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TTS by traumatic injury?

Posted by GarthB on 4/21/01 at 20:02 (045318)

Well I have been having foot pains for a year now that has stemmed from an abrupt trauma where I smashed something on the inside front quadrant of my right heel. To make a long story short, originally, my sports Dr and I just thought it was best to treat the injury as planar fasciitis as X -rays were negative for a broken heel. We treated in non-aggressive methods to improve the healing in that area of my foot such as rest, then ultrasound with PT, and then worked into the more aggressive cortisone shots. None of this has diminished the dull pain other than the severe pain that was felt for about the first two weeks.

Since then, it has been mentally a disaster, as I have been unable bear weight on my foot without pain making it impossible to seriously run and I am a long-distance runner, triathlete, and backpacker. I just have a persistent dull ache that will not go away in the bottom of my foot and into the top of the arch, and throughout the planar fasciitis. The best description as what I have felt is that ache one feels after doing a really long hard all day hike where all you want to do is take off your boots and prop up your feet. I have not had numbness and tingling as some people have alluded to with TTS.

I have been working with a second sports Dr and we feel that there must be scarring from trying to heal in top of the arch which has been placing extra stress onto the nerve, so hence I'm unfortunately a good candidate for TTS. I have a referral to an orthopedic foot surgeon in 3 weeks to look into maybe the nerve conduction tests (which I have not had) and the possibilities of surgery.

I'm new to this message board and I am trying to obtain this type of information from the posts but I would also have questions such as: Does this sound like what other people have? How successful is surgery and what are the chance for it to be a disaster? What is the recovery time? What are prospects or running pain free? Etc.?

Thanks a bunch for any and all responses,
Garth

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/21/01 at 20:46 (045321)

Garth,

I found a couple of sites that list the causes of tarsal tunnel syndrome.
I had originally posted these in the surgery section of this board, under a post Nerve Entrapment and ESWT, and causes of tarsal tunnel syndrome on 4-19/01 - 4-/20 /01

http://www.foot-specialist.com/html/tarsal_tunnel_repair.htm

http://www.chiroweb.com/archives/11/07/30.html

I am having a lot of success with a therapy called Active Release Therapy (ART) for TTS and PF. Look at my post under the treatment/symptoms section of the board under 'Active release therapy (ART) is miraculous' on 4/17/01
Even if you don't have TTS, and got some adhesions/scar tissue from injury, the ART will help remove this. There are varying opinions of success of TTS surgery ranging from around 42 to 85 percent.

Have you had MRI, etc. to rule out any other soft tissue injuries. Nerve compressions of course will not show on MRI, but the NCV test might show something. You can have TTS w/o pos NCV test.

If it is just TTS, try the ART, before any surgery.

Donna

Re: TTS by traumatic injury? Some causes and treatments

GarthB on 4/22/01 at hrmin (045345)

Thanks for the follow up. I will look into ART.

When I go to see the orthopedic I am definitely going to look into the nerve tests and I would assume that the Dr would also do it. I also did have an MRI of my foot and it was determined to be 'normal' by the hospital radiologist. Through a friend of a friend type of thing, I did get a foot expert to see my X-rays and MRI. They did not really see anything wrong, but he could convince himself that there was something maybe in the heel bone with a small fracture, but it was not definite.

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/22/01 at 12:19 (045355)

Hi Garth,

Usually the doc will send you to someone to do the NCV test. A pod just told me a about a test that's suppossed to be better than the standard Nerve conduction test, and is more sensitive in picking up things. It's called Quantitative Sensory Testing. It's also suppossed to be totally painless. I would think a neurologist would be up to the minute on all the best test. Ask your doc to refer you to them. There's some info on the web.

Donna

Re: TTS by traumatic injury? Some causes and treatments

GarthB on 4/22/01 at hrmin (045388)

I did look into the ART to figure out what it was. Actually my PT did this last summer and it really hurt like hell the next day. I remember calling and talking to her about it as at the time it felt as thought my recovery had taken a major step backwards. I have had something similar done on my sholders after swimming injuries and this did improve the healing in that case.

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/22/01 at 21:11 (045396)

Garth,

Was she a chiropractor certified by the institute? If she didn't receive this training, and is not certified then it's highly unlikely she performed ART. Did she do some form of deep tissure massage which is NOT ART. There is nothing similiar. I would call the institute on Monday, and see if she is a certified, and trained ART practiioner. She certainly couldn't have been certified in lower body, because the first certificates were given Jan 01.

Don't trust someone saying they do something like ART. This is very specific training. I had some deep tissue massage done on my foot, and it just made things worse. I hurt for days, and the PT must of set me back 5 steps. With the ART I feel better, and better, after each session. ART is not only helping me, it will probably cure me.

Donna.

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/21/01 at 20:46 (045321)

Garth,

I found a couple of sites that list the causes of tarsal tunnel syndrome.
I had originally posted these in the surgery section of this board, under a post Nerve Entrapment and ESWT, and causes of tarsal tunnel syndrome on 4-19/01 - 4-/20 /01

http://www.foot-specialist.com/html/tarsal_tunnel_repair.htm

http://www.chiroweb.com/archives/11/07/30.html

I am having a lot of success with a therapy called Active Release Therapy (ART) for TTS and PF. Look at my post under the treatment/symptoms section of the board under 'Active release therapy (ART) is miraculous' on 4/17/01
Even if you don't have TTS, and got some adhesions/scar tissue from injury, the ART will help remove this. There are varying opinions of success of TTS surgery ranging from around 42 to 85 percent.

Have you had MRI, etc. to rule out any other soft tissue injuries. Nerve compressions of course will not show on MRI, but the NCV test might show something. You can have TTS w/o pos NCV test.

If it is just TTS, try the ART, before any surgery.

Donna

Re: TTS by traumatic injury? Some causes and treatments

GarthB on 4/22/01 at hrmin (045345)

Thanks for the follow up. I will look into ART.

When I go to see the orthopedic I am definitely going to look into the nerve tests and I would assume that the Dr would also do it. I also did have an MRI of my foot and it was determined to be 'normal' by the hospital radiologist. Through a friend of a friend type of thing, I did get a foot expert to see my X-rays and MRI. They did not really see anything wrong, but he could convince himself that there was something maybe in the heel bone with a small fracture, but it was not definite.

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/22/01 at 12:19 (045355)

Hi Garth,

Usually the doc will send you to someone to do the NCV test. A pod just told me a about a test that's suppossed to be better than the standard Nerve conduction test, and is more sensitive in picking up things. It's called Quantitative Sensory Testing. It's also suppossed to be totally painless. I would think a neurologist would be up to the minute on all the best test. Ask your doc to refer you to them. There's some info on the web.

Donna

Re: TTS by traumatic injury? Some causes and treatments

GarthB on 4/22/01 at hrmin (045388)

I did look into the ART to figure out what it was. Actually my PT did this last summer and it really hurt like hell the next day. I remember calling and talking to her about it as at the time it felt as thought my recovery had taken a major step backwards. I have had something similar done on my sholders after swimming injuries and this did improve the healing in that case.

Re: TTS by traumatic injury? Some causes and treatments

Donna SL on 4/22/01 at 21:11 (045396)

Garth,

Was she a chiropractor certified by the institute? If she didn't receive this training, and is not certified then it's highly unlikely she performed ART. Did she do some form of deep tissure massage which is NOT ART. There is nothing similiar. I would call the institute on Monday, and see if she is a certified, and trained ART practiioner. She certainly couldn't have been certified in lower body, because the first certificates were given Jan 01.

Don't trust someone saying they do something like ART. This is very specific training. I had some deep tissue massage done on my foot, and it just made things worse. I hurt for days, and the PT must of set me back 5 steps. With the ART I feel better, and better, after each session. ART is not only helping me, it will probably cure me.

Donna.