Medial Calcaneal Nerve Entrapment (Baxters Neuritis)


What is Baxters Neuritis?

Baxters Neuritis is an entrapment neuropathy involving the Medial Calcaneal Nerve (Baxters Neuritis)

Baxter's Nerve


What Causes Baxter’s Neuritis?

Baxter's Nerve

Entrapment of the ICN occurs at three possible places: (a) adjacent to the fascial edge of a hypertrophied abductor halluces muscle, (b) as the nerve passes between the deep fascia of the abductor hallucis muscle and the medial caudal margin of the medial head of the quadratus plantae muscle or (c) most commonly where the nerve passes just anterior to the medial calcaneal tuberosity, where it is sometimes related with calcaneal spur and marked thickening of the proximal plantar fascia, as it is shown in our case


Treatment of Baxter’s Neuritis

Treatment of Baxter’s Neuritis can include:

  • Shockwave therapy
  • Orthotic Offloading
  • Ultrasound injection therapy
  • Stretching
  • Taping
  • Home Massage techniques
  • Night Splinting

 

References:

  1. Boon, M. Dib (2009) Peripheral Nerve Entrapment and Compartment Syndromes of the Lower Leg. Nerve and Vascular Injuries in Sports Medicine 139-159
  2. Recht MP, Grooff P, Ilaslan H, Recht HS, Sferra J, Donley BG (2007) Selective Atrophy of the Abductor Digiti Quinti: An MRI Study.. AJR 189:W123-W127

 


The Ankle, Foot and Orthotic Centre’s Northcote Podiatrists can help you with all lower limb complaints, including Baxters Neuritis. Make an appointment to get your foot and ankle pain under control.

Expert Podiatrists servicing the areas of Northcote, Thornbury, Fitzroy, North Fitzroy, Carlton, North Carlton, Alphington, Fairfield, Brunswick, Coburg and Preston