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Can anyone translate

Posted by wendyn on 5/24/00 at 23:10 (020819)

Can anyone tell me exactly what these terms and phrases mean?

'Hypermobile medial column'

and

'Dorsolateral peritalar subluxation'

I think I've deciphered the rest of this consult - says I have bilateral gastroc equinus contracture with pes planus. Sounds impressive, but I think it means tight calve muscles and flat feet.

Pat - the surgery he mentions is 'pes planus recounstruction (in an an effort to relieve tibial nerve stretch symptoms)'.


Re: Can anyone translate

Bob G. on 5/24/00 at 23:23 (020820)

You'd expect to get a response from Alan or Dr. Z, but I know the first one:

A column of nervous mobile homes in the middle of the road.

Where's my Gibson? My foot hurts!


Re: Can anyone translate

Pat M on 5/25/00 at 05:53 (020823)

Bob,
I am so glad that I have found someone out there who can translate the medical jargon so well. I now know who to ask all those technical questions. Thanks for the chuckle. :)
Pat M

By the way....LAST DAY OF SCHOOL. I expect to hear a collective chear from around the world. hurrah!!!!!!!


Re: Can anyone translate

wendyn on 5/25/00 at 08:34 (020831)

That's pretty cute Bob.....very creative!

BUT, I really am looking for the translation - anyone?


Re: Can anyone translate

Nancy S. on 5/25/00 at 08:42 (020832)

Bob, thank you thank you thank you for the out-loud laugh. Needed that! We could use you in our dictionary/fictionary games.
(Sorry Wendy!)
--Nancy

Re: Can anyone translate

Dr. Zuckerman on 5/25/00 at 10:45 (020842)

hypermobile medial column means that the motion at the arch area or what is called the subtalar joint is abnormal. The peritalar lateral subluxation is where the talus bone which connect the ankle joint and the heel joint is diplaced to the outside of the joint . The joint should be in a congrous position or square, yours is tilted in a lateral direction. So what does all this means. Did you have posterior tibial tendon dysfunction??? What is your foot and or ankle problem They want to rebuild your arch with tendon transfer etc.
So like alot of foot surgery.!!!

Re: Cheers!

ChrisO on 5/25/00 at 10:54 (020844)

Yes Pat way to go! Now that today's the last day, MY feet are starting to feel better! I'm especially happy that you won't have to be on your computer at 5:53 in the AM! Now REST, young lady, REST!

Re: Can anyone translate

john h on 5/25/00 at 11:36 (020850)

wendy: both appear to be the names of girls i knew in asia.

Re: Can anyone translate

Rick R on 5/25/00 at 12:38 (020861)

I think it means 'walks like a duck' what ever language it is that measures in 'contimeteres' vs centimeters.

Re: Can anyone translate

Nancy S. on 5/25/00 at 13:04 (020863)

Ok, I think they mean 'fast-moving bones' and 'always walk backwards with no goal of getting anywhere.'

Re: Rick!!!!

wendyn on 5/25/00 at 13:50 (020865)

You're back! With your weird sense of humor intact. Thanks kids for the translations - I did not expect the outpouring of creativity.

Dr Zukerman - thanks (I think?) for your translation. I'm not sure if I understand what you said...I understand the hypermobility thing (no it's not mobile homes Bob!). But not the joint thing. Are you asking what my presenting symptoms are? Tarsal tunnel like symptoms, PF - lots of foot and lower leg pain in general. Oh - and yes, I walk like a duck.

I had my second nerve conduction tests today - this time with the neurologist. Very nice lady. Tests on both my hands and feet are 100% normal. If anything - better than they were in August. So, if nothing else - I know that it is not anything weird like some evil polyneuropathy that will spread and get worse. The problem appears to be in the structure of my feet, and not originating with the nerves themselves although they are stretched and irritated.

For my hands, she thinks it's probably from lots of typing and weig httraining - but no carpal tunnel at least yet.

I asked her if she thinks the B12 supplements are what is helping me. Based on what my count was, and the fact my nerves are okay - she doesn not think it's likely. I guess that I will have to give the credit to acupuncture! Can't way to get back at it now. They will watch my B12 and make sure it doesn't drop again, but she doesn't think it was the source of my symptoms.

So, I am happy overall - although this doesn't mean I can be 'fixed' I am relieved to know that it's not something really sinister.


Re: Cheers!

Pat M on 5/25/00 at 14:41 (020866)

I fully expect to follow that advice. I am now officially on summer vacation!!!!!!!!!!!!!!!! But boy does my foot hurt right now.
Thanks for the cheer.

Re: Rick!!!!RE Wendyn

Laurie R on 5/25/00 at 16:27 (020871)

Hi Wendy,
I am so happy to hear that your EMG came out fine and that you had a good and nice Neurologist !!!!!!!!!!!Not like the one I had.Isn't good to know that your test was normal???? I know this made your day,you have been waiting so long for this test.....Thanks for letting us know...My very best to you Wendy..........Laurie

Re: Rick!!!!

Nancy S. on 5/25/00 at 16:36 (020872)

Wendy, I'm so glad you have no evil polyneuropathy! That's wonderful news and I hope you're celebrating appropriately tonight. What does it mean that your feet can't be fixed? They can still improve, as you've had some improvement recently? Acupuncture can improve them but not fix them? Can you possibly achieve an almost pain-free state even though you would still walk like a duck? --Nancy

Re: Rick!!!!Re Rick.......

Laurie R on 5/25/00 at 17:06 (020876)

Hi Rick ,
Is this our Rick ? If so lets us know how you are doing.......It is so nice to see your name again on the board..........Laurie R

Re: To Nancy

wendyn on 5/25/00 at 17:38 (020879)

After all the doctors and specialists and tests to date - the powers that be have concluded what I suspected all along. I have some fairly significant structural problems with my feet and lower legs - this is the way I was put together. Badly.

As time goes on, the structural problems will cause other problems (as things kind of fall apart). In the past this has been bunions, PF and now the nerve is stretching as my feet continue to flatten out. Apparently there are some other goodies that showed up on the xrays like this partial dislocation of my joints - I'm sure the MRI will help show more.

At least now I know for sure - and even if I am painfree again...I've been forbidden to do things like running. I will miss it - along with things like aerobics - but doing things like that will only accelerate the deterioration in my feet and/or make it worse.

My job now is to find ways to control the situation, and make things as good as they can be. I will for sure continue with the acupuncture and yoga. I am seriously considering seeing a chiropractor for my lower back issues (pain from the way I walk)...and I'll just go from there. If things improve enough, I will try more serious biking and perhaps no impact aerobics. I would like to be able to get to the point where I can walk for exercise and possibly hike again. I will be content with that.

It could always be worse...and I'm no longer having any real emotional issues with this....I've come to a point of acceptance and I'm confident that I can deal with this okay.

A 40 year old friend of mine was telling me at the gym yesterday that's he's trying to get a surgeon to operate on his foot. He has problems with a tendon, and although it causes him no discomfort - he's convinced he could run faster if they fixed it. I basically told him he was nuts - I cannot imagine having my foot operated on to make me faster, and risk permanent complications. I'm quite sure the doctor will also tell him to give his head a shake. This friend thinks he will die if he can't run forever. I assured him he will not die.

In my case - eventually they may have to do some reconstructive surgery to put my feet back together properly, but they'll wait untill they fall apart completely.


Re: To Nancy -- Wendy

Nancy S. on 5/25/00 at 21:09 (020891)

I get it now. I hope, with all you're doing (and not doing), that the reconstructive surgery stays many decades away in time for you, Wendy. And I cheer you for your acceptance and determination to do what's right for your feet, while also being as active as possible.
That's quite a hare-brained idea your friend has there! He may be joining this board before long if he doesn't watch out. --Nancy

Re: something else to try

alan k on 5/26/00 at 07:04 (020901)

Hi Wendy,

Good to hear good news. I don't know how related our cases can be really since our feet are structurally so different, but my chiropracter is now working on releasing trigger points on the inside edge of my heel, to get at tts possibilities and I think that, at least potentially, since I have improved through exercise and maybe this too, that there is a lot that can be done about this.

We'll see.

alan k


Re: Can anyone translate

Melody on 5/26/00 at 11:39 (020918)

Pat,
Please control your language!!

Some of us have another 8 weeks until we break for the summer!!! i think my feet broke a couple of weeks ago though:(!!!!

Mel



Re: Can anyone translate

Pat M on 5/26/00 at 20:53 (020930)

Oh My Goodness!!!!! 8 more weeks??? Where are you?
Pat M

Re: Can anyone translate

Melody on 5/27/00 at 09:51 (020945)

PAt,
I am in the UK. I love teaching but sometimes wish I taught in the US!!!LOL

Mel


Re: Can anyone translate

Bob G. on 5/24/00 at 23:23 (020820)

You'd expect to get a response from Alan or Dr. Z, but I know the first one:

A column of nervous mobile homes in the middle of the road.

Where's my Gibson? My foot hurts!


Re: Can anyone translate

Pat M on 5/25/00 at 05:53 (020823)

Bob,
I am so glad that I have found someone out there who can translate the medical jargon so well. I now know who to ask all those technical questions. Thanks for the chuckle. :)
Pat M

By the way....LAST DAY OF SCHOOL. I expect to hear a collective chear from around the world. hurrah!!!!!!!


Re: Can anyone translate

wendyn on 5/25/00 at 08:34 (020831)

That's pretty cute Bob.....very creative!

BUT, I really am looking for the translation - anyone?


Re: Can anyone translate

Nancy S. on 5/25/00 at 08:42 (020832)

Bob, thank you thank you thank you for the out-loud laugh. Needed that! We could use you in our dictionary/fictionary games.
(Sorry Wendy!)
--Nancy

Re: Can anyone translate

Dr. Zuckerman on 5/25/00 at 10:45 (020842)

hypermobile medial column means that the motion at the arch area or what is called the subtalar joint is abnormal. The peritalar lateral subluxation is where the talus bone which connect the ankle joint and the heel joint is diplaced to the outside of the joint . The joint should be in a congrous position or square, yours is tilted in a lateral direction. So what does all this means. Did you have posterior tibial tendon dysfunction??? What is your foot and or ankle problem They want to rebuild your arch with tendon transfer etc.
So like alot of foot surgery.!!!

Re: Cheers!

ChrisO on 5/25/00 at 10:54 (020844)

Yes Pat way to go! Now that today's the last day, MY feet are starting to feel better! I'm especially happy that you won't have to be on your computer at 5:53 in the AM! Now REST, young lady, REST!

Re: Can anyone translate

john h on 5/25/00 at 11:36 (020850)

wendy: both appear to be the names of girls i knew in asia.

Re: Can anyone translate

Rick R on 5/25/00 at 12:38 (020861)

I think it means 'walks like a duck' what ever language it is that measures in 'contimeteres' vs centimeters.

Re: Can anyone translate

Nancy S. on 5/25/00 at 13:04 (020863)

Ok, I think they mean 'fast-moving bones' and 'always walk backwards with no goal of getting anywhere.'

Re: Rick!!!!

wendyn on 5/25/00 at 13:50 (020865)

You're back! With your weird sense of humor intact. Thanks kids for the translations - I did not expect the outpouring of creativity.

Dr Zukerman - thanks (I think?) for your translation. I'm not sure if I understand what you said...I understand the hypermobility thing (no it's not mobile homes Bob!). But not the joint thing. Are you asking what my presenting symptoms are? Tarsal tunnel like symptoms, PF - lots of foot and lower leg pain in general. Oh - and yes, I walk like a duck.

I had my second nerve conduction tests today - this time with the neurologist. Very nice lady. Tests on both my hands and feet are 100% normal. If anything - better than they were in August. So, if nothing else - I know that it is not anything weird like some evil polyneuropathy that will spread and get worse. The problem appears to be in the structure of my feet, and not originating with the nerves themselves although they are stretched and irritated.

For my hands, she thinks it's probably from lots of typing and weig httraining - but no carpal tunnel at least yet.

I asked her if she thinks the B12 supplements are what is helping me. Based on what my count was, and the fact my nerves are okay - she doesn not think it's likely. I guess that I will have to give the credit to acupuncture! Can't way to get back at it now. They will watch my B12 and make sure it doesn't drop again, but she doesn't think it was the source of my symptoms.

So, I am happy overall - although this doesn't mean I can be 'fixed' I am relieved to know that it's not something really sinister.


Re: Cheers!

Pat M on 5/25/00 at 14:41 (020866)

I fully expect to follow that advice. I am now officially on summer vacation!!!!!!!!!!!!!!!! But boy does my foot hurt right now.
Thanks for the cheer.

Re: Rick!!!!RE Wendyn

Laurie R on 5/25/00 at 16:27 (020871)

Hi Wendy,
I am so happy to hear that your EMG came out fine and that you had a good and nice Neurologist !!!!!!!!!!!Not like the one I had.Isn't good to know that your test was normal???? I know this made your day,you have been waiting so long for this test.....Thanks for letting us know...My very best to you Wendy..........Laurie

Re: Rick!!!!

Nancy S. on 5/25/00 at 16:36 (020872)

Wendy, I'm so glad you have no evil polyneuropathy! That's wonderful news and I hope you're celebrating appropriately tonight. What does it mean that your feet can't be fixed? They can still improve, as you've had some improvement recently? Acupuncture can improve them but not fix them? Can you possibly achieve an almost pain-free state even though you would still walk like a duck? --Nancy

Re: Rick!!!!Re Rick.......

Laurie R on 5/25/00 at 17:06 (020876)

Hi Rick ,
Is this our Rick ? If so lets us know how you are doing.......It is so nice to see your name again on the board..........Laurie R

Re: To Nancy

wendyn on 5/25/00 at 17:38 (020879)

After all the doctors and specialists and tests to date - the powers that be have concluded what I suspected all along. I have some fairly significant structural problems with my feet and lower legs - this is the way I was put together. Badly.

As time goes on, the structural problems will cause other problems (as things kind of fall apart). In the past this has been bunions, PF and now the nerve is stretching as my feet continue to flatten out. Apparently there are some other goodies that showed up on the xrays like this partial dislocation of my joints - I'm sure the MRI will help show more.

At least now I know for sure - and even if I am painfree again...I've been forbidden to do things like running. I will miss it - along with things like aerobics - but doing things like that will only accelerate the deterioration in my feet and/or make it worse.

My job now is to find ways to control the situation, and make things as good as they can be. I will for sure continue with the acupuncture and yoga. I am seriously considering seeing a chiropractor for my lower back issues (pain from the way I walk)...and I'll just go from there. If things improve enough, I will try more serious biking and perhaps no impact aerobics. I would like to be able to get to the point where I can walk for exercise and possibly hike again. I will be content with that.

It could always be worse...and I'm no longer having any real emotional issues with this....I've come to a point of acceptance and I'm confident that I can deal with this okay.

A 40 year old friend of mine was telling me at the gym yesterday that's he's trying to get a surgeon to operate on his foot. He has problems with a tendon, and although it causes him no discomfort - he's convinced he could run faster if they fixed it. I basically told him he was nuts - I cannot imagine having my foot operated on to make me faster, and risk permanent complications. I'm quite sure the doctor will also tell him to give his head a shake. This friend thinks he will die if he can't run forever. I assured him he will not die.

In my case - eventually they may have to do some reconstructive surgery to put my feet back together properly, but they'll wait untill they fall apart completely.


Re: To Nancy -- Wendy

Nancy S. on 5/25/00 at 21:09 (020891)

I get it now. I hope, with all you're doing (and not doing), that the reconstructive surgery stays many decades away in time for you, Wendy. And I cheer you for your acceptance and determination to do what's right for your feet, while also being as active as possible.
That's quite a hare-brained idea your friend has there! He may be joining this board before long if he doesn't watch out. --Nancy

Re: something else to try

alan k on 5/26/00 at 07:04 (020901)

Hi Wendy,

Good to hear good news. I don't know how related our cases can be really since our feet are structurally so different, but my chiropracter is now working on releasing trigger points on the inside edge of my heel, to get at tts possibilities and I think that, at least potentially, since I have improved through exercise and maybe this too, that there is a lot that can be done about this.

We'll see.

alan k


Re: Can anyone translate

Melody on 5/26/00 at 11:39 (020918)

Pat,
Please control your language!!

Some of us have another 8 weeks until we break for the summer!!! i think my feet broke a couple of weeks ago though:(!!!!

Mel



Re: Can anyone translate

Pat M on 5/26/00 at 20:53 (020930)

Oh My Goodness!!!!! 8 more weeks??? Where are you?
Pat M

Re: Can anyone translate

Melody on 5/27/00 at 09:51 (020945)

PAt,
I am in the UK. I love teaching but sometimes wish I taught in the US!!!LOL

Mel