A Guideline for the Localization of Treatment Points in Heel Pain

Authors : Mücahid Osman Yücel, Sönmez Sağlam, Raşit Emin Dalaslan, Zekeriya Okan Karaduman, Mehmet Arıcan
Pages : 467-472
Doi:10.33631/sabd.1753053
View : 51 | Download : 86
Publication Date : 2025-09-24
Article Type : Research Paper
Abstract :Aim: To determine the target point in the calcaneal region for injection and neuroablation applications in the treatment of plantar fasciitis and Baxter neuropathy using a newly developed three-dimensional approach, providing a more accurate and personalized localization method. Material and Methods: Data from 65 patients who underwent MRI for suspected foot pathology were retrospectively analyzed. The Baxter nerve and the adhesion point of the plantar fascia were identified. Three-dimensional measurements of the medial (horizontal), inferior (longitudinal), and posterior (sagittal) distances from this target area to the skin surface were performed. Correlations between these distances and patient gender as well as shoe size were evaluated. Statistical analyses included descriptive methods, normality testing, and appropriate parametric/non-parametric tests (p<0.05 was considered statistically significant). Results: The mean medial, inferior, and posterior distances were 24.26 ± 4.36 mm, 25.97 ± 3.62 mm, and 42.40 ± 4.60 mm, respectively. Inferior and posterior distances were significantly shorter in women than in men (p < 0.001). A positive correlation was observed between shoe size and both inferior (r = 0.407, p < 0.01) and posterior (r = 0.653, p < 0.001) distances. Conclusion: This study presents a novel three-dimensional method to enhance anatomical localization for the treatment of plantar fasciitis and Baxter neuropathy. Findings demonstrate that gender and shoe size significantly influence distance measurements, supporting the use of this approach to achieve more precise and personalized therapeutic strategies. Furthermore, future prospective and large-scale studies will contribute to confirming its clinical effectiveness.
Keywords : Plantar fasiit, Mononöropatiler, Radyofrekans Ablasyonu, Enjeksiyonlar

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