KADRİYE BANU KURAN, Tolga AYDOĞ, CEM ERÇALIK, Pınar ARDA, Figen YILMAZ, BERİL DOĞU, Jülide ÖNCÜ, Gülgün DURLANIK

Medial calcaneal neuropathy: A rare cause of prolonged heel pain

Topuk ağrısı ayak ağrılarının %15'ini oluşturur. Ağrı, plantar fasiit, kalkaneal kırık, kalkaneal apofizit, topuk yastığının atrofisi, enflamatuar hastalıklar gibi nedenlere bağlı olabildiği gibi sinir kökenli de olabilir. Tibial, plantar ve/veya medial kalkaneal sinir sıkışması ağrının nöral nedenlerindendir. Medial kalkaneal sinir topuktaki yumuşak dokuların çoğunun duysal innervasyonunu sağlar. Topuk ağrısının nöral kaynaklı olduğunu teşhis etmek için öykü ve dikkatli bir fizik muayene gerekir. Topuk ağrısının diğer nedenleri dışlanmadan önce cerrahi girişim için acele edilmemeli, konservatif tedavi sonrasında tanı yeniden gözden geçirilmelidir.

Medial kalkaneal nöropati: Uzamış topuk ağrısının nadir bir nedeni

Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.

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