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Post Surgery Expectations

Posted by Steve H on 5/03/01 at 13:37 (046502)

I am 41 years old and started running in May of 2000 (1/2 Hour 5 times a week).
Through out the summer I started to develop all of the symptoms of TTS.
By August I started receiveing cortozone shots and had orthotics made, by October I could barely walk, and stoped all excercise.
I went through all of the testing and was diagnosed with TTS.
I had TTS Surgery on Feb 7/01, I also had a cyst removed at the same time.
The incision was 8 inches long and was closed with 22 staples.
I received Physio for 1 month - the treatment was stretching excercises - all treatment I could do on my own. I stopped going for treatment, but continue my stretching excercises.
Today is May 3/01, and I still have the same feelings in my foot as I had before surgery, the balls of my feet are numb my big toe hurts all the time, my ankle is still very large and looks swollen, it also feels hard (solid). I also get shooting pains through my foot and leg, through out the day.

I am looking for some advice. Dr. feedback welcome.

Is this a typical situation?
Will I ever get the feeling back in my foot/toes?
Can bunions contribute to the pain in my foot/toes?
Is there more I can do to bring the swelling down? Or is this it?
I would like to continue my running is this realistic to consider?
How long before I can start to do aerobic excercise?

I live in Toronto Canada, I would be interested to know if there are any TTS specialist in this area that you are aware of.

Any advice or feedback welcome?

Thanks Steve

Re: Post Surgery Expectations

claudia m on 5/03/01 at 13:49 (046507)

Steve H, I just had TTS surgery April 4th. They tell me it takes a few months to get over this TTS surgery. So I wouldn't give up yet. I hope you will continue to get better.Sounds like to me you had a very large incision, mine was only 4 inches long. I wish you the very best, I am sorry I can't help you much but I know it helps to have someone respond so you know you are not alone. It is a horrible pain to go through. Good luck and keep me posted on your progress.I just posted a message about the same time you did maybe it will help some.

Re: Post Surgery Expectations

Steve H on 5/03/01 at 15:44 (046518)

Thanks Claudia M, for your message and Good Luck to you as well.
I will also be watching out for your progress.

Re: Post Surgery Expectations

wendyn on 5/03/01 at 19:37 (046542)

Hi Steve!

First - I don't know that there is a 'Typical' situation with TTS.

You are only 3 months post op - full recovery will probably take close to a year.

Do you have trouble with both feet or just one?

You may or may not get back to running. For your own mental health - do not dwell on that for now. Work on your recovery and getting your pain down. Re-evaluate the idea of running at the one year mark.

Bunions hurt - but only locally as far as I know. Do you have bunions? You can't miss em if you do.

What did the physio place say about the swelling?

Re: Post Surgery Expectations

Steve H on 5/04/01 at 08:12 (046571)

Hi Wendy M

It is only my left foot.
Does this tend to happen in both?
Yes I do have a rather large bunion on my left foot.

1 Year WOW!
Is there any excercise that I can do before that year?
What about riding a bike?

The Physio has never worked on any one with TTS, didn't really have any thing to say about too much, never did any research.
My Neuro said because of the cyst it will take longer to recover come back in 3 months.

Thanks for your feedback.

Re: Post Surgery Expectations

claudia m on 5/04/01 at 11:20 (046598)

Steve H, Do you have any problems with the top of your foot hurting? I started doing the exercises the therapists gave me , Flexing the foot, writing my abc's with my big toe and ankle rotation, and my foot is hurting on top around the toes and into the ankle joint.

Re: exercise

GinaC on 5/04/01 at 11:21 (046599)

I had a tarsal tunnel release, pf release and spur removal mid march. Dr. said I could swim after the stitches were removed. You might want to ask your doctor about exercise.

Re: Post Surgery Expectations

SteveH on 5/05/01 at 10:11 (046684)

Hi Claudia M

I had the same problem when I first started to excercise but it eventually went away. However my big toe continues to be very sore.

Re: Post Surgery Expectations

claudia m on 5/06/01 at 12:40 (046786)

My therapist advised me to cross my legs and move my big toe back and forth. I don't know if it will help your big toe joint come out of it or not but it might be worth a try.He told me it won't hurt anything even if it doesn't help.

Re: Post Surgery Expectations

Stephanie B on 5/11/01 at hrmin (047438)

Before my TTS surgery, I was warned by the doc that I may not achieve complete relief. According to him, because the foot is a dynamic and weight-bearing part of the body, post-surgery scarring is virtually unavoidable and the TTS could be compounded by it. I guess he was right. Following surgery and a couple of months' rest, I switched sports (from cycling and running to karate) and that helped. The symptoms went away. Recently, however, I began running again and now both feet are burning like mad. Not sure what options are available to me, since I've already had the surgery. Looks like I'll have to give up doing what I love and spending more time on the couch. Any thoughts?

Re: Post Surgery Expectations

wendyn on 5/11/01 at 13:15 (047488)

Stephanie, just because you can't run - doesn't mean you have to stay on the couch. Running is probably the hardest thing on your feet. Does the biking still bother you? Have you tried a recumbent bike?

What about no impact aerobics, weight training or swimming?

Re: Post Surgery Expectations

Steve H on 5/15/01 at 20:15 (047861)

Hang in there Stephanie and keep positive. I know it is very difficult and frustrating, I am going through the same thing. I started running this past week and have had a lot of pain, however I have started to use the bike at the health club. I know it is not the same but I believe there may be an opportunity to get some aerobic excercise whith out killing your feet.
Keep Positive you will find a way.

Re: Post Surgery Expectations

claudia m on 5/03/01 at 13:49 (046507)

Steve H, I just had TTS surgery April 4th. They tell me it takes a few months to get over this TTS surgery. So I wouldn't give up yet. I hope you will continue to get better.Sounds like to me you had a very large incision, mine was only 4 inches long. I wish you the very best, I am sorry I can't help you much but I know it helps to have someone respond so you know you are not alone. It is a horrible pain to go through. Good luck and keep me posted on your progress.I just posted a message about the same time you did maybe it will help some.

Re: Post Surgery Expectations

Steve H on 5/03/01 at 15:44 (046518)

Thanks Claudia M, for your message and Good Luck to you as well.
I will also be watching out for your progress.

Re: Post Surgery Expectations

wendyn on 5/03/01 at 19:37 (046542)

Hi Steve!

First - I don't know that there is a 'Typical' situation with TTS.

You are only 3 months post op - full recovery will probably take close to a year.

Do you have trouble with both feet or just one?

You may or may not get back to running. For your own mental health - do not dwell on that for now. Work on your recovery and getting your pain down. Re-evaluate the idea of running at the one year mark.

Bunions hurt - but only locally as far as I know. Do you have bunions? You can't miss em if you do.

What did the physio place say about the swelling?

Re: Post Surgery Expectations

Steve H on 5/04/01 at 08:12 (046571)

Hi Wendy M

It is only my left foot.
Does this tend to happen in both?
Yes I do have a rather large bunion on my left foot.

1 Year WOW!
Is there any excercise that I can do before that year?
What about riding a bike?

The Physio has never worked on any one with TTS, didn't really have any thing to say about too much, never did any research.
My Neuro said because of the cyst it will take longer to recover come back in 3 months.

Thanks for your feedback.

Re: Post Surgery Expectations

claudia m on 5/04/01 at 11:20 (046598)

Steve H, Do you have any problems with the top of your foot hurting? I started doing the exercises the therapists gave me , Flexing the foot, writing my abc's with my big toe and ankle rotation, and my foot is hurting on top around the toes and into the ankle joint.

Re: exercise

GinaC on 5/04/01 at 11:21 (046599)

I had a tarsal tunnel release, pf release and spur removal mid march. Dr. said I could swim after the stitches were removed. You might want to ask your doctor about exercise.

Re: Post Surgery Expectations

SteveH on 5/05/01 at 10:11 (046684)

Hi Claudia M

I had the same problem when I first started to excercise but it eventually went away. However my big toe continues to be very sore.

Re: Post Surgery Expectations

claudia m on 5/06/01 at 12:40 (046786)

My therapist advised me to cross my legs and move my big toe back and forth. I don't know if it will help your big toe joint come out of it or not but it might be worth a try.He told me it won't hurt anything even if it doesn't help.

Re: Post Surgery Expectations

Stephanie B on 5/11/01 at hrmin (047438)

Before my TTS surgery, I was warned by the doc that I may not achieve complete relief. According to him, because the foot is a dynamic and weight-bearing part of the body, post-surgery scarring is virtually unavoidable and the TTS could be compounded by it. I guess he was right. Following surgery and a couple of months' rest, I switched sports (from cycling and running to karate) and that helped. The symptoms went away. Recently, however, I began running again and now both feet are burning like mad. Not sure what options are available to me, since I've already had the surgery. Looks like I'll have to give up doing what I love and spending more time on the couch. Any thoughts?

Re: Post Surgery Expectations

wendyn on 5/11/01 at 13:15 (047488)

Stephanie, just because you can't run - doesn't mean you have to stay on the couch. Running is probably the hardest thing on your feet. Does the biking still bother you? Have you tried a recumbent bike?

What about no impact aerobics, weight training or swimming?

Re: Post Surgery Expectations

Steve H on 5/15/01 at 20:15 (047861)

Hang in there Stephanie and keep positive. I know it is very difficult and frustrating, I am going through the same thing. I started running this past week and have had a lot of pain, however I have started to use the bike at the health club. I know it is not the same but I believe there may be an opportunity to get some aerobic excercise whith out killing your feet.
Keep Positive you will find a way.