Method of treating heel pain

Abstract

A method treats heel pain related to a compression of the medial/plantar nerve complex of the heel between the Quadratus Plantae and/or the Abductor Hallucis muscles. The method includes injecting a botulinum toxin into the insertional plantar fascia area of each of the Abductor Hallucis and Quadratus Plantae muscles in a foot of a patient having the heel pain.

What is claimed is: 
     
         1 . A method of treating heel pain related to a compression of the medial/plantar nerve complex of the heel between the Quadratus Plantae and/or the Abductor Hallucis muscles in a patient in need thereof, said method comprising injecting a botulinum toxin into the insertional plantar fascia area of each of the Abductor Hallucis and Quadratus Plantae muscles in a foot of the patient. 
     
     
         2 . The method of  claim 1 , wherein the toxin is injected at the intrinsic foot muscle origins of each of the Abductor Hallucis and Quadratus Plantae muscles at the plantar medial calcaneus. 
     
     
         3 . The method of  claim 1 , wherein the toxin is injected using a needle. 
     
     
         4 . The method of  claim 1 , wherein the placement of the needle at the insertional plantar fascial area of each of the Abductor Hallucis and Quadratus Plantae muscles is confirmed by muscle/nerve stimulation. 
     
     
         5 . The method of  claim 1 , wherein toxin is first injected into the Abductor Hallucis. 
     
     
         6 . The method of  claim 1 , wherein toxin is injected into both the Abductor Hallucis and Quadratus Plantae in the same procedure. 
     
     
         7 . The method of  claim 5 , wherein toxin is injected into the Quadratus Plantae more than one hour after toxin is injection into the Abductor Hallucis. 
     
     
         8 . The method of  claim 1 , further comprising injecting botulinum toxin into the plantar fascia. 
     
     
         9 . The method of  claim 1 , further comprising injecting a dry needle into the plantar fascia. 
     
     
         10 . The method of  claim 1 , further comprising applying botulinum toxin topically to the skin in the area of pain caused by the Plantar Heel Pain Syndrome/Plantar Fasciitis.