Hi everybody,
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I'm wondering what opinions people have for diagnostic testing (other than clinical exam) for nerve entrapments around the tarsal tunnel. From what I've read, electrodiagnostic tests are not very accurate especially for smaller nerve fibers and there is not much research to support using ultrasound. The orthopedists I work with who treat heel pain may do an MRI which often shows involvement of the plantar fascia but I don't know if MRI can show involvement of the nerves. I have several patients whose clinical exams seem very consistent with a neural origin to their pain but in the absence of a diagnostic test, I find the diagnosis from the doc (ortho or DPM) is always plantar fasciitis. Any thoughts?
Thank you!
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