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TTS

Posted by john h on 1/27/00 at 00:00 (015157)

Has there ever been a post bay anyone that had just TTS surgery and it cured their foot pain? if so i have not seen it. Having had TTS surgery i still wonder if it is or even can be the source of pain many of us experience on the bottom of our feet (ankle pain is another matter). I can tap on my ankle and produce a little zing in my big toe. I had a emg study which indicated mild TTS. my doctor said these test are very subjective. literature indicates TTS as rare or at least very uncommon.my instincts tell me that tts did not cause what everyone says is PF. i am not in the medical field so my comments are just from someone who has had a TTS release and experience the foot pain you all have. If you focus in only on TTS you may be missing the boat on what could be the real source of your pain.

Re: TTS

wendy2 on 7/19/99 at 00:00 (008865)

That's the only place you can have it - the one in your hand is carpal tunnel syndrome. Basically the same idea - just a different place. Not as common.

Re: TTS

wendy2 on 7/19/99 at 00:00 (008865)

That's the only place you can have it - the one in your hand is carpal tunnel syndrome. Basically the same idea - just a different place. Not as common.

Re: TTS

alan k on 1/27/00 at 00:00 (015163)

I think you are right. I'm beginning to think I am back at square one.

Did you have cortisone shots in your tarsal tunnel John? I'm glad I am having them because as nerve blocks they show that my mild tts is not causing the pain I'm having. Did they test this out on you before your tts release? And did the surgery help a little or not at all? Also, I forgot whether you have classic or atypical pf.

Anyway, I don't like the idea of tts much so if I have to abandon it I won't miss it.

There is something in chronic pf that we are missing here.

alan k


Re: TTS

john h on 1/27/00 at 00:00 (015167)

alan: i never have had any sort of shot in my foot. the emg tested a slight amount of tts and the tapping on the ankle produced some tingling. the surgeon said the emg studies were a very subjective test and that a tts was strictly my call. since i was going to have a pf release anyway and the tarsal tunnel release would not keep me off my feet any longer i elected to have it. my only concern was could the surgery make it worse? the doctor said he had only one patient who became worse after surgery and she was diabetic. my thinking was i would try anything if i felt there was at least a 90% chance it would not make it WORSE! i am glad i had the surgery even in hindsight as i would not want to live the next 20 years thinking i might have passed on a cure. compared to a year ago i am better. i am 5 months post surgery and the doctor says healing can continue for up to a year. i can walk without limping and can walk a couple of miles and ride a bike. my pain level (both feet) is about a 3-4 out of 10 (10 being the worst). i just finished 10 treatments of accupuncture and got minimal results so i am discontinuing that. i am switching from vioxx 25mg a day to alleve (2 tabs in am and 2 in pm). i wear $25 orthotics and have a $1000 worth of custom ones in the drawer. I ice twice daily and do some stretching but not a whole lot (fascia,calves,hams,achilles). Vigorous foot massages seem to help. I did not have typical PF. no early morning pain. pain is just forward of heel on inside of foot where band of fascia from big toe connects to heel (over a nerve).

Re: TTS

Mary J. on 1/27/00 at 00:00 (015173)

John, I also have a $1000 or more drawer full of custom orthotics. But I mostly wear mail order plastic orthotics (velcroed in rubber thongs) with a bump near the ball of the foot under the fascia. I noticed that Birkenstock shoes have that bump in the same place. However, I cannot wear Birks either because they are too hard or the heel falls too far down. I was very dissappointed because of that. People say, 'No wonder you have bad feet with those cheap thongs' and I say. 'Don't talk about my shoes, they are more comfortable that anything I have'. The neurologist I will see next Monday will test to see if I have tts as well as cts in my elbow. But since tts is probably not the root of all evil, I will still be confused about what is causing my heel pain. I live south of Houston. Maybe I should try to go see Dr. Baxter. At least I get ideas of what to do next from you on the board. Thanks.

Re: TTS

john h on 1/27/00 at 00:00 (015176)

dr baxter is probably considered tops in the field of orthopedic foot surgeons. he has trained a lot of specialist in procedures he has developed. he operated on the gold medal runner carl lewis for PF and carl lewis returned to running. i am not sure which hospital he is associated with in houston but it will be a teaching hospital.

at my locker at my health club i have a pair of rubber thongs. they are not flat but somewhat contoured to the feet. they are as comfortable as anything i put on my feet. i have never brought them home but just wear them around the pool. i may be missing a good bet with a $5 pair of rubber thongs.


Re: TTS

wendyn on 1/27/00 at 00:00 (015192)

I have yet to locate anyone that has had a full recovery following a TTS release. However, anyone who has fully recovered is probably out there walking and jogging and having a good time - not mucking about on the internet on foot pain sites.

The two folks I 'know' that had TTS release in August (you and my cyberbuddy from Texas) both have had less than positive results.

She was later diagnosed with peripheral neuropathy and told that it can't be surgically corrected.

I found a whole whack of people on the neuropathy bulletin board that Alan referred to, that have had the surgery and then later been diagnosed with this 'peripheral neuropathy'.

I don't care what my pain is coming from, it could stem from the way I wear my hair for all I care...I just want it to go away.

You have to remember that TTS is a 'syndrome' not an injury. It is a collection of symptoms and problems that are gathered together and blamed on something in particular. Like you said though, it's considered to be rare and is probably misdiagnosed (both false-postive and false-negative a lot).



Re: TTS

alan k on 1/27/00 at 00:00 (015163)

I think you are right. I'm beginning to think I am back at square one.

Did you have cortisone shots in your tarsal tunnel John? I'm glad I am having them because as nerve blocks they show that my mild tts is not causing the pain I'm having. Did they test this out on you before your tts release? And did the surgery help a little or not at all? Also, I forgot whether you have classic or atypical pf.

Anyway, I don't like the idea of tts much so if I have to abandon it I won't miss it.

There is something in chronic pf that we are missing here.

alan k


Re: TTS

john h on 1/27/00 at 00:00 (015167)

alan: i never have had any sort of shot in my foot. the emg tested a slight amount of tts and the tapping on the ankle produced some tingling. the surgeon said the emg studies were a very subjective test and that a tts was strictly my call. since i was going to have a pf release anyway and the tarsal tunnel release would not keep me off my feet any longer i elected to have it. my only concern was could the surgery make it worse? the doctor said he had only one patient who became worse after surgery and she was diabetic. my thinking was i would try anything if i felt there was at least a 90% chance it would not make it WORSE! i am glad i had the surgery even in hindsight as i would not want to live the next 20 years thinking i might have passed on a cure. compared to a year ago i am better. i am 5 months post surgery and the doctor says healing can continue for up to a year. i can walk without limping and can walk a couple of miles and ride a bike. my pain level (both feet) is about a 3-4 out of 10 (10 being the worst). i just finished 10 treatments of accupuncture and got minimal results so i am discontinuing that. i am switching from vioxx 25mg a day to alleve (2 tabs in am and 2 in pm). i wear $25 orthotics and have a $1000 worth of custom ones in the drawer. I ice twice daily and do some stretching but not a whole lot (fascia,calves,hams,achilles). Vigorous foot massages seem to help. I did not have typical PF. no early morning pain. pain is just forward of heel on inside of foot where band of fascia from big toe connects to heel (over a nerve).

Re: TTS

Mary J. on 1/27/00 at 00:00 (015173)

John, I also have a $1000 or more drawer full of custom orthotics. But I mostly wear mail order plastic orthotics (velcroed in rubber thongs) with a bump near the ball of the foot under the fascia. I noticed that Birkenstock shoes have that bump in the same place. However, I cannot wear Birks either because they are too hard or the heel falls too far down. I was very dissappointed because of that. People say, 'No wonder you have bad feet with those cheap thongs' and I say. 'Don't talk about my shoes, they are more comfortable that anything I have'. The neurologist I will see next Monday will test to see if I have tts as well as cts in my elbow. But since tts is probably not the root of all evil, I will still be confused about what is causing my heel pain. I live south of Houston. Maybe I should try to go see Dr. Baxter. At least I get ideas of what to do next from you on the board. Thanks.

Re: TTS

john h on 1/27/00 at 00:00 (015176)

dr baxter is probably considered tops in the field of orthopedic foot surgeons. he has trained a lot of specialist in procedures he has developed. he operated on the gold medal runner carl lewis for PF and carl lewis returned to running. i am not sure which hospital he is associated with in houston but it will be a teaching hospital.

at my locker at my health club i have a pair of rubber thongs. they are not flat but somewhat contoured to the feet. they are as comfortable as anything i put on my feet. i have never brought them home but just wear them around the pool. i may be missing a good bet with a $5 pair of rubber thongs.


Re: TTS

wendyn on 1/27/00 at 00:00 (015192)

I have yet to locate anyone that has had a full recovery following a TTS release. However, anyone who has fully recovered is probably out there walking and jogging and having a good time - not mucking about on the internet on foot pain sites.

The two folks I 'know' that had TTS release in August (you and my cyberbuddy from Texas) both have had less than positive results.

She was later diagnosed with peripheral neuropathy and told that it can't be surgically corrected.

I found a whole whack of people on the neuropathy bulletin board that Alan referred to, that have had the surgery and then later been diagnosed with this 'peripheral neuropathy'.

I don't care what my pain is coming from, it could stem from the way I wear my hair for all I care...I just want it to go away.

You have to remember that TTS is a 'syndrome' not an injury. It is a collection of symptoms and problems that are gathered together and blamed on something in particular. Like you said though, it's considered to be rare and is probably misdiagnosed (both false-postive and false-negative a lot).