Joint Injections

  Introduction Baxter’s Nerve Entrapment , also known as inferior calcaneal nerve entrapment, is a condition that can contribute to chronic heel pain. It is often misdiagnosed as plantar fasciitis due to the overlap in symptoms. The condition arises when the first branch of the lateral plantar nerve, known as Baxter’s nerve, becomes compressed or irritated. Anatomy of Baxter’s Nerve Baxter’s nerve is a branch of the lateral plantar nerve, which originates from the tibial nerve. This small but significant nerve travels along the medial aspect of the heel and innervates the abductor digiti minimi muscle of the foot. Due to its anatomical course, Baxter’s nerve is prone to compression between the deep fascia of the abductor hallucis muscle and the medial calcaneal tuberosity. Pathology and Causes of Entrapment Baxter’s nerve entrapment  occurs when the nerve is compressed or irritated due to various factors, including: Repetitive stress and overuse  — Activities such as prol...

  Achilles tendinopathy   is a common condition affecting the Achilles tendon, which connects the calf muscles to the heel bone. This condition is characterised by pain, stiffness, and reduced function in the tendon, often developing due to repetitive strain or overuse. While it is prevalent among athletes, particularly runners, it can also affect individuals who engage in activities that place excessive stress on the tendon. Management options for  Achilles tendinopathy  vary depending on the severity and chronicity of the condition. Among the available treatment modalities, ultrasound-guided cortisone injections have gained attention as a potential intervention for managing tendon-related pain and inflammation. This blog will provide a comprehensive overview of Achilles tendinopathy, including its anatomy, pathology, risk factors, symptoms, diagnosis, and various management approaches. It will also explore the role of ultrasound-guided cortisone injections in manag...

  Introduction Heel bursitis  is a condition that affects the bursae, which are small fluid-filled sacs that cushion and reduce friction between bones, tendons, and muscles. Inflammation of these bursae in the heel region can result in significant pain and discomfort, impacting daily activities such as walking, running, and standing for extended periods. Heel bursitis  can occur due to repetitive stress, excessive pressure, or biomechanical abnormalities. While various treatment options exist,  ultrasound-guided cortisone injections  have been used to target inflammation with precision. Anatomy of the Heel The  heel  is a complex structure composed of bones, soft tissues, and bursae. Key anatomical components include: Calcaneus (heel bone)  — The largest bone in the foot, responsible for weight-bearing. Achilles tendon  — Connects the calf muscles to the heel bone and plays a crucial role in movement. Retrocalcaneal bursa  — Located betw...