Bilateral radiating foot pain advise

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pt, 28 yrs female, has bilateral foot pain 4 months duration
burning pain over the medial aspect of foot, radiating proximally to the leg,
, h/o rest and night pain,present. xylocaine injection over the
posterior tibial nerve relived the pain for a day.

clinically suggestive of tarsal tunnel syndrome, NCS normal.

how to differentiate plantar fascitis with nerve compression

suresh

 

Re: bil. foot pain

Hello Suresh:
If the xylocaine injection provided relief of a day, it is very suggestive or a medial calcaneal neuritis or tarsal tunnel syndrome. It is not uncommon to see a negative NCS with TTS.
A diagnostic ultrasound will also help in diagnosing plantar fasciitis if the ligament is thickened more than 3 mm. Also clinical symptomatology should correlate with diagnosing PF such as pain upon arising from a resting position, etc.
Hope this helps.
Regards,
Narmo