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Tarsel Tunnel Release

Posted by Barbara s on 7/15/02 at 16:31 (089704)

Hi All Barbara S. I haven't posted in a couple of weeks. I have been going to pt. Doing some walking in the pool and stretches. This seems to be ok. Pt wanted me to go to one crutch,but this isn't going well. Pt also gave me some stretches to do with stretching bands, these also are not going well.
I saw the surgeon last week and he is no help. I waited in his office from 1015am til 1215pm when he finally entered the room I was in. He said hello how are things and I tried to expain to him,but cut short. I look at my foot from where he was standing,(6-7ft away) and said don't look too swellen. My reply to him was, that is because I have sat in you waiting room for 2 hrs., no reply from him. I asked if he could please help me, as I am trying to retire early and was running to of vacation. He says you are putting me in a difficult situation,as I sent my patients that have desk jobs back in 2wks. He didn't even take my stitches out til 2 wks. and told me no wait bearing see you in 3 wks. After 3wks he sent me to pt and gave me a note that said off 1 more month. I didn't even try to explain to him he gave me a note that said re-evalueate in 2wks. I tried to explain to him that this is not good enough for my disability center. He said he would write up a report and fax in to them and send a copy to me.
Well, I'm not waiting for him. I made an appt with my Pod. I saw him today I when he walked in the room the tears just started to flow. I am so frustrated I told him. I don't know what to do. I explain to him about the surgeon and he was really angry. He is going to call my Primary Care Physician and ask to take over my case. He referred me to this surgeon, and this surgeon hasn't even sent him any reports. He was going to check with my PCP and see if he received any. Pod also order a MRI today. My foot is still so swollen and really hurts around the ankle and back of heal. He wants to compare them with one I had earlier this year.
I also told him that I felt PT was trying to push me to hard and fast. I will just tell them tomorrow we need to slow back down. Any problems with it, he said have them call him.
I have been on Neurotin for over 2wks now,but surgeon wants me to give it 2months. I started 300mg for 5 days 600mg for next 5 days and now I take 900 three times a day. I was on them before from my pod for 2wks and never felt any different,but will stay on for the 2months and see what happens.
I am seeing a pyschologist tomorrow. This was set up through the Pain Management Clinic. I told my Pod today and told him the Docs name and he said he is good. Funny the Pyschologist said the same about my Pod.
Well, the things that are going on with my foot are swelling in heal ankle and ball of my foot. I have pins and needle feelings on the bottom of my foot and all of my toes and burning sensation. I ice several times a day this doesn't help the swelling,but does help somewhat with the achey pain. Sometimes I even get a bucket of cold water and just put my whole foot in it. Ohhhh feels so good, until I take it out. Maybe I could go around with a bucket of cold water attached to my foot.
Enough of my complaining about my foot.
We had a tragedy in our family late the night of July 4th. My youngest son's mother-inlaw fell backwards off her steps at her home and hit her head. When the paramedics arrived, she was breathing,but no brain activity. They called for the Flight for Life to take her to a hospital about 40min. drive from our house. We saw the helicopter from our house.It landed not too far from us,by our firestation. We also watched as it took off for the hospital. They put her on life support when she got there,but they pretty much knew she was brain dead. Her daughters waited for 2 brothers to arrive and then on the afternoon of July 5th the Docs turned off the machines and she passed away. She was only 51 yrs young. We have two grandsons together with my son and her daughter. Nicholas, is 5-1/2yrs old and will miss her very much. Jakob is only 4months old so he will have to hear all about his Nana Linda,as Nicholas called her,from his big brother. It has been a very hectic since her death,but things are beginning to slow down. When something like this happens so suddenly it makes you take a step backwards and take a look at your own life and question if you have everything in order. She has no will and things will be very difficult for her 2 daughters as they wait for things to be settled.
Take care and God Bless Everyone. Barbara S.

Re: Tarsel Tunnel Release

kay on 7/15/02 at 16:54 (089706)

hi barbara, when did you have your surgery? how long did they have you wait until you could step on it? you must be getting sick of all this. i hope you can find some answers. it may take another doc. maybe a ortho who does only feet.
i had tarsel tunnel release and plantar fasciitis partial release. i seem to be doing good but now is the time i start putting weight on my foot so i will be able to tell more after a few days or a week.
you said you get those pins and needles when you put pressure on your foot. barbara when i was cast for 6 weeks before i had surgery when i first started walking without crutches i had that too. but it went away within a few days of being full weight on it. maybe you could request another p.t. from your doctor. maybe a entirely different place. starting over may help.
good luck
kay

Re: Tarsel Tunnel Release

Barbara s on 7/15/02 at 19:22 (089718)

Hi Kay I had my surgery on April 18th. I have been dealing with this for a little over a year. I have gone through all conservative. I had an EPF late Nov.,but made my foot worse. It was about 7 weeks when I was told weight bearing as tolerated. I have not been able to put much weight on it. My Pod is very good and concerned. It is the surgeon who is a jerk. I had Tarsel Tunnel Release and pf release also. My incision starts under my foot across the bottom comes up around my ankle and then a couple inches up my leg. It's about 8' altogether. I was in boot when I came out of surgery,but I went back for a check at 1 week I tried to explain to the Doc that I could wear the boot,as my ankle swelled so much that I would get a blister on my ankle bone. All he said was don't wear it then. I just gave up my wheel chair 2 wks ago. I should have kept it,it came in handy when I was in the kitchen getting dinner ready, or when I had enough of walking around on crutches.
My main complaint is my foot swells all day long and aches and aches. I still get shooting jabs. I can get a sandal on my foot if I loosen the straps. The strap has to come behind my heal not up and over my ankle as it swells so much it gets to tight.
July 21st will be 3 months and right now I feel that I am worse than when they started the surgeries. Before I could at least do my walking,but had pain afterwards. Now I can do nothing but sit and watch everyone else walk,bike,golf etc. It is getting very depressing. I do take welbrutin for depression,but I still get some bad days. I may have to try something else. I'm not sure though, because when I started,about 2months ago,Doc said I'd have to be on it for a year.
Thanks Kay for responding. Good Luck in Your Recovery. Take care and God Bless. Barbara S

Re: Tarsel Tunnel Release

BrianG on 7/15/02 at 21:32 (089732)

Hi Barbara,

Sorry that you have been in so much pain, with an uncaring surgeon to boot. I was wondering about the doctor that performed your failed EPF. Did he ever tell you that you could become worse, and possibly get TTS? Did he test you for TTS, before performing the EPF? One test I'm thinking of is an EMG. Did you have one, or an MRI, before the EPF? Did you have any tests before the EPF?

Something is wrong, with all these failed EPF's turning into TTS!!! Good luck

BrianG

Re: Tarsel Tunnel Release

Barbara S on 7/15/02 at 22:17 (089736)

HI Brian, Thanks for replying. I found this board after my EPF surgery and just before my TTR. I did have a bone scan in Aug,2001 which showed stress fracture in heel and ankle.(See Post on ask Docs.) Was in cast for a month,but came out worse. I like my Pod very much and he is very concerned. He is suppose to be one of the best here in my area. We talked about EWST and EPF,but my insurance wouldn't cover EWST so I had the surgery. I had already been in pain for 9 months and I had had enough. I don't know how anyone has put up with PF for yrs. I just wanted relief. After my EPF things went down hill. Pod order MRI in Jan and showed everything had healed well from my surgery. He then explained TTS and sent me to Neurosurgeon for EMG,which tested positive for TTS. I did try shot first,but didn't do anything.
Pod referred me to ortho surgeon as he had only done 2 ttr. He is foot and ankle specialist. He is to be one of the best ortho surgeons also. He may be good surgeon,but from my side he hasn't listen to me after the surgery,plus you have to wait 1-2hrs after your appt time to see him.
I believe Surgeon and PT are trying to rush me. I also have Fybromyalgia diagnosed over 7yrs ago. So my foot problem has increased my discomfort from this as it is important to remain active.
POD is ordering MRI so hope to find some answer on why I'm having so much swelling and pain. Will keep posting as I find things out. Thanks again Brian I know from reading post you are having your own problems. Take care and God Bless. Barbara S.

Re: Tarsel Tunnel Release

kay on 7/16/02 at 09:11 (089762)

oh barb i gotta tell you......you are scaring me. lol i also have fibro. its nothing compared to the pain i've had in my feet though. yes please keep us posted and also ask your doctor if your welbutrin can be increased. i have a friend who takes two in the morning and two in the evening. i just take two in the morning. so i know it can be increased if needed. and please keep us informed.
kay

Re: Tarsel Tunnel Release

Missy B on 7/16/02 at 15:45 (089795)

I am so sorry about all your trouble at this time. Dealing with all your foot problems is more than enough, and now the terrible accident involving your son's mother-in-law - how very sad. I will certainly keep you and all your family in my prayers.

I also feel very bad that you have encountered so many problems following your surgery. Your Pod sounds very concerned; I hope he is able to help you. I think you have every right to be concerned that your foot is still swelling as much as it is. Hopefully he will be able to find out the underlying cause, since your surgeon does not seem to be doing much for you.

Please keep in touch with us - I am sure we are all hoping you will find some relief soon.

Missy B.

Re: Tarsel Tunnel Release

Barbara S on 7/16/02 at 21:21 (089820)

Missy
Thanks for replying. I will have my MRI done this Sat July 20th. I sure hope I find some answer there. My foot is actually 100% worse than before my surgery. This weekend I had a real rough time. I did start two new exercises,plus went to one crutch,but now back to two and I'm not doing the new exercises. I told my PT that today. She was kinda disappointed,but I stuck to my guns and just did the pool walking.
Will keep everyone posted. The people on this board gave me the courage to stand up to my PT today. Thank-you and God BLess. Barbara S.

Re: Tarsel Tunnel Release

Barbara S on 7/16/02 at 21:26 (089821)

Kay, I knew the risks before I had the surgery,but when you are having so much pain you will try anything hoping you are the one it will work for. I'm still not giving up. I go to pain management 23rd and 26th for further therapy and saw psycologist today will be talking about things and learning some biofeedback both for Fibro and foot. Hang tough and I'll be praying for you. Good Luck,Take Care and God Bles. Barbara S.

Re: Tarsel Tunnel Release

trish e on 7/17/02 at 03:33 (089839)

sorry to hear things are going badly for you did that dr ever tell you that the reason your foot is doing all this is because of stress in your life,that's what i was told with all my problems with my post op foot well iam glad you have been to another dr and good luck to ya.

Re: Tarsel Tunnel Release

kay on 7/15/02 at 16:54 (089706)

hi barbara, when did you have your surgery? how long did they have you wait until you could step on it? you must be getting sick of all this. i hope you can find some answers. it may take another doc. maybe a ortho who does only feet.
i had tarsel tunnel release and plantar fasciitis partial release. i seem to be doing good but now is the time i start putting weight on my foot so i will be able to tell more after a few days or a week.
you said you get those pins and needles when you put pressure on your foot. barbara when i was cast for 6 weeks before i had surgery when i first started walking without crutches i had that too. but it went away within a few days of being full weight on it. maybe you could request another p.t. from your doctor. maybe a entirely different place. starting over may help.
good luck
kay

Re: Tarsel Tunnel Release

Barbara s on 7/15/02 at 19:22 (089718)

Hi Kay I had my surgery on April 18th. I have been dealing with this for a little over a year. I have gone through all conservative. I had an EPF late Nov.,but made my foot worse. It was about 7 weeks when I was told weight bearing as tolerated. I have not been able to put much weight on it. My Pod is very good and concerned. It is the surgeon who is a jerk. I had Tarsel Tunnel Release and pf release also. My incision starts under my foot across the bottom comes up around my ankle and then a couple inches up my leg. It's about 8' altogether. I was in boot when I came out of surgery,but I went back for a check at 1 week I tried to explain to the Doc that I could wear the boot,as my ankle swelled so much that I would get a blister on my ankle bone. All he said was don't wear it then. I just gave up my wheel chair 2 wks ago. I should have kept it,it came in handy when I was in the kitchen getting dinner ready, or when I had enough of walking around on crutches.
My main complaint is my foot swells all day long and aches and aches. I still get shooting jabs. I can get a sandal on my foot if I loosen the straps. The strap has to come behind my heal not up and over my ankle as it swells so much it gets to tight.
July 21st will be 3 months and right now I feel that I am worse than when they started the surgeries. Before I could at least do my walking,but had pain afterwards. Now I can do nothing but sit and watch everyone else walk,bike,golf etc. It is getting very depressing. I do take welbrutin for depression,but I still get some bad days. I may have to try something else. I'm not sure though, because when I started,about 2months ago,Doc said I'd have to be on it for a year.
Thanks Kay for responding. Good Luck in Your Recovery. Take care and God Bless. Barbara S

Re: Tarsel Tunnel Release

BrianG on 7/15/02 at 21:32 (089732)

Hi Barbara,

Sorry that you have been in so much pain, with an uncaring surgeon to boot. I was wondering about the doctor that performed your failed EPF. Did he ever tell you that you could become worse, and possibly get TTS? Did he test you for TTS, before performing the EPF? One test I'm thinking of is an EMG. Did you have one, or an MRI, before the EPF? Did you have any tests before the EPF?

Something is wrong, with all these failed EPF's turning into TTS!!! Good luck

BrianG

Re: Tarsel Tunnel Release

Barbara S on 7/15/02 at 22:17 (089736)

HI Brian, Thanks for replying. I found this board after my EPF surgery and just before my TTR. I did have a bone scan in Aug,2001 which showed stress fracture in heel and ankle.(See Post on ask Docs.) Was in cast for a month,but came out worse. I like my Pod very much and he is very concerned. He is suppose to be one of the best here in my area. We talked about EWST and EPF,but my insurance wouldn't cover EWST so I had the surgery. I had already been in pain for 9 months and I had had enough. I don't know how anyone has put up with PF for yrs. I just wanted relief. After my EPF things went down hill. Pod order MRI in Jan and showed everything had healed well from my surgery. He then explained TTS and sent me to Neurosurgeon for EMG,which tested positive for TTS. I did try shot first,but didn't do anything.
Pod referred me to ortho surgeon as he had only done 2 ttr. He is foot and ankle specialist. He is to be one of the best ortho surgeons also. He may be good surgeon,but from my side he hasn't listen to me after the surgery,plus you have to wait 1-2hrs after your appt time to see him.
I believe Surgeon and PT are trying to rush me. I also have Fybromyalgia diagnosed over 7yrs ago. So my foot problem has increased my discomfort from this as it is important to remain active.
POD is ordering MRI so hope to find some answer on why I'm having so much swelling and pain. Will keep posting as I find things out. Thanks again Brian I know from reading post you are having your own problems. Take care and God Bless. Barbara S.

Re: Tarsel Tunnel Release

kay on 7/16/02 at 09:11 (089762)

oh barb i gotta tell you......you are scaring me. lol i also have fibro. its nothing compared to the pain i've had in my feet though. yes please keep us posted and also ask your doctor if your welbutrin can be increased. i have a friend who takes two in the morning and two in the evening. i just take two in the morning. so i know it can be increased if needed. and please keep us informed.
kay

Re: Tarsel Tunnel Release

Missy B on 7/16/02 at 15:45 (089795)

I am so sorry about all your trouble at this time. Dealing with all your foot problems is more than enough, and now the terrible accident involving your son's mother-in-law - how very sad. I will certainly keep you and all your family in my prayers.

I also feel very bad that you have encountered so many problems following your surgery. Your Pod sounds very concerned; I hope he is able to help you. I think you have every right to be concerned that your foot is still swelling as much as it is. Hopefully he will be able to find out the underlying cause, since your surgeon does not seem to be doing much for you.

Please keep in touch with us - I am sure we are all hoping you will find some relief soon.

Missy B.

Re: Tarsel Tunnel Release

Barbara S on 7/16/02 at 21:21 (089820)

Missy
Thanks for replying. I will have my MRI done this Sat July 20th. I sure hope I find some answer there. My foot is actually 100% worse than before my surgery. This weekend I had a real rough time. I did start two new exercises,plus went to one crutch,but now back to two and I'm not doing the new exercises. I told my PT that today. She was kinda disappointed,but I stuck to my guns and just did the pool walking.
Will keep everyone posted. The people on this board gave me the courage to stand up to my PT today. Thank-you and God BLess. Barbara S.

Re: Tarsel Tunnel Release

Barbara S on 7/16/02 at 21:26 (089821)

Kay, I knew the risks before I had the surgery,but when you are having so much pain you will try anything hoping you are the one it will work for. I'm still not giving up. I go to pain management 23rd and 26th for further therapy and saw psycologist today will be talking about things and learning some biofeedback both for Fibro and foot. Hang tough and I'll be praying for you. Good Luck,Take Care and God Bles. Barbara S.

Re: Tarsel Tunnel Release

trish e on 7/17/02 at 03:33 (089839)

sorry to hear things are going badly for you did that dr ever tell you that the reason your foot is doing all this is because of stress in your life,that's what i was told with all my problems with my post op foot well iam glad you have been to another dr and good luck to ya.