The medial calcaneal nerve is a section of tibial nerve. It travels downwards to the inner side of the ankle. It supplies the skin over the inner side of heel. The symptoms of this condition are similar to tarsal tunnel syndrome. Pain radiates from the medial side of heel towards the center of heel. The nerve may become entrapped due to extreme overpronation or pressure from the shoes.
Symptoms of Medial Calcaneal Nerve Entrapment
- Acute pain downward from the medial malleolus.
- Radiating pain to the inferior region of the sole of foot.
- The pain is exacerbated by strenuous activities like running.
- Tenderness is present around medial malleolus.
- Tingling or burning sensation in the areas supplied by the nerve.
- Tinel's test is positive.
Treatment of Medial Calcaneal Nerve Entrapment
- Rest should be taken from activities that can exacerbate the condition.
- Cold therapy application.
- Anti-inflammatories such as ibuprofen can be used for pain relief.
- In case of abnormalities like overpronation, it needs to be corrected by changing shoe wear or by using insoles.
- Massage can be done.
- Orthotics can be used.
- Patient should enrol in a rehabilitation program to restore complete range of motion and strength of ankle.
- Ultrasound therapy can be done by a sports specialist.
- If pain is not relieved through conservative treatment, then steroid injections may be given.
- If the patient does not benefit from conservative treatment, then surgical procedure may be done for decompression of nerve.