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TTS an d PF

Posted by Jen on 11/12/00 at 11:36 (032584)

Message Number 32586
Re: How is chiropractor's massage different from PT or massage th.? View Thread
Posted by Beverly on 11/12/00 at 12:00


I've had lots of PT and massage. I've never been to a chiropractor, because I have this picture of sudden jerky movements that will hurt. This may be a preconceived notion. What does the chiropractor do to lower extremities that would not be done by a massage therapist with advanced training or a PT?
Wendy, glad he made you feel better.
Beverly

Re: TTS an d PF

Kay S on 11/12/00 at 13:49 (032598)

You will find much to help you on this site, so keep looking and reading others' stories. I had tts surgery on September 6th and did fine with that, but still have the horrible heel pain (this is bilateral, by the way) that I had hoped would go away post op. It didn't. I was going to have the other foot done, but now won't go through that. I did have numbness along the outer aspect of my foot (feet) and also the two outside toes were numb, but it wasn't bad enough to have the surgery. Now my doc says I have PF, and he is probably right, but I must have had it prior to the surgery because the heel pain is the same as before. By the way, I have had this foot stuff for four and a half years, one thing after another. Anyway, since you seem to have this in both feet also, have you been to an orthotist to have orthotics made? Or a physical therapist who knows a lot about foot woes? It has always seemed to me that if BOTH feet are involved, it must be biomechanical in nature rather than an acute injury like athletes deal with. Did your EMG confirm the tts? What kind of doc are you seeing? Many of us really understand the long-standing (no pun intended) problems you describe and can 'feel your pain'. Keep us informed of any new developments, and good luck.

Re: TTS an d PF

dfeet on 11/15/00 at 21:31 (032816)

My TTS (bilaterally) was thought to be exacerbated and perhaps caused by both an acute athletic overuse injury and improper rigid orthotics. There's a lot of good info throughout these boards. They proved to be a very valuable resource in my progress. Good luck-dfeet

Re: TTS an d PF

Nancy on 11/17/00 at 18:36 (032965)

>
Hi Jen,
It's awful, isn't it? I have had TTS and PF for nine years. I, too, have seen a host of doctors, had 3 kinds of orthotics (which does help 80% of people, so please try it if you haven't already) and surgery on one foot that didn't work. I'm taking Neuronin for pain..which does take the edge off. As for the working out issue: I had worked out for many years before getting TTS and hated not doing anything. I got a recumbant bike and peddle my fanny off and hired a personal trainer to show me how to lift all weights while sitting down. I've been doing this for about 4 years and it has really worked for me.I'm more fit than when I was doing aerobics!
I think the hardest part about chronic pain is the IDEA that this might be forever. Trying to live one day at a time and prayer has helped for me.
I am in the process of seeing a PT because my pain is bilateral and I feel I have an incorrect gait. My PT thinks so, also. I'm doing many different exercises twice a day and she really 'works over' my calves and ft. I've been doing this for 3 weeks and so far have not seen a change. I'll certainly share my success with all my fellow sufferers if I become pain free. Best wishes for relief!

Re: TTS an d PF

Lois on 11/19/00 at 14:37 (033073)

I have seen a foot doctor, the one who ordered my orthotics 4 years ago,and have been doing fine until 2 months ago when my right foot or heel started to hurt. Went to the foot doctor and he gave me shoots 2 week in a row and they did no good. I have been doing some exercises froma PT who gave them to a friend. Now what kind of doctor should I try next. What about an orthopedic doctor. Mine deals with feet too. My gait too is off feels like one leg is longer than the other and i can't stand my shoes on as my feet tingle. Tried without orthotics and it seemed ok for a time. What do you all think i should do next. Thanks for any help as i am getting desperate. I am using a cane so i won't lose my balance. Thanks for anything. Lois

Re: TTS an d PF

wendyn on 11/19/00 at 17:34 (033089)

For shoes - you may want to try Birkenstocks. Are you saying that the pain you have now - is very different than the pain that started you going to the doctor a few years ago? Were you wearing the same orthotics for 4 years? That's a long time - chances are you need new ones. Feet change and orthotics wear out over time. Did your doctor have any diagnosis for the new pain? Did he suggest new orthotics? Where did you receive the shot in your foot?

Typically - you don't hear about numbness and tingling with PF. Did your doctor suggest that it may be TTS? If someone is having new unexplained foot pain with numbness and tingling - most doctors will order the following tests
Xray
Blood work up for -
Low B-12
Diabetes
Rheumatoid arthritis
Thyroid

Then eventually an EMG to check nerve conduction.

Did your doctor check any of these things?

If your balance is way off - it's probably very important to be checked over throughly to determine why you're having that. That's not a typical symptom of TTS or PF.

You may want to consider a trip to an orthepedic surgeon - or even start off with your GP for an overall check and referral to specialists if needed. If all the above are okay - an orthepedic surgeon or sports medicine doctor may be helpful. It seems that how much the doctor helps depends a lot more on the doctor - rather than the speciality.

Avoid doing exercises that were prescribed for someone else, unless they're part of a routine that you'd be comfortable doing as part of your daily stretching anyway. Just because those exercises are right for someone else's injury - it sounds like you're not sure what you're dealing with yet and they may not be right for you.

Re: TTS an d PF

Julie F on 11/20/00 at 02:29 (033123)

Hi Lois

Wendy has given you very good advice and lots to think about. In addition, I would suggest that you have your back checked out. An orthopaedic doctor, if you see one, should be able to do this, or you could consider going to a chiropractor. The reason I suggest this is that you say you feel as though one leg is longer than the other. Very occasionally a person really does have one leg longer, but it is usually due to something going on in the back, e.g. scoliosis, or in the pelvis. Some of these things are treatable mechanically. Another reason I think you should suspect spinal involvement is that you complain of numbness and tingling. These are generally signs of nerve impingment, which again comes from the back.

Good luck and all the best

Julie

Re: TTS an d PF

Lois on 11/20/00 at 11:47 (033155)

Thanks for all the comments on my post. I have hard orthotics and the foot doctor said they are ok. They cost over $300. I do have scoloisis of the back and arthritis very bad. I am getting my third epidural tomorrow and the two have helped some. My life is full of stress right now as my husband has been sick and he has so many problems. I am seeing my interneist in a couple weeks and i will see if he recommends my ortho who did my knee replacement 5 years ago. He also has a specialityin feet problems. Another other comments are appreciated. Lois

Re: TTS an d PF

Julie F on 11/20/00 at 17:12 (033176)

Lois, I'm so sorry you are having all this trouble. I'd just like to add to my first post that if you have scoliosis you would find an elevated shoe helpful, to equalize the length of your legs and get you into a better state of balance. Why don't you ask your internist about this possibility?

Do let us know how you get on.

All the best, Julie

Re: TTS an d PF

Karin L. on 1/02/01 at 08:44 (035792)

Hello all,
I sympathize with all of you. I too was dianosed with PF in March of '99. After EVERY treatment available I was still in pain. Then in the middle of physical therapy last Jan., I developed tarsal tunnel in the right foot. It only got worse, so my pod. scheduled me for decompression surgery for the tibial nerve & figured as long as I was out, he also did PF release by 50%. Have had no problem with the TTS since, however the PF was still with me. Just had ESWT last Fri., Dec. 29th! It is amazing!!! I have NO more pain, it is gone except for an occassional twinge. Check out this site, it is on the message board. If your pod hasn't suggested it, ask him about it. It is one of the best decisions I have ever made. Surgery can further complicate things, plus healing time is much longer. The whole procedure took about 15-20 min. & I walked out in my New Balance with my store bought orthotics! Hope this helps. Good luck to all.
Karin

Re: TTS an d PF

Kay S on 11/12/00 at 13:49 (032598)

You will find much to help you on this site, so keep looking and reading others' stories. I had tts surgery on September 6th and did fine with that, but still have the horrible heel pain (this is bilateral, by the way) that I had hoped would go away post op. It didn't. I was going to have the other foot done, but now won't go through that. I did have numbness along the outer aspect of my foot (feet) and also the two outside toes were numb, but it wasn't bad enough to have the surgery. Now my doc says I have PF, and he is probably right, but I must have had it prior to the surgery because the heel pain is the same as before. By the way, I have had this foot stuff for four and a half years, one thing after another. Anyway, since you seem to have this in both feet also, have you been to an orthotist to have orthotics made? Or a physical therapist who knows a lot about foot woes? It has always seemed to me that if BOTH feet are involved, it must be biomechanical in nature rather than an acute injury like athletes deal with. Did your EMG confirm the tts? What kind of doc are you seeing? Many of us really understand the long-standing (no pun intended) problems you describe and can 'feel your pain'. Keep us informed of any new developments, and good luck.

Re: TTS an d PF

dfeet on 11/15/00 at 21:31 (032816)

My TTS (bilaterally) was thought to be exacerbated and perhaps caused by both an acute athletic overuse injury and improper rigid orthotics. There's a lot of good info throughout these boards. They proved to be a very valuable resource in my progress. Good luck-dfeet

Re: TTS an d PF

Nancy on 11/17/00 at 18:36 (032965)

>
Hi Jen,
It's awful, isn't it? I have had TTS and PF for nine years. I, too, have seen a host of doctors, had 3 kinds of orthotics (which does help 80% of people, so please try it if you haven't already) and surgery on one foot that didn't work. I'm taking Neuronin for pain..which does take the edge off. As for the working out issue: I had worked out for many years before getting TTS and hated not doing anything. I got a recumbant bike and peddle my fanny off and hired a personal trainer to show me how to lift all weights while sitting down. I've been doing this for about 4 years and it has really worked for me.I'm more fit than when I was doing aerobics!
I think the hardest part about chronic pain is the IDEA that this might be forever. Trying to live one day at a time and prayer has helped for me.
I am in the process of seeing a PT because my pain is bilateral and I feel I have an incorrect gait. My PT thinks so, also. I'm doing many different exercises twice a day and she really 'works over' my calves and ft. I've been doing this for 3 weeks and so far have not seen a change. I'll certainly share my success with all my fellow sufferers if I become pain free. Best wishes for relief!

Re: TTS an d PF

Lois on 11/19/00 at 14:37 (033073)

I have seen a foot doctor, the one who ordered my orthotics 4 years ago,and have been doing fine until 2 months ago when my right foot or heel started to hurt. Went to the foot doctor and he gave me shoots 2 week in a row and they did no good. I have been doing some exercises froma PT who gave them to a friend. Now what kind of doctor should I try next. What about an orthopedic doctor. Mine deals with feet too. My gait too is off feels like one leg is longer than the other and i can't stand my shoes on as my feet tingle. Tried without orthotics and it seemed ok for a time. What do you all think i should do next. Thanks for any help as i am getting desperate. I am using a cane so i won't lose my balance. Thanks for anything. Lois

Re: TTS an d PF

wendyn on 11/19/00 at 17:34 (033089)

For shoes - you may want to try Birkenstocks. Are you saying that the pain you have now - is very different than the pain that started you going to the doctor a few years ago? Were you wearing the same orthotics for 4 years? That's a long time - chances are you need new ones. Feet change and orthotics wear out over time. Did your doctor have any diagnosis for the new pain? Did he suggest new orthotics? Where did you receive the shot in your foot?

Typically - you don't hear about numbness and tingling with PF. Did your doctor suggest that it may be TTS? If someone is having new unexplained foot pain with numbness and tingling - most doctors will order the following tests
Xray
Blood work up for -
Low B-12
Diabetes
Rheumatoid arthritis
Thyroid

Then eventually an EMG to check nerve conduction.

Did your doctor check any of these things?

If your balance is way off - it's probably very important to be checked over throughly to determine why you're having that. That's not a typical symptom of TTS or PF.

You may want to consider a trip to an orthepedic surgeon - or even start off with your GP for an overall check and referral to specialists if needed. If all the above are okay - an orthepedic surgeon or sports medicine doctor may be helpful. It seems that how much the doctor helps depends a lot more on the doctor - rather than the speciality.

Avoid doing exercises that were prescribed for someone else, unless they're part of a routine that you'd be comfortable doing as part of your daily stretching anyway. Just because those exercises are right for someone else's injury - it sounds like you're not sure what you're dealing with yet and they may not be right for you.

Re: TTS an d PF

Julie F on 11/20/00 at 02:29 (033123)

Hi Lois

Wendy has given you very good advice and lots to think about. In addition, I would suggest that you have your back checked out. An orthopaedic doctor, if you see one, should be able to do this, or you could consider going to a chiropractor. The reason I suggest this is that you say you feel as though one leg is longer than the other. Very occasionally a person really does have one leg longer, but it is usually due to something going on in the back, e.g. scoliosis, or in the pelvis. Some of these things are treatable mechanically. Another reason I think you should suspect spinal involvement is that you complain of numbness and tingling. These are generally signs of nerve impingment, which again comes from the back.

Good luck and all the best

Julie

Re: TTS an d PF

Lois on 11/20/00 at 11:47 (033155)

Thanks for all the comments on my post. I have hard orthotics and the foot doctor said they are ok. They cost over $300. I do have scoloisis of the back and arthritis very bad. I am getting my third epidural tomorrow and the two have helped some. My life is full of stress right now as my husband has been sick and he has so many problems. I am seeing my interneist in a couple weeks and i will see if he recommends my ortho who did my knee replacement 5 years ago. He also has a specialityin feet problems. Another other comments are appreciated. Lois

Re: TTS an d PF

Julie F on 11/20/00 at 17:12 (033176)

Lois, I'm so sorry you are having all this trouble. I'd just like to add to my first post that if you have scoliosis you would find an elevated shoe helpful, to equalize the length of your legs and get you into a better state of balance. Why don't you ask your internist about this possibility?

Do let us know how you get on.

All the best, Julie

Re: TTS an d PF

Karin L. on 1/02/01 at 08:44 (035792)

Hello all,
I sympathize with all of you. I too was dianosed with PF in March of '99. After EVERY treatment available I was still in pain. Then in the middle of physical therapy last Jan., I developed tarsal tunnel in the right foot. It only got worse, so my pod. scheduled me for decompression surgery for the tibial nerve & figured as long as I was out, he also did PF release by 50%. Have had no problem with the TTS since, however the PF was still with me. Just had ESWT last Fri., Dec. 29th! It is amazing!!! I have NO more pain, it is gone except for an occassional twinge. Check out this site, it is on the message board. If your pod hasn't suggested it, ask him about it. It is one of the best decisions I have ever made. Surgery can further complicate things, plus healing time is much longer. The whole procedure took about 15-20 min. & I walked out in my New Balance with my store bought orthotics! Hope this helps. Good luck to all.
Karin