Baxter’s neuropathy is one of the overlooked causes of chronic heel pain. Diagnosing neuropathy in Baxter’s can be challenging due to its potential occurrence as a secondary condition to other common syndromes that cause heel pain, such as plantar fasciitis, calcaneal spur, hypertrophic muscle, tenosynovitis, space-occupying lesions or trauma. Ultrasound is a reliable and easily accessible device that guides injections for the treatment of Baxter’s neuropathy. We have written this letter as a guide, especially for beginner and professional pain specialists.
MoroniSZwierzinaMStarkeV, et al. Clinical-anatomic mapping of the tarsal tunnel with regard to Baxter’s neuropathy in recalcitrant heel pain syndrome: part I. Surg Radiol Anat2019; 41: 29–41.
2.
MorrisseyDCotchettMSaid J’BariA, et al. Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values. Br J Sports Med2021; 55: 1106–1118.
3.
KimYHChaiJWKimDH, et al. A problem-based approach in musculoskeletal ultrasonography: heel pain in adults. Ultrasonography2022; 41: 34–52.
4.
RodriguesRNLopesAATorresJM, et al. Compressive neuropathy of the first branch of the lateral plantar nerve: a study by magnetic resonance imaging. Radiol Bras2015; 48: 368–372.
5.
PresleyJCMaidaEPawlinaW, et al. Sonographic visualization of the first branch of the lateral plantar nerve (Baxter nerve): technique and validation using perineural injections in a cadaveric model. J Ultrasound Med2013; 32: 1643–1652.
