- compressive neuropathy 1st branch Lateral Plantar Nerve (Baxter nerve) with adverse neural tension
- FHL/FDL stenosing tenosynovitis
- distal plantar fasciapathy
- partial tear of medial plantar fascia at calconeus
- mild metatarsalgia/capsulitis 2nd metatarsal
- Cuboid syndrome
- mild herniation L3/L4
The whole list is either caused by #1 or causes #1 to develop/worsen. The diagnosis of entrapment was correct...only a different nerve is the issue. Or, may be it was in conjunction, but not the main cause of this incredibly increasingly bad pain. I am pretty pissed off at over a month of time wasted on wrong therapy. For the future, if you need to know the real problem - see a doctor-specialist, not a chiropractor (as great as they can be). If your foot hurts, it's time to see a foot doctor, not a sport medicine doctor, not a chiro, not LMT...Apparently, Dr. Baxter is from Houston, TX, and Dr. Spears I saw had orthopedic surgery specialization under Dr. Baxter. What are the odds...
A bunch of medical mumble-jumble:
Baxter nerve entrapment information, diagnosis and treatment.
The first branch of the lateral plantar nerve travels between the deep fascia of the abductor hallucis and the medial fascia of the quadratus plantae and then continues deep to the flexor digitorum brevis muscle. Although somewhat variable, it has several branches. It typically provides a sensory branch to the medial calcaneal tuberosity, motor branches to the flexor digitorum brevis muscle, and sometimes a motor branch to the quadratus plantae. It then provides a sensory branch to the lateral heel and a motor branch to the abductor digiti quinti muscle.
Entrapment of the first branch of the lateral plantar nerve beneath the deep fascia of the abductor hallucis muscle and/or beneath the medial edge of the quadratus plantae fascia are the most commonly seen causes of tarsal tunnel syndrome.
Symptoms usually worsen with increased activity, as well as toward the end of the day and after long periods of standing, walking, or running. Prolonged standing in one place may be an aggravating factor (here is the reason I am having hard time standing in the kitchen!). Most patients continue to have pain or burning ("after pain" or "after burn") for 30 minutes to several hours after they are off their feet (tell me about it, I sit at work and feel the burn).
Prognosis - PT for 3 months, no running, cross-training with what does not cause pain. In general a pour outcome and surgery eventually required in most cases. I will have to really think in the next couple of weeks as I go through PT if may be I want surgery right away (recovery of 2-3 weeks non-bearing exercises and then introducing weight-bearing), this way there is still hope to make it through at least my mid-season, which is the most important anyway. I am giving up 3M half-marathon and Austin marathon (so much for plans to PR, train for speed, enter ultra season in fast shape...). I am not giving up anything beginning April. I am resolved (after spending some time crying) that I will get in shape on all those machines I hate so much (and had been using for 6 months sans December, in which I got overzealous with running miles and meeting arbitrary goals and had put my already not-directly-pointed recovery further back than where it was to begin with), I will adjust my food intake (what and how much) to the fact I don't do cardio my body may demand for a proper burning, I will focus on yoga for those herniated disks rearing their heads back to their 12-year old history, and I will not give up my dreams and passion. And I will buy those soft sleepers so I can stand in my kitchen and keep cooking meals every night:)
No pity, but encouragements are appreciated. I am pretty seriously tired, discouraged and in need of a good ass-kicking. Oh, man, back to spin classes...