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Year : 1982  |  Volume : 16  |  Issue : 1  |  Page : 51-53

Idiopathic Painful Heel

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V Marwah

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Forty patients of idiopathic painful heel were observed closely. The cause of pain is considered to be neuralgia of medial calcaneal nerve as a result of entrapment or stretching while passing through the flexor retinaculum. Stretching is predisposed in patients with valgoid feet and odesity. Pain can be relieved by walking on outer border of heel of heel causing relaxation of the retinaculum or by superficial injection of one to 2 ml of xylocaine blocking the medial calcaneal nerves. ‘Calcaneal spur’ is thought to be only an association related to the process of aging. Relief obtained after operation for ‘calcaneal spur’ is considered to be due to sectioning of medial calcaneal nerves.

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