Medial kalkaneal n�ropati: Uzam�� topuk a�r�s�n�n nadir bir nedeni

Kuran, Banu; Aydo�, Tolga; Er�al�k, Cem; Arda, P�nar; Yilmaz, Figen; Do�u, Beril; Oncu, Julide; Durlan�k, G�lg�n

ISSN : 1300-0012 E-ISSN 2458-9446

Anasayfa | �leti�im | ENG

Cilt: 36 Say�: 2 Y�l: 2024

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Medial kalkaneal n�ropati: Uzam�� topuk a�r�s�n�n nadir bir nedeni [A�r�]

A�r�. 2017; 29(1): 43-46 | DOI: 10.5505/agri.2015.13540

Medial kalkaneal n�ropati: Uzam�� topuk a�r�s�n�n nadir bir nedeni

Banu Kuran¹, Tolga Aydo�², Cem Er�al�k³, P�nar Arda³, Figen Yilmaz³, Beril Do�u³, Julide Oncu³, G�lg�n Durlan�k³
¹�stanbul Yeni Y�zy�l �niversitesi, Sa�l�k Bilimleri Fak�ltesi, Fizyoterapi Ve Rehabilitasyon B�l�m�, �stanbul
²Ac�badem T�p Fak�ltesi, Fiziksel T�p Ve Rehabilitasyon Ana Bilim Dal�,i̇stanbul
³�i�li Hamidiye Etfal E�itim Ara�t�rma Hastanesi, Fiziksel T�p Ve Rehabilitasyon Klini�i,i̇stanbul

Topuk a�r�s� ayak a�r�lar�n�n %15�ini olu�turur. A�r�, plantar fasiit, kalkaneal k�r�k, kalkaneal apofizit, topuk yast��n�n atrofisi, enflamatuar hastal�klar gibi nedenlere ba�l� olabildi�i gibi sinir k�kenli de olabilir. Tibial, plantar ve/veya medial kalkaneal sinir s�k��mas� a�r�n�n n�ral nedenlerindendir. Medial kalkaneal sinir topuktaki yumu�ak dokular�n �o�unun duysal innervasyonunu sa�lar. Topuk a�r�s�n�n n�ral kaynakl� oldu�unu te�his etmek i�in �yk� ve dikkatli bir fizik muayene gerekir. Topuk a�r�s�n�n di�er nedenleri d��lanmadan �nce cerrahi giri�im i�in acele edilmemeli, konservatif tedavi sonras�nda tan� yeniden g�zden ge�irilmelidir.

Anahtar Kelimeler: Topuk a�r�s�, medial kalkaneal, sinir.

Medial calcaneal neuropathy: A rare cause of prolonged heel pain

Banu Kuran¹, Tolga Aydo�², Cem Er�al�k³, P�nar Arda³, Figen Yilmaz³, Beril Do�u³, Julide Oncu³, G�lg�n Durlan�k³
¹Deparment of Physiotherapy and Rehabilitation, �stanbul Yeni Yuzyil University Faculty of Health Sciences, Istanbul, Turkey
²Department of Physical Medicine and Rehabilitation, Ac�badem University Faculty of Medicine, �stanbul, Turkey
³Department of Physical Medicine and Rehabilitation, �i�li Hamidiye Etfal Training and Research Hospital, �stanbul, Turkey

Pain heel constitutes 15% of foot pain. Pain may be caused by plantar fasciitis, calcaneal fractures, calcaneal apophysitis, heel pad atrophy, inflammatory diseases or related with nerve involvement. Tibial, plantar and/or medial nerve entrapment are the neural causes of pain. Most of the heel soft tissue sensation is provided by medial calcaneal nerve. Diagnosis of heel pain due to neural causes depends on history and a careful examination. Surgery should not be undertaken before excluding other causes of heel pain. Diagnosis should be reconsidered following conservative therapy.

Keywords: Heel pain, medial calcaneal, nerve.

Banu Kuran, Tolga Aydo�, Cem Er�al�k, P�nar Arda, Figen Yilmaz, Beril Do�u, Julide Oncu, G�lg�n Durlan�k. Medial calcaneal neuropathy: A rare cause of prolonged heel pain. A�r�. 2017; 29(1): 43-46

Sorumlu Yazar: Banu Kuran, T�rkiye

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