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Tarsal tunnel incision

Posted by Helene M on 5/04/01 at 09:03 (046577)

I've been reading every post on TTS surgery as I might be a candidate for it in the future. I hope one of the drs. can answer this. I've noticed that some people had a 4' incision & some had 8' incision with TTS surgery. Why is there such variation? 8' seems like quite a large incision, which would almost be the entire length of my foot. No wonder it is such a long recovery time. Also, why don't all podiatric surgeons do the surgery? The last one I went to did not do it. Does it require special training?

Re: Tarsal tunnel incision

eileenc on 5/04/01 at 10:58 (046591)

I had a 1-inch incision. Yep, my surgery failed 3 1/2 years ago. You asked a very good question!

Re: Tarsal tunnel incision

Dr. Zuckerman on 5/04/01 at 11:30 (046602)

The training and expertise of the doctor is what is going to determine if he does the procedure. In my training we did do some TTS releases with alot of failures. In my mind I didn't want to continue with something that just did response well. This was over twenty years ago. My motto is do what you do best and then refer all the rest to someone who can do what you don't or can't do. TTS surgery is a specialized type of surgery in my opinion

Re: Tarsal tunnel incision

Helene M on 5/04/01 at 16:02 (046629)

Although an 8' incision does sound drastic, it doesn't seem logical to me that as good a job could be done through a 1' incision. Of course that's just my own layman's opinion and I may be completely wrong!

Re: Tarsal tunnel incision

Scott2 on 5/04/01 at 17:57 (046639)

It does depend a lot on the background and experience of the doctor doing the surgery, but the incision has to be of some significance to get at the nerve and release it.

I have only heard of 1' incisions for a plantar fascia release. Mine was about 4' on the inside of the foot to get at the nerve as well as the plantar fascia since I had both done.

Re: Tarsal tunnel incision

eileenc on 5/05/01 at 08:37 (046678)

This surgical podiatrist (who did the 1 inch incision) 'was' supposedly the 'expert' in our area. He had published a booklet and presented his work at a national convention. He taught area podiatrists from the VA hospitals. Eventually, he went to Scotland and Russia to teach others the technique. I had been to 3 orthopedic foot specialists before him ; only one diagnosed it correctly and he refused to do surgery until I was much worse. He told me to go to a pain clinic and just live with it. I did and the doctor at the pain clinic decided to 'unlock' my left sacroiliac joint with an osteopathic maneuver which resulted in a severe sprain. I live with that pain everyday too. I was desperate and grasping at straws, what with the pain and all. Yes, I am unlucky, but back in 1996 and 1997 there was virtually nothing on the web about TTS. This board is magnificent and has many very knowledgeable people! {I have been lurking for many months}
Dear Doctors who are on this board--- a special thank you.

Re: Tarsal tunnel incision

eileenc on 5/04/01 at 10:58 (046591)

I had a 1-inch incision. Yep, my surgery failed 3 1/2 years ago. You asked a very good question!

Re: Tarsal tunnel incision

Dr. Zuckerman on 5/04/01 at 11:30 (046602)

The training and expertise of the doctor is what is going to determine if he does the procedure. In my training we did do some TTS releases with alot of failures. In my mind I didn't want to continue with something that just did response well. This was over twenty years ago. My motto is do what you do best and then refer all the rest to someone who can do what you don't or can't do. TTS surgery is a specialized type of surgery in my opinion

Re: Tarsal tunnel incision

Helene M on 5/04/01 at 16:02 (046629)

Although an 8' incision does sound drastic, it doesn't seem logical to me that as good a job could be done through a 1' incision. Of course that's just my own layman's opinion and I may be completely wrong!

Re: Tarsal tunnel incision

Scott2 on 5/04/01 at 17:57 (046639)

It does depend a lot on the background and experience of the doctor doing the surgery, but the incision has to be of some significance to get at the nerve and release it.

I have only heard of 1' incisions for a plantar fascia release. Mine was about 4' on the inside of the foot to get at the nerve as well as the plantar fascia since I had both done.

Re: Tarsal tunnel incision

eileenc on 5/05/01 at 08:37 (046678)

This surgical podiatrist (who did the 1 inch incision) 'was' supposedly the 'expert' in our area. He had published a booklet and presented his work at a national convention. He taught area podiatrists from the VA hospitals. Eventually, he went to Scotland and Russia to teach others the technique. I had been to 3 orthopedic foot specialists before him ; only one diagnosed it correctly and he refused to do surgery until I was much worse. He told me to go to a pain clinic and just live with it. I did and the doctor at the pain clinic decided to 'unlock' my left sacroiliac joint with an osteopathic maneuver which resulted in a severe sprain. I live with that pain everyday too. I was desperate and grasping at straws, what with the pain and all. Yes, I am unlucky, but back in 1996 and 1997 there was virtually nothing on the web about TTS. This board is magnificent and has many very knowledgeable people! {I have been lurking for many months}
Dear Doctors who are on this board--- a special thank you.