Distal medial plantar neuropathy in infantry soldiers Academic Article uri icon


  • Physicians in basic military training units of the Israeli defense forces (IDF) frequently encounter soldiers with forefoot sensory symptoms.1 In this study we prospectively evaluated the clinical characteristics and prevalence of distal forefoot sensory disturbances among infantry recruits. All the soldiers of an infantry unit (4 to 6 weeks into their basic training) were asked to report sensory disturbances in their feet. All subjects who reported plantar sensory symptomatology were evaluated by a neurologist (G.I.). Evaluation included a standard neurologic examination and an accurate delineation of the involved region. Evaluated subjects also scored their symptoms according to the Michigan Neuropathy Screening Instrument (MNSI)2 which was modified to the military setting. The study was approved by the ethical committee of the IDF medical corps, and all participants signed informed consent prior to evaluation. During the study period, nerve conduction studies were conducted in infantry recruits referred to our electrodiagnostic laboratory due to similar symptoms. Compound medial plantar nerves (MPN) potentials were tested with the recording electrode …

publication date

  • January 1, 2006