177. Baxter’s Nerve: The Overlooked Cause of Chronic Medial Heel Pain

Send us Fan Mail In this PT Snacks episode, host Kasey introduces Baxter’s nerve (the first branch of the lateral plantar nerve, also called the inferior/anterior calcaneal nerve) as an under-recognized source of medial plantar heel pain that can mimic plantar fasciitis and may account for up to 20% of chronic heel pain. We review the nerve’s motor and sensory roles, common entrapment zones near the distal tarsal tunnel and medial calcaneal tuberosity, and typical presentation including burning neuropathic pain, possible paresthesia, focal tenderness, and potential abductor digiti minimi weakness or atrophy. This episode outlines key differentials, relevant imaging and testing findings (ultrasound, MRI, EMG/NCS), and a treatment progressions. 00:00 Welcome to PT Snacks 00:14 Baxters Nerve Overview 02:14 Why It Matters 03:03 Anatomy and Entrapment 04:45 Symptoms and Differentials 06:11 Imaging and Testing 07:22 Clinical Exam Clues 09:04 Treatment Options 11:12 Key Takeaways 12:58 Wrap Up and Contact Need CEUs? Unlock unlimited online courses, live webinars, and certification-prep programs with MedBridge. You’ll get thousands of accredited, evidence-based courses. Use code PTSNACKSPODCAST at checkout to save over $100. Student? Use code PTSNACKSPODCASTSTUDENT Support the show Studying for the NPTE? Check out PT Final Exam — they’ve helped thousands of students pass with confidence. Use code PTSnacks at checkout for a discount. Stay Connected! Follow so you never miss an episode. Send your questions via email to ptsnackspodcast@gmail.com Join the email list HERE Support the Show: Share the episode with someone who'd benefit. Contributing directly to the "support" link. Thanks for tuning in—your support makes this all possible!