A case of lateral calcaneal neuropathy: Lateral heel pain

Ki Hoon Kim, Byung Kyu Park, Dong Hwee Kim

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: Although isolated injury of the sural nerve is frequently reported, entrapment involving the lateral calcaneal branch of the sural nerve (LCSN) is very rare. Methods: We report the case of a 29-year-old man with lateral calcaneal neuropathy of the sural nerve without any history of trauma. The diagnosis was based on clinical, electrophysiologic, and radiologic studies, including ultrasonography (US) and MRI. Results: US revealed a spindle-shaped swelling in the posterior part of the sural nerve around the lateral malleolus. MRI showed a small lesion in the sural nerve close to the lesser saphenous vein around the level of the lateral malleolus. Two months after conservative management, the numbness and tingling in the lateral calcaneal region improved. Conclusions: Entrapment of the LCSN can arise from tight shoes. US is useful for evaluating the cutaneous nerve lesions that may be too small to detect by MRI. Muscle Nerve 54: 801–804, 2016.

Original languageEnglish
Pages (from-to)801-804
Number of pages4
JournalMuscle and Nerve
Volume54
Issue number4
DOIs
Publication statusPublished - 2016 Oct 1

Keywords

  • compression
  • heel pain
  • lateral calcaneal nerve
  • neuropathy
  • sural nerve
  • ultrasonography

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)

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