruled out plantar fasciitis, as well as nerve root compression originating from L5/ S1. As a treatment I had received a steroid injection into the plantar fascia, as well as an epidural steroid injection. These treatments have not produced any results. I try to stay very active: I do yoga, Pilates, I walk on a de-weighed treadmill, and I work out on a stationary bike in a tireless attempt to get better. I so hope to be able to take a walk with my children again.
Dr Blake's comment: Even though your workup sounds good, why has there not been an MRI or bone scan? You can have nerve pain from the swelling produced from a calcaneal fracture. So get one of those 2 scans.
Recently, someone suggested to me that I had Baxter’s neuritis. From the literature that I was able to find, this diagnosis seems to fit my symptoms exactly. I do feel a lot of sensation and pain along the course of the first branch of the lateral plantar nerve. What would be the treatment for this?
I am wondering if I should immobilize my foot instead of stretching it and mobilizing it.
I would be most grateful for a reply.
Dr Blake's comment: Baxter's neuritis can be a cause, but impossible to diagnosis. It is always a possibility in recalcitrant heel pain. You need to rule out bone issues and then inject the lateral plantar nerve with long acting local anesthetic to see if that helps. If it does, try several cortisone shots into the same area, and consider surgery only if the shots give you temporary but great responses. I hope this helps. Rich