A Guideline for the Localization of Treatment Points in Heel Pain

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