Heel neuroma: the enigma of recalcitrant heel pain and an innovative approach highlighting sixty surgical cases and a review of two hundred and fifty-seven symptomatic but non-surgical cases

Autor: Ira D. Shandles, Katy Reynolds, James Pruchniewski
Rok vydání: 2002
Předmět:
Zdroj: The Foot. 12:10-20
ISSN: 0958-2592
DOI: 10.1054/foot.2001.0712
Popis: The authors report resolution of recalcitrant heel pain by describing new insights into innervation of the heel. They elucidate biomechanical mechanisms responsible for entrapment of this innervation and explain the diagnostic and therapeutic techniques necessary to manage this etiology, including an innovative therapeutic approach. A one-to-ten year follow-up of the course of 317 heel pain syndrome patients was conducted. The first 216 cases were treated by basic technology providing a cure, with 161 patients responding to a conservative approach and 55 requiring surgery. The final 101 cases received Diapulse i combined with their conservative care and 96 responded while only five required surgery. A 95% success rate of cure was achieved using the new technology without surgery. The sixty surgical cases are proposed as confirmation of the diagnosis because all are accompanied by irrefutable pathological reports. All surgical cases preoperatively were in turn subjected to the same diagnostic and therapeutic protocols as the non-surgical.
Databáze: OpenAIRE