Medial Plantar Nerve Entrapment

Brown, Michael N.; Pearce, Beth S.; Trescot, Andrea M.; Karl, Helen W.

doi:10.1007/978-3-319-27482-9_75

Cited by 6 publications

(14 citation statements)

References 57 publications

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“…The reported causes include foot structural abnormalities, running in unsupported shoes, extrinsic compression, tenosynovitis of adjacent tendons, and post-surgery [85]. The entrapment of the nerve between the knot of Henry (fascial sling formed by the crossing of the flexor digitorum longus and the flexor hallucis longus tendon) and the navicular tuberosity is the most common cause of "Jogger's foot" [72].…”

Section: Etiologymentioning

confidence: 99%

“…Supportive shoe wear and orthotics may be tried initially to prevent excessive pronation of the foot. US-guided nerve blocks and surgery could be utilized in recalcitrant cases [85].…”

Section: Treatmentmentioning

confidence: 99%

“…However, a recent systematic review found that about 50 % of patients relapse with pain after 1 year following corticosteroid injection and surgical treatment is eventually needed in 33 % of cases [95]. Surgical resection remans the definitive mode of treatment [85].…”

Section: Treatmentmentioning

confidence: 99%

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Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Manoharan

Sudhakaran

Goyal

et al. 2021

European Journal of Radiology

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This review discusses the relevant anatomy, etiopathogenesis, current notions in clinical and imaging features as well as management outline of lower limb entrapment neuropathies. Methods: The review is based on critical analysis of the current literature as well as our experience in dealing with entrapment neuropathies of the lower limb. Results: The complex anatomical network of nerves supplying the lower extremities are prone to entrapment by a heterogenous group of etiologies. This leads to diverse clinical manifestations making them difficult to diagnose with traditional methods such as clinical examination and electrodiagnostic studies. Moreover, some of these may mimic other common conditions such as disc pain or fibromyalgia leading to delay in diagnosis and increasing morbidity. Addition of imaging improves the diagnostic accuracy and also help in correct treatment of these entities. Magnetic resonance imaging is very useful for deeply situated nerves in pelvis and thigh while ultrasound is well validated for superficial entrapment neuropathies. Conclusion: The rapidly changing concepts in these conditions accompanied by the advances in imaging has made it essential for a clinical radiologist to be well-informed with the current best practices.

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Section: Etiologymentioning

confidence: 99%

“…Supportive shoe wear and orthotics may be tried initially to prevent excessive pronation of the foot. US-guided nerve blocks and surgery could be utilized in recalcitrant cases [85].…”

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Manoharan

Sudhakaran

Goyal

et al. 2021

European Journal of Radiology

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“…Entrapment at the level of the knot of Henry commonly occurs in runners and is called “Jogger’s Foot” (Fig. 3 ) [ 2 , 29 , 30 ]. Other causes include extrinsic compression from space-occupying lesions, tenosynovitis of adjacent tendons, and structural foot abnormalities [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Nerve entrapment syndromes of the lower limb: a pictorial review

Kumar,

Mangi,

Zadow

et al. 2023

Insights Imaging

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Peripheral nerves of the lower limb may become entrapped at various points during their anatomical course. While clinical assessment and nerve conduction studies are the mainstay of diagnosis, there are multiple imaging options, specifically ultrasound and magnetic resonance imaging (MRI), which offer important information about the potential cause and location of nerve entrapment that can help guide management. This article overviews the anatomical course of various lower limb nerves, including the sciatic nerve, tibial nerve, medial plantar nerve, lateral plantar nerve, digital nerves, common peroneal nerve, deep peroneal nerve, superficial peroneal nerve, sural nerve, obturator nerve, lateral femoral cutaneous nerve and femoral nerve. The common locations and causes of entrapments for each of the nerves are explained. Common ultrasound and MRI findings of nerve entrapments, direct and indirect, are described, and various examples of the more commonly observed cases of lower limb nerve entrapments are provided.Critical relevance statement This article describes the common sites of lower limb nerve entrapments and their imaging features. It equips radiologists with the knowledge needed to approach the assessment of entrapment neuropathies, which are a critically important cause of pain and functional impairment.Key points• Ultrasound and MRI are commonly used to investigate nerve entrapment syndromes.• Ultrasound findings include nerve hypo-echogenicity, calibre changes and the sonographic Tinel’s sign.• MRI findings include increased nerve T2 signal, muscle atrophy and denervation oedema.• Imaging can reveal causative lesions, including scarring, masses and anatomical variants. Graphical Abstract

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“…The presentation of TTS is an insidious onset of neuralgic heel pain, typically unilateral, aggravated by activity and relieved by rest. This may present as poorly localized paraesthesia, dysesthesia and/or hyperaesthesia radiating from the retro-malleolar region to the sole, heel or forefoot, or a combination of these areas (Brown et al, 2016;McSweeney & Cichero, 2015). In the later stages, wasting of the intrinsic muscles might be seen (Williams & Robinson, 2009).…”

Section: Introductionmentioning

confidence: 99%

High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol

Reilly¹,

Uddin²

2021

Preprint

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Tarsal tunnel syndrome is a focal compressive neuropathy of the posterior tibial nerve or one of its associated branches. Brief mention is made in the literature of the use of corticosteroid injections for this condition. The basic technique of hydrodissection is used for other nerve entrapments and includes identifying the region of nerve compression, and the injection of a fluid medium to dissect between structures or fascial planes. We introduce our treatment protocol using a methylprednisolone/sterile water/ropivacaine hydrochloride injectate mix and peripheral nerve stimulation to a perform hydrodissection technique for tarsal tunnel syndrome.

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Medial Plantar Nerve Entrapment

Cited by 6 publications

References 57 publications

Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Clinico-radiological review of peripheral entrapment neuropathies – Part 2 Lower limb

Nerve entrapment syndromes of the lower limb: a pictorial review

High Volume Injection (Hydrodissection) for Tarsal Tunnel Syndrome Using Peripheral Nerve Stimulation: Treatment Protocol

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