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TTS/PF

Posted by Jana on 1/30/02 at 15:27 (071966)

Couple of questions:
what is the distinction between tarsal tunnel syndrome and posterior tibial tendinitis? I have a positive nerve conduction for TTS but no numbness, burning, tingling etc.. My only related symptom is ankle pain. I also have plantar fasciitis for two years now.

What is your recommendation as to use of orthotics after a partial plantar fascia release (open incision, not endoscopic procedure)? I have heard different opinions. One surgeon said I absolutely will never be able to walk without orthotics after the procedure. No barefoot walking, no women's dress shoes. Does that also mean no standing up in the shower?I want to know what the likelihood is that I will ever wear normal shoes again.

I am considering the open incision procedure not endoscopic since I have TTS. My surgeon says she prefers to ' see what she is doing'. I have heard mixed opinions about doing the procedures in one operation. Is there any possibility that simply releasing the plantar facia would help the tarsal tunnel symptoms resolve?

Re: TTS/PF

Pam on 2/01/02 at 13:09 (072190)

I am no doctor but am facing surgery next week...I am having a Partial PF Release and Partial Spur Excsision...I also am suffering with posterior and tibial tendonitis which they are hoping the casting and boot will give my tendons some time to heal and then if they dont, I will need treatment an possible surgery for that as well...but they dont want to do anything until my heel is corrected because they believe my gait is responsible for the tendonitis...

After careful consideration, I am having the open procedure as it would appear from studying things that the success rate seems to be higher due to the ability of the doc to see much more than with the scope...

My doc tells me that first I will be casted for three weeks and then I will have some type boot for an undetermined length of time as I slowly graduate back into my everyday shoes, providing any unforseen complications...

I really dont know too much about TTS except that it usually requires surgery to correct... but am not as educated in this area as some of the people posting here are...but I know that my pod would not operate on me until I went to see the ankle specialist to be cleared of TTS...

Good luck to you and keep us posted about what you decide to do :)

Re: TTS/PF

Pam on 2/01/02 at 13:09 (072190)

I am no doctor but am facing surgery next week...I am having a Partial PF Release and Partial Spur Excsision...I also am suffering with posterior and tibial tendonitis which they are hoping the casting and boot will give my tendons some time to heal and then if they dont, I will need treatment an possible surgery for that as well...but they dont want to do anything until my heel is corrected because they believe my gait is responsible for the tendonitis...

After careful consideration, I am having the open procedure as it would appear from studying things that the success rate seems to be higher due to the ability of the doc to see much more than with the scope...

My doc tells me that first I will be casted for three weeks and then I will have some type boot for an undetermined length of time as I slowly graduate back into my everyday shoes, providing any unforseen complications...

I really dont know too much about TTS except that it usually requires surgery to correct... but am not as educated in this area as some of the people posting here are...but I know that my pod would not operate on me until I went to see the ankle specialist to be cleared of TTS...

Good luck to you and keep us posted about what you decide to do :)