2014, Number 2
Ortho-tips 2014; 10 (2)
Espinosa de los Monteros KAF, Clifton CJF, López AL, Navarro BE, Villarruel SJÁ, Zermeño RJJ, Gutiérrez MI, Romo RR
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ABSTRACTThe tibial nerve provides sensation to the heel; comes from the sciatic nerve and after tarsal tunnel is divided into three branches: medial plantar, lateral plantar and medial calcaneal nerve. Although these compression is not common, is a result of failure in the diagnose and chronic pain. The lateral plantar nerve compression causes pain and paresthesia in the outside of the foot, unlike the medial plantar causing paresthesia on the medial side. The lateral calcaneal especially in the heel. Physical examination and medical history are the most important elements to orient us to the diagnosis; however, additional tests as conduction studies may be useful sometimes. Treatment started always conservatively with changes in biomechanical abnormalities, wearing shoes, etc. And may be supplemented with local steroid injection. In some cases when treatment fails surgical management is required.