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tarsal tunnel syndrome

Posted by Daniel C. on 4/24/02 at 03:32 (080904)

I may have tts. What is the most conservative tx for this? Would you see a physiatrist or a pod for this problem?

Thank you

Re: tarsal tunnel syndrome

Dr. Cozzarelli on 4/24/02 at 05:53 (080915)

Hi Daniel:

I would see a podiatrist and start with physical therapy and orthotics.

Dr. John Cozzarelli

Re: tarsal tunnel syndrome

Daniel C. on 4/25/02 at 02:04 (081039)

I have a problem here. Because of my insurance, I need my family doctor to refer me to any specialist. I just saw him and he won't refer me to a pod. He wants to send me to a physiatrist. I know that a pod can do more for me than a physiatrist. What should I do?

Thanks again.

Re: tarsal tunnel syndrome

DR Zuckerman on 4/25/02 at 07:30 (081049)

Ask him why . Tell him you feel that a podiatrist will help you more. There has to be a specific reason. Have a Frank Talk with him. With an HMO you usually have to go to the doctor your primary tell you to. You could get some good advice and treatment from a physiatrist. Treatment may consist of physical therapy which is very helpful in the right situation. So pick your primary doc's brain and see what his thinking is

Re: tarsal tunnel syndrome

Daniel C. on 4/26/02 at 00:27 (081162)

I was first diagnosed with plantar fasciitis. I have had physical therapy for this and had no relief at all. Iontophoresis, ultrasound, taping, stretching, ice was of no relief. My pod tried taping, OTC orthotics, anti-inflamms, and a night splint. Now that my diagnosis is probably tts, would the tx be almost the same as plantar fasciitis?

Thanks for your response DR.

Re: tarsal tunnel syndrome

Dr. Cozzarelli on 4/26/02 at 05:06 (081166)

Hi Daniel:

Slightly differnet. Here you have an entrapement of the posterior tibial nerve. The orthotics will help support the foot as not to allow pronation which in turn will compress the nerve. Injection therapy, electtical stimulation, and other PT modalities will help.

Dr. John Cozzareli

Re: tarsal tunnel syndrome

Daniel C. on 4/26/02 at 23:51 (081271)

Hi Dr. Cozzarelli;

Would that be a cortisone injection? Is the relief only temporary before having to go for another shot? I spoke with my pod and he mentioned that he would end up giving me a shot. But, at least there are other options that you have mentioned.

thanks for your help!

Re: tarsal tunnel syndrome

Dr. Cozzarelli on 4/24/02 at 05:53 (080915)

Hi Daniel:

I would see a podiatrist and start with physical therapy and orthotics.

Dr. John Cozzarelli

Re: tarsal tunnel syndrome

Daniel C. on 4/25/02 at 02:04 (081039)

I have a problem here. Because of my insurance, I need my family doctor to refer me to any specialist. I just saw him and he won't refer me to a pod. He wants to send me to a physiatrist. I know that a pod can do more for me than a physiatrist. What should I do?

Thanks again.

Re: tarsal tunnel syndrome

DR Zuckerman on 4/25/02 at 07:30 (081049)

Ask him why . Tell him you feel that a podiatrist will help you more. There has to be a specific reason. Have a Frank Talk with him. With an HMO you usually have to go to the doctor your primary tell you to. You could get some good advice and treatment from a physiatrist. Treatment may consist of physical therapy which is very helpful in the right situation. So pick your primary doc's brain and see what his thinking is

Re: tarsal tunnel syndrome

Daniel C. on 4/26/02 at 00:27 (081162)

I was first diagnosed with plantar fasciitis. I have had physical therapy for this and had no relief at all. Iontophoresis, ultrasound, taping, stretching, ice was of no relief. My pod tried taping, OTC orthotics, anti-inflamms, and a night splint. Now that my diagnosis is probably tts, would the tx be almost the same as plantar fasciitis?

Thanks for your response DR.

Re: tarsal tunnel syndrome

Dr. Cozzarelli on 4/26/02 at 05:06 (081166)

Hi Daniel:

Slightly differnet. Here you have an entrapement of the posterior tibial nerve. The orthotics will help support the foot as not to allow pronation which in turn will compress the nerve. Injection therapy, electtical stimulation, and other PT modalities will help.

Dr. John Cozzareli

Re: tarsal tunnel syndrome

Daniel C. on 4/26/02 at 23:51 (081271)

Hi Dr. Cozzarelli;

Would that be a cortisone injection? Is the relief only temporary before having to go for another shot? I spoke with my pod and he mentioned that he would end up giving me a shot. But, at least there are other options that you have mentioned.

thanks for your help!