While plantar fasciitis is the most common cause of heel pain, Baxter’s nerve entrapment accounts for about 20% of cases. This condition occurs when the inferior calcaneal nerve, or Baxter’s nerve, becomes compressed, often due to foot structure abnormalities, repetitive stress, or scar tissue. The Baxter’s nerve runs along the inner side of the heel, branching off the lateral plantar nerve and passing between the abductor hallucis muscle and the heel bone. The pain mimics plantar fasciitis but involves nerve-related pain rather than ligament inflammation. Symptoms include burning, tingling, or sharp pain along the inner heel, often worsening with prolonged standing. Unlike plantar fasciitis, pain may persist at rest or worsen throughout the day. Diagnosis involves clinical examination, nerve conduction studies, and imaging to rule out other conditions. If you have heel pain, it is suggested that you see a podiatrist for a proper evaluation and treatment, which might include custom orthotics, targeted exercises anti-inflammatory medications, or possibly corticosteroid injections to relieve pressure.

Many people suffer from bouts of heel pain. For more information, contact Glenn Davison, DPM of Advanced Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our offices located in Union, NJ and New York . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.