Ankle Reconstruction And Tarsal Tunnel Release
Jun 5, 2016
I'm looking for any kind of help/relief from tarsal tunnel symptoms and pain. I had a severe sprain (lateral ankle and high ankle) the end of October that has just turned into so many additional problems, one of them now being tarsal tunnel. I've had the EEG to confirm. I've done cortisone, steroids, PT with ultrasound and all kinds of other treatments. I need to have ankle reconstruction done and they are planning on the tarsal tunnel release at the same time. It should have been scheduled and done already, but I managed to herniate L5/S1 so bad that surgery couldn't wait on my back. I'm almost at 3 mos post op for that. With the recovery for that all my ankle problems had subsided because I wasn't working or on my feet much at all.
Now I'm back to work and living my normal life again - all the pain and swelling is coming back. In the last week, the aching, burning and tingling has kept me up three nights. I try and stay off my feet at work as much as I can (I only work 3 days, 5-6 hrs a day), but by the time I get home my foot hurts so bad I could cry. It's the inside ankle, heal, arch and now even the front of my ankle going up into my shin. I bought some KT tape and plan to take it to PT (for my back) to see if they will show me how to apply it for my ankle.
Any advise or similar symptoms. I have an appointment to follow up this Thursday. I'm hoping for maybe another injection (last one was in January) just to get me through til I get the surgery. I really don't want this during the summer, I'd much rather hold off until early fall.
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I just had tarsal tunnel release yesterday and am wondering what others took for pain. My doctor asked me what I generally take and I told him NORCO. I've taken it for years, sparingly, for back pain and am wondering if I've built up a tolerance as it's not working too well right now.
He was so generous to give my husband his cell number since it's the holidays so we could call him if needed but I don't want to seem like a wimp.
I have addison's disease and pain is not good for me at all.
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I just had tarsal tunnel surgery and it's been about 5 days. I was wondering whether anyone has had this surgery done and how long does it take before you start feeling better? I have about just the same amount of pain now after surgery. I'm beginning to wonder if it didn't work at all?
I know this procedure is rare so, please, if you had it, can you tell me your experience?
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I couldn't take it anymore and finally called for my test results. I don't see the dr until Feb 8th. From my sprain on Oct 30th he says I have instability in my ankle that has not improved with PT and wearing a brace so he ordered the MRI to see what was going on before we schedule surgery. Apparently it didn't show any tears, which I find very hard to believe since he was certain I had at least one if not more in addition to my high ankle sprain. Anyway, maybe he will see something the radiologist didn't.
Has anyone else has tendinitis and tarsal tunnel? I'm curious on how you were treated. I was on crutches for 2 weeks after the injury, then it wasn't improving so I went to an orthopedic during the 3rd week in which he put me in a brace and sent me for 6 weeks of PT. After my recheck was when he sent me for the MRI and EMG (because of numbness & tingling) and said give it another 4 weeks of healing and prescribed me a dose of steroids. At that point he discussed the possibility of going in to tighten up the ligaments in my ankle because it's so "loose".
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I have had ankle problems with pain and instability for about 7 years and have had two surgeries to try to repair my ligaments thinking that instability was my main problem and the cause of my pain. After my first surgery (brostrom)failed to relieve any pain and after about 6 months my instability came back as well I had another surgery (complete lateral ligament reconstruction w/ cadaver tendon) which I am 4 months post op from and am still having extreme pain and even rolled my ankle while wearing a brace.
The pain I have and have had for about 2 years is an intense burning pain starting from the inside of my arch by my big toe wrapping around my heel behind my ankle bone and sometimes on a bad day the pain extends into the side of my calf. It happens whenever I am active especially when doing anything other than walking. (Speed walking, hopping, one leg balances) I also have nerve pain that locks my whole foot out and sends tingling pain into my big toe when ever tapping on a spot on the outside/ front of my ankle. When I get this pain it is so strong that I can barely stand or walk and takes hours to wear off after activity. Does anyone have any idea what this would be? Has anyone had anything like this? Is this why none of my surgeries have seemed to work because they are correcting the wrong problem?
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Is there anyone that would be willing to share their journey post tarsal tunnel release surgery with me. This has been and is so hard. I had the open procedure on the right foot and need it on the left when I heal. I notice no real change in sensation. I know it could take up to a year but I was wondering what different people experienced. The doctor found varicose veins wrapped around all three branches. He said the nerves looked healthy-whatever that is worth. They feel pathetic. He just moved the veins "out of the way" What prevents them from migrating back around the nerve? I don't think deep varicose veins in the feet are something that can be removed. But if I don't feel better soon, I am going to opt for bilateral below the knee amputations. I know the recovery is slow. I have been out of work for over 4 months because I kept injuring my ankles and finally tore the peroneal tendon in the right leg. That was fixed in December. Then I got sciatica and they found 4 herniated discs. Wound up with three epidural injections in the spine. It was only after that resolved that they would even address the tarsal tunnel. I went to 3 different doctors with no diagnosis until I really screwed up my ankle tearing the tendon. What gives with this disorder? I have never come across it. I don't know if I will ever be able to return to work. My whole life is in shambles right now.
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I had surgery for tarsal tunnel on Tuesday, December 22nd. I've been moving around on crutches, which I find very hard to do. LOL My husband picks at me because he says I am not even coordinated enough to walk on crutches.
Anyway, ever so often I will remove the aircast just to let my foot "breathe". They have an ace bandage all the way up almost to my knee and some type of bandaging underneath the ace bandage.
On the inside of the aircast is a big bloody spot and there is a bloody spot on the ace bandage. Oh, I'd say about 3 to 4 inches long.
Should I be worried that it is bleeding? Or is this normal?
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I feel I have been getting no help from foot doctor. Hopefully someone here can help. I am 13 weeks post op for tarsal tunnel and plantar fasciitis surgery. I have recently thrown my back out because I can not walk right. I am walking on part of my incision. It feels like it is going to rip open, burns and this part looks different from the rest of inclusion. My doctor is giving me ultrasound therapy on incision but it is not working. I asked to go to physical therapy but he does not believe in it. I am at wits end. Hurts foot to walk and walking makes my back feel better. I am not in any form of a cast. I am walking with sneakers that he recommended. No arch support because that is where incision is located. I am getting very depressed with summer here and I can not enjoy it. I do not see the doctor for 2 more weeks. Any advice or suggestions? I keep getting Vicodin for pain but I am afraid of getting addicted. Can not take Advil or anything in that family.
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Awaiting tts surgery. Can anyone tell me how long i will need to take off work . I work 45hrs weekly in retail . So i am on my feet all day
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Been having excruciating foot pain had every test and specialist latest diagnosis is tts had 1 injection worked 5 days 2 not at all been 4 days and have to wait 3 more till I see pain management had emg neg MRI back and feet spinal tap for Lyme neuro lots meds ra ruled out acupuncture no help 4 sets bloodwork plus more podiatrist did exam foot x rays and steroids oral says not feet saw foot ortho says same not feet pain management says is feet they missed it as emg only 50% accurate. Help who do I believe so I can get proper tx life been bad 8 months and losing job in 2 weeks due to my health.is there a positive test besides tinels to diagnosis I live in country area not many MD s have to travel long distance for all of this entire bottom and sides feet hurt but not ankles feels better non wght bearing and ice.any opinion s would be greatly appreciated. Thanks so much Diane
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I had tarsal tunnel surgery on 12/22/15 and my foot is actually worse. Now when I walk all of my toes are numb. The bottom of my foot is still numb and the inside of my big toe and the adjacent side of my second toe is numb.
My big toe was numb before surgery but it is worse now.
The stitches are out and the wound is not healing properly. They told me that is not uncommon with a wound like this because every time you put weight on it it can separate a little bit.
Just sitting here right now I can move my toes and they tingle a LOT.
Can anyone else tell me if this is "common"? I have read that it can take quite a while to heal from tarsal tunnel surgery.
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I had a shot of cortisone for tarsal tunnel today. My pain is normally not constant. The pain occurs intermittent behind the ankle bone there is a sharp pinching. Since yesterday it was horrible and pinching like crazy. I could barely walk normal today so i went to podiatrist. For the past few months I had been seeking treatment ( ART, graston, chiro and ultrasound). I've also been doing strength exercises.
When you experienced the TT was it always constant and did cortisone ever help. If it helped how long before you noticed a difference.
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Hello I have tarsal tunnel syndrome which was diagnosed by a nerve conduction test. I go back to see my foot and ankle surgeon in three weeks
Does anyone else have this syndrome? If so how was it treated. So far all i know is mine is caused by bruising and possibly a fracture of an old injury.
The stabbing pain i get is at times is unbearable lasts only for a few seconds its like someone has stabbed me in the foot with a hot sharp blade and electrocuted at the same time. Also have tingling in my feet muscle spasms leading up to my knee all the time but more noticeable with online in bed at night.
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I am just writing with the hope of getting some more help/assurance re the Gould brostrom (or as my letter has now pointed out Arthroscopic debridement and lateral ankle reconstruction - unsure if this is the same of different?) procedure which I am due to have in just over 2 weeks on the 22nd June.
I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!
I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.
I can still run and go about my everyday life virtually without any issues (feel twinges but nothing major unless recently sprained) and the views of the consultants varied from the cautious 'maybe only have it if you're playing high level sport' ( which I'm not but just play football weekly for my local team), to saying yes I go for it as its clearly getting weaker and weaker and becoming more of a frustration.
I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).
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I was recently diagnosed with this in both feet. I'm still not sure what caused it though I am postpartum, have flat feet and wore poorly fitting shoes. I had cortisone shots which only seemed to irritate the nerves in both feet. I just started PT but am desperate to hear that others have recovered without surgery. I know that only the horror stories usually make it online but I'm getting very depressed about all of this
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Having had PF for going on 4 years I have been seeing an osteopath for the last 2 months This has helped the PF to a degree however a year ago I felt there was more going on as the joints in my feet were extremely painful and I had to have my medication put up. 600 mg pregabalin as well as tramadol on bad days. I was recently referred to orthopaedic biomechanics who have now diagnosed me with Tarsal Tunnel syndrome and currently awaiting further appointments with biomechanics and physio for acupuncture and laser therapy. Has anyone else been diagnosed with same and what was the outcome?? I am desperate to be pain free and be able to have a life again. I have not worked in nearly a year and getting so frustrated not being able to get about much or get back to work.
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I'm 34. I had a left ankle reconstruction for instability with a ligament repair and arthroscopy in July 2015.
My recovery has been slow due to hip operations around the same time. My ankle has healed well however the range of motion is still below neutral for dorsiflexion though it's improving.
I still have loud cracking on the outside (lateral) aspect of my ankle where the ligaments were repaired. It's terribly painful and my ankle swells straight away each time. It usually occurs with shifting my weight. My ankle surgeon says it's scar tissue breaking down but is it usually accompanied by a loud painful crack in the same area each time. I'm worried it's not ok.
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I had ankle reconstruction + arthroscopy 2 weeks ago today (on 7/22). Originally the plan was to first do the arthroscopy, and see if I needed a chondroplasty or ankle debridement and then do a Brostrom-Gould for the ligament I tore. I was never told exactly what my surgeon did, but when he finished my surgery he told my mother that it turned out he was able to do much less than he believed he would need to. Cartilage looked good (except for a bit of discoloration and degeneration which we are looking into the cause of) which is a miracle considering how many injuries this ankle has suffered. So no chondroplasty or debridement. I'm not sure if he did the Brostrom-Gould or if "doing less" meant he was able to salvage the ligament and just sew it back together.
Everything was going pretty well until I accidentally got my splint wet last Thursday (8 days post-op). I went in to the office and my doctor came in and looked at my incision, which he said looked great, and he told the nurse she could take out my stitches and put me in a hard cast that day instead of waiting until today, which was supposed to be my first post-op visit (14 days post-op). There were steri-strips across most of the incision, and she cut the stitches at each side of the incision, and one on the inside of my ankle from the arthroscopy (for a total of 3 stitches). I am confused as to whether she took out all the stitches, since it seems hard to believe that they would close an almost 2 inch incision with 2 stitches, and only one of the arthroscopy incisions would have stitches in it.
Anyway, they put the hard cast on me, and my surgeon told me I could ditch the crutches, so I started progressive weight bearing the next day. I got up to about 50% weight while walking around my house with only one crutch, which did not hurt too much and was not causing excessive swelling. However, yesterday a friend called me as a last-resort when she desperately needed a ride, and I agreed, glad to have an excuse to force myself to leave the house for the first time in 2 weeks. I walked to the car with ease, and while the drive ended up taking much longer than I expected, the surgery was on my left ankle so I was fine. But walking back to my house late at night when I was tired, I put much more weight on it than I meant to, and I tripped once and ended up putting full weight on the foot. Of course it hurt, but it did not worry me too much until about 20 minutes later when I was finally dressed for bed and lying down with my foot elevated. Until then I had experienced almost no pain in my ankle except some normal expected pain when walking or if I let my foot hang for too long. This was a completely different pain than I had felt before, very sharp and throbbing right where my incision was (before then I could not even tell where the incision was by feel). It was so bad that I had to take two oxycodone before I could relax enough to sleep.
I have kept off of it since then and it feels okay unless I move it, since there is a little bit too much room in my cast - I can wiggle up and down and my ankle can turn a bit. These tiny movements probably won't seriously damage anything, but they hurt and sometimes the incision brushes up against the side of the cast and it stings a lot. I am not taking any pain killers today and my ankle feels almost like it did before I walked on it, except now I am able to constantly feel (not pain just awareness) where the incision is, when before I never felt it.
I am just worried that I could have damaged the ankle somehow by putting so much pressure on it so soon after surgery, especially since I wasn't technically supposed to even start walking on it until tomorrow, 7 days after I actually started to walk on it. It seems a little off to me like that my surgeon told me to walk on it 8 days post op (maybe he forgot that I was there earlier than I was supposed to be?) I have also been very worried that I could have torn open the incision somehow, since the stitches came out so early and there was only tape holding it together (I think), which very well may have fallen off by now.
I was hoping I could get some insight from other people who have maybe gotten their stitches out super early or walked on their ankle too much too soon and see if your pain was anything like mine.
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I am scheduled for a total ankle reconstruction in 2 wks and hoping some of you will have some words of wisdom or tips/advice .
I'm going to be on bed rest for the first 2-3wks, in a cast for 12wks, NWB for 8wks and not able to drive.
Any suggestions as to what I should have on hand to make life easier while being on bed rest and while NWB? We've invested in a cold therapy unit for the immediate post op period . I'm a wimp when it comes to pain so hoping the cryotherapy unit combined with the pain med's will leave me with minimal pain.
I'm not one to lay around and do nothing....always have to be out and about doing things. This is going to a very mentally challenging few weeks/months.
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I am actually scheduled for Ankle Reconstruction (ATFL CFL and Tendon) for Monday June 24. I know im cutting it close ,but i figured i might as well do this now.
I am wondering what i am in for. I am 22year old male, just completed my last exam to fulfill my degree requirements and have nothing but my life ahead of me, no Full time job lined up so i will be home for awhile, i have a part time job but i told them about the surgery.
I am not the type of person to sit still and be in bed rest and i need something to do. I usually go to the gym 5 times a week along with yoga 5 times a week. It will take some time adjusting to NWB and everything, and i think this will be the hardest.
I've been told i will need to spend the night in the hospital and i will be released the next day.
I was wondering if anyone has any good exercises for working out, any healthy food recipes, or any help in general.
What am i to expect with this surgery. The Orthopedic Surgeon mentioned to me that he will use a modified brostrom surgery to repair my injury which was caused from an old old soccer and track injury.
Any advice on showering, washrooms and other personal hygiene?
How do you sit in a car when someone drives you, as i won't be able to drive with this being my right ankle.
Any advice in general?
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Disclaimer: If I ramble on and make absolutely no sense,
I blame my incoherence on the pain meds
Anyway, my second PTTD reconstruction is done! I had the exact same procedures on my left foot as I did on the right...FDL transfer, medializing calcaneal osteotomy, Evans calcaneal osteotomy, bone marrow aspiration, and Strayer procedure. The surgeon told my family that over two inches of the PTT was severely degenerated/beyond repair. Prognosis is a full recovery over the next 1 1/2 to 2 years.
Unfortunately, my nerve block didn't work as well this time; so, I woke up in pretty severe pain. The nurses were great and had the pain to a manageable point within a half hour. By the time I was discharged, I was able to take my first dose of oral pain meds...I was pretty comfortable on the ride home.
At this point, I am taking one oxycodone every 4 hours (down from 3 the first day) and think I will be able to start putting more space between doses tomorrow. The pain is not too bad as long as I stay "toes above nose."
Knowing what to expect in the days following surgery has definitely made these first few days smoother/less scary. Each day is one day closer to being active again!
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