Home Forums Marketplace Table of Contents Events Member List Site Map Register Mark Forums Read



Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

If you have any problems with the registration process or your account login, please contact contact us.


Tags:

Medial plantar nerve entrapment?

Reply
Submit Thread >  Submit to Digg Submit to Reddit Submit to Furl Submit to Del.icio.us Submit to Google Submit to Yahoo! This Submit to Technorati Submit to StumbleUpon Submit to Spurl Submit to Netscape  < Submit Thread
 
Thread Tools Display Modes
  #1  
Old 28th February 2012, 06:14 PM
house house is offline
Member
 
About:
Join Date: Oct 2010
Location: Australia
Posts: 10
Join Date: Oct 2010
Marketplace reputation 0% (0)
Thanks: 4
Thanked 0 Times in 0 Posts
Default Medial plantar nerve entrapment?

Podiatry Arena members do not see these ads
Hi there,
I had a patient come in today, 55yo female with a painful medial foot, basically only when she uses the clutch or foot parking brake in her car. Pain is sharp/shooting, and doesnt occur regularly. It usually resolves within minutes. The location of pain is along the dorsal 1st metatarsal, but was unable to be palpated. There was no pain on active/passive/resisted movement only some slight discomfort on DF. She is able to do as much walking/activity as she wants without reproducing the symptoms
Biomechanically, the foot was abducted compared to the left but other than that no abnormalities. Ankle DF was restricted.
I am suspecting medial plantar nerve entrapment, but am keen to hear others' thoughts. Is there much conservative treatment for this if it is a nerve entrapment? Will stretching/improving ROM help symptoms?
One option was to get an automatic car :p
Rory
Reply With Quote
Sponsored Links
  #2  
Old 28th February 2012, 08:53 PM
Admin2's Avatar
Admin2 Admin2 is offline
Administrator
 
About:
Join Date: May 2005
Location: Cyberspace
Posts: 3,770
Join Date: May 2005
Marketplace reputation 0% (0)
Thanks: 15
Thanked 128 Times in 113 Posts
Default Re: Medial plantar nerve entrapment?

Related threads:
Baxter's Neuritis (Medial Calcaneal Nerve Neuritis)
Neurogenic etiology of heel pain
Radiofrequency thermal lesioning for 'neuritis' heel pain
Diagnosis for all heel pain "plantar fasciitis"?
Heel pain: Biomechanical and sensory differences
Reply With Quote
  #3  
Old 28th February 2012, 08:58 PM
Kevin Kirby's Avatar
Kevin Kirby Kevin Kirby is offline
Podiatry Arena Veteran
Most Valuable Poster (MVP)
 
About:
Join Date: Nov 2004
Posts: 7,329
Join Date: Nov 2004
Marketplace reputation 0% (0)
Thanks: 380
Thanked 2,057 Times in 1,135 Posts
Default Re: Medial plantar nerve entrapment?

Quote:
Originally Posted by house View Post
Hi there,
I had a patient come in today, 55yo female with a painful medial foot, basically only when she uses the clutch or foot parking brake in her car. Pain is sharp/shooting, and doesnt occur regularly. It usually resolves within minutes. The location of pain is along the dorsal 1st metatarsal, but was unable to be palpated. There was no pain on active/passive/resisted movement only some slight discomfort on DF. She is able to do as much walking/activity as she wants without reproducing the symptoms
Biomechanically, the foot was abducted compared to the left but other than that no abnormalities. Ankle DF was restricted.
I am suspecting medial plantar nerve entrapment, but am keen to hear others' thoughts. Is there much conservative treatment for this if it is a nerve entrapment? Will stretching/improving ROM help symptoms?
One option was to get an automatic car :p
Rory
Rory:

The medial plantar nerve supplies the plantar foot, not the dorsal 1st metatarsal. Both the deep peroneal and medial dorsal cutaneous nerves supply the dorsal 1st metatarsal.
__________________
Sincerely,

Kevin

**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College

E-mail: kevinakirby@comcast.net
Website: www.KirbyPodiatry.com

Private Practice:
107 Scripps Drive, Suite 200
Sacramento, CA 95825 USA
My location

Voice: (916) 925-8111 Fax: (916) 925-8136
**************************************************
Reply With Quote
  #4  
Old 14th March 2012, 06:46 PM
house house is offline
Member
 
About:
Join Date: Oct 2010
Location: Australia
Posts: 10
Join Date: Oct 2010
Marketplace reputation 0% (0)
Thanks: 4
Thanked 0 Times in 0 Posts
Default Re: Medial plantar nerve entrapment?

Sorry, thinking about the case again, I'd meant to say that the pain was medial/plantar 1st Met, dont know why I put dorsal...
In terms of treatment/management what can be done if it is a nerve entrapment?
Regards
Rory
Thread Starter
Reply With Quote
  #5  
Old 15th March 2012, 03:55 PM
RobinP's Avatar
RobinP RobinP is offline
Podiatry Arena Veteran
 
About:
Join Date: Dec 2009
Location: Isle of Man UK
Posts: 1,322
Join Date: Dec 2009
Marketplace reputation 0% (0)
Thanks: 153
Thanked 260 Times in 198 Posts
Default Re: Medial plantar nerve entrapment?

Rory,

I think you need to be solid about your diagnosis of nerve entrapment, medial plantar or otherwise before you embark upon a treatment plan.

Think what tests you can do to determine if your suspected diagnosis is correct. If they turn up to be negative, what are the structures that underlay the area of greatest pain. Build up your differential diagnosis and eliminate them.

Hope this helps(hint- Tinels sign/slump/SLR)
__________________
I see you girls checkin' out my trunks
I see you girls checkin' out the front of my trunks
I see you girls lookin' at my junk, then checkin' out my rump, then back to my sugarlumps
Reply With Quote
Reply



Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts
vB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Forum Jump

Translate This Page

Similar Threads
Thread Thread Starter Forum Replies Last Post
Baxter's Neuritis (Medial Calcaneal Nerve Neuritis) Jaimee Brent General Issues and Discussion Forum 13 24th January 2014 06:18 PM
Peroneal nerve entrapment 56Furman General Issues and Discussion Forum 2 6th September 2013 06:22 PM
medial nerve RSSFeedBot Foot Health Forum 0 17th January 2011 12:40 AM
Medial arch support vs low dye taping for plantar fasciitis NewsBot Biomechanics, Sports and Foot orthoses 6 4th December 2010 03:57 PM
How do you resolve chronic wounds at plantar/medial hallux? TEW General Issues and Discussion Forum 12 19th March 2007 11:15 AM


New To Site? Need Help?

Finding your way around:

Browse the forums.

Search the site.

Browse the tags.

Search the tags.


All times are GMT -7. The time now is 04:13 PM.