sural neuropathy?

Mostly a “zinging” in my left posteriolateral ankle. It feels like a rubber band is being snapped against my ankle. Recently I had a prolonged episode (3 days) wherein it became painful and burning in quality and was more or less constant. It only went away when I did calf stretches combining with 50 mg Lyrica, but still zings on occasion. I first noticed it about 2 months ago in my car and it was very brief (1 second) and then I had a 45 minutes episode about 2 weeks ago, followed by the 3 day episode mentioned above that ended yesterday with the calf stretches/Lyrica.

I stand all day at work and I notice it is worse during that time. It is better with rest and at night. There is no weakness or sensory loss, just the zinging sensation and/or pain. It does not radiate down my legs or back, and straight leg raising is normal. It is worse with standing for long periods of time or walking. The only different thing I have done in the past 2 months is I started running again and have been doing intervals (2-3 miles on treadmill) a couple times a week with barefoot shoes (Vibrum 5 fingers).

Is this sural neuropathy? Or an S1 radiculopathy or some tendon issue? Whats the best non-surgical treatment for this?

One Response

  1. Foot-com

    Hello and thank you for your question. Based on your explanation it does sound like you are experiencing nerve-type pain. I’m assuming you have seen a doctor as you are on Lyrica.

    Many nerve-type symptoms, especially mononeuropathies such as what you are describing are self-limited. After a period of 1-2 months they often resolve.

    What you can do in addition to the Lyrica is consider nerve protective vitamins such as L-methyl folate, acetyl-L-carnitine or Metanx ( In addition, anti-inflammatories can help reduce the nerve inflammation and decrease symptoms. If you are looking for additional options you can consider physical therapy called nerve flossing.

    I hope this helps!

    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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