Heel Neuroma: A Case Study

• Published in: The Journal of foot and ankle surgery Vol. 48; no. 3; pp. 376 - 379
• Main Authors: Plotkin, David, DPM, FACFAS, Patel, Dixit, DPM, Roberto, Ted, DPM
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2009; Elsevier
• Subjects: Biological and medical sciences; calcaneus; Diseases of the osteoarticular system; fasciitis; Heel - surgery; Humans; Male; Medical sciences; Middle Aged; nerve; Neuralgia - etiology; Neuralgia - therapy; neuritis; Neuroma - pathology; Neuroma - therapy; Orthopedics; pain; Paresthesia - etiology; Paresthesia - therapy; Peripheral Nervous System Neoplasms - pathology; Peripheral Nervous System Neoplasms - therapy; Sclerotherapy; tarsal tunnel; Tibial Nerve; fasciitis; tarsal tunnel; pain; neuritis; calcaneus; nerve; Human; Connective tissue disease; Skin disease; Nervous system diseases; Heel; Neuroma; Nevritis; Calcaneum; Fasciitis; Foot; Case study; Pain; Orthopedics; Benign neoplasm
• ISSN: 1067-2516; 1542-2224
• DOI: 10.1053/j.jfas.2009.01.013

This article reviews the diagnosis, pathology, and treatment of plantar heel neuroma, an entity that has previously been described and recognized, yet one that we feel warrants further review because of the prevalence of plantar heel pain that does not respond to the usual array of treatments. We feel that neuroma of the medial calcaneal nerve often goes undiagnosed, and may progress to a severely painful condition that requires surgical intervention. In this article, we describe another case of heel neuroma in an otherwise healthy patient with a history of chronic plantar heel pain that was unresponsive to a wide array of nonsurgical treatments. Level of Clinical Evidence: 4