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possible tibial neuralgia

Posted by maya on 2/28/01 at 01:40 (040052)

Hello to this board, I have been visiting steve williamson's tts site and found this board thru there.

I am new to this board, so would like to tell you of my story, I am a 28 yr old female, on my feet a lot, and have been having strange symptoms in left foot/ankle area.

I have this tingling type of pain going down back of my leg (calf), which seems to be prominent in the ankle area. My doctor has just called it 'nerve irritation', I have had physical therapy, ice, anti-inflammatories etc. to no avail. My doctor doesnt seem to think it is any big deal, but I am the one who is in constant agony.

Just recently, I have been surfing the internet, trying to figure out things on my own, since my dr doesnt seem to help, and found the tibial nerualgia to closely match my symptoms. (is tarsal tunnel syndrome a synonym for posterior tibial neuralgia?).

I find the symtpoms of tarsall tunnel syndrome to closely match mine. I am not a dr, and would not like to self-diagnose myself. But I am grassping at straws from this pain, tingling, burning that just won't go away. I would have thought my dr would refer me to neurology by now. but this hasnt' happened (Kaiser is notorious for cutting corners).

Any body out there can you help me? Or at least direct me on to what I should do next.

thank you
Maya

Re: possible tibial neuralgia

Julie on 2/28/01 at 02:53 (040057)

Hi Maya

Don't self-diagnose. Many foot problems have similar symptoms, and you need a proper evaluation by a doctor who specializes in feet: a podiatrist or sports medicine doctor who can evaluate the whole of your lower extremity. Let's hope you DON'T have TTS! But do consult a specialist and find out what you do have.

Tingling usually suggests nerve involvement, which your doctor has already pointed out (but I guess hasn't referred you to someone who can deal with it). So as well as your feet, you ought to have your back looked at by a chiropractor or an osteopath. It could be that one of your intervertebral discs has become herniated and is impinging on a nerve, possibly the sciatic nerve. These things are rectifiable, so do get checked out.

Re: possible tibial neuralgia

Dr. Zuckerman on 2/28/01 at 06:55 (040059)

Hi,

Julie has just given you the most important piece of advice that you can recieve . The fact that you have take part and learn about the condition of TTS is in the right directions. Examination of the lower extremity especiallly your back is paramount . There are alot of good people on this board that will advice and help you . So get to a neurologist or chiropractor to have the back checked out.

Re: possible tibial neuralgia

maya on 2/28/01 at 11:57 (040075)

hello again, doctor doesnt think it is sciatica or related to back, she did some tests in the office by making me bend etc....so did the physical therapist. they say if I had back involvement, then coughing, bending in certain positions would hurt, tingle.

so it is definitely in the leg/ankle area.

Should I tell my dr to refer me to a neurologist?

Re: possible tibial neuralgia

Dr. Biehler on 2/28/01 at 19:29 (040121)

If your doctor thinks it is a nerve problem and can not pin point the area of involvment, the you should be referred to a neurologist. He can run tests that will determine with his different machines and find out where the problem originates. Remember, you are the one suffering the pain, not the doctor. Dr. B.

Re: possible tibial neuralgia

Doug on 4/29/01 at hrmin (046182)

I have problems with both feet that sound very much like yours. I experience pain, burning and tingling, but no swelling or hot spots. I havetried physio, acupuncture, chiro, stretching. No luck. It's been about 6-8 months now.

Have you found any relief?

My doctors sound like yours. Nobody has mentioned neuralgia. Is this a difficult diagnosis?

Any response would be appreciated.

Re: possible tibial neuralgia

wendyn on 4/29/01 at 17:39 (046186)

Doug - I believe that they are one in the same - different name. YES - this is a VERY difficult diagnosis. The problem is TTS symptoms can feel the same to different people - but the causes can be entirely different. Everything from diabetes to trauma.

Re: possible tibial neuralgia

Julie on 2/28/01 at 02:53 (040057)

Hi Maya

Don't self-diagnose. Many foot problems have similar symptoms, and you need a proper evaluation by a doctor who specializes in feet: a podiatrist or sports medicine doctor who can evaluate the whole of your lower extremity. Let's hope you DON'T have TTS! But do consult a specialist and find out what you do have.

Tingling usually suggests nerve involvement, which your doctor has already pointed out (but I guess hasn't referred you to someone who can deal with it). So as well as your feet, you ought to have your back looked at by a chiropractor or an osteopath. It could be that one of your intervertebral discs has become herniated and is impinging on a nerve, possibly the sciatic nerve. These things are rectifiable, so do get checked out.

Re: possible tibial neuralgia

Dr. Zuckerman on 2/28/01 at 06:55 (040059)

Hi,

Julie has just given you the most important piece of advice that you can recieve . The fact that you have take part and learn about the condition of TTS is in the right directions. Examination of the lower extremity especiallly your back is paramount . There are alot of good people on this board that will advice and help you . So get to a neurologist or chiropractor to have the back checked out.

Re: possible tibial neuralgia

maya on 2/28/01 at 11:57 (040075)

hello again, doctor doesnt think it is sciatica or related to back, she did some tests in the office by making me bend etc....so did the physical therapist. they say if I had back involvement, then coughing, bending in certain positions would hurt, tingle.

so it is definitely in the leg/ankle area.

Should I tell my dr to refer me to a neurologist?

Re: possible tibial neuralgia

Dr. Biehler on 2/28/01 at 19:29 (040121)

If your doctor thinks it is a nerve problem and can not pin point the area of involvment, the you should be referred to a neurologist. He can run tests that will determine with his different machines and find out where the problem originates. Remember, you are the one suffering the pain, not the doctor. Dr. B.

Re: possible tibial neuralgia

Doug on 4/29/01 at hrmin (046182)

I have problems with both feet that sound very much like yours. I experience pain, burning and tingling, but no swelling or hot spots. I havetried physio, acupuncture, chiro, stretching. No luck. It's been about 6-8 months now.

Have you found any relief?

My doctors sound like yours. Nobody has mentioned neuralgia. Is this a difficult diagnosis?

Any response would be appreciated.

Re: possible tibial neuralgia

wendyn on 4/29/01 at 17:39 (046186)

Doug - I believe that they are one in the same - different name. YES - this is a VERY difficult diagnosis. The problem is TTS symptoms can feel the same to different people - but the causes can be entirely different. Everything from diabetes to trauma.