Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2020.11.007
Brazilian Journal of Anesthesiology
Case Report

Ultrasound block of first branch of the lateral plantar nerve (baxter nerve): case report of a promising and effective treatment for heel chronic pain

Bloqueio ultrassônico do primeiro ramo do nervo plantar lateral (nervo de Baxter): relato de caso de um tratamento promissor e eficaz para dor crônica no calcanhar

Ines Rio Coles, Catarina Lima Vieira, Isabel Barroco Gouveia, Teresa Rebelo, Luís Miguel Agualusa

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Abstract

Chronic heel pain is a challenging diagnosis and although it is a common and disabling condition frequently mistreated. Baxter Nerve (BN) entrapment is responsible for 20% of heel pain and can be managed by an ultrasound guide nerve block, a simple, safe, and durable technique. A 67-year-old woman complained of paraesthesia on the left heel and a “stepping on glass” feeling. Various techniques were performed to manage her symptoms without any results. An ultrasound BN block was finally performed with an instant relief and satisfactory pain control for the follow-up period of 6 months. This clinical report highlights the success of the ultrasound BN block as an effective and lasting solution for chronic heel pain.

Keywords

Baxter nerve;  Ultrasound nerve block;  Heel pain;  Chronic pain;  Pain management

References

1 M.J. Thomas, E. Roddy, W. Zhang, H.B. Menz, M.T. Hannan, G.M. Peat The population prevalence of foot and ankle pain in middle and old age: a systematic review Pain., 152 (2011), pp. 2870-2880

2 J.C. Presley, E. Maida, W. Pawlina, N. Murthy, D.B. Ryssman, J. Smith Sonographic visualization of the first branch of the lateral plantar nerve (baxter nerve): technique and validation using perineural injections in a cadaveric model Journal of ultrasound in medicine, 32 (2013), pp. 1643-1652

3 M.N. Brown, B.S. Pearce, T.K. Vanetti, A.M. Trescot, H.W. Karl Lateral Plantar Nerve Entrapment A.M. Trescot (Ed.), Peripheral Nerve Entrapments: Clinical Diagnosis and Management, Springer International Publishing, Cham (2016), pp. 833-844

4 R.N. Rodrigues, A.A. Lopes, J.M. Torres, M.F. Mundim, L.L.G. Silva, Silva BRdCe Compressive neuropathy of the first branch of the lateral plantar nerve: a study by magnetic resonance imaging Radiol Bras., 48 (2015), pp. 368-372

5 S. Moroni, M. Zwierzina, V. Starke, B. Moriggl, F. Montesi, M. Konschake Clinical-anatomic mapping of the tarsal tunnel with regard to Baxter’s neuropathy in recalcitrant heel pain syndrome: part I Surgical and radiologic anatomy: SRA., 41 (2019), pp. 29-41

6 N.M. Beard, R.P. Gousse Current ultrasound application in the foot and ankle The Orthopedic Clinics North America., 49 (2018), pp. 109-121

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