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Plantar release ...

Posted by Anthony F on 9/03/02 at 19:49 (094390)

I had a full release and spur removal some 5 months ago - my pain is worse than prior to surgery.

MD is talking about nerve entrapment and wants me to have an EMG ... What is an EMG and why is he suggesting this procedure...?

Re: Plantar release ...

Mary K. on 9/03/02 at 21:40 (094404)

An EMG is an electromyography. This test is used to detect nerve damage or damage to muscle tissue due to an injury. It's also used to detect diseases that may be causing this damage. I don't understand why he's using it for nerve entrapment. In my opinion the best way to see if a nerve is entrapped would be to have an MRI. Where does it hurt you now? The heel still or someplace else?

Re: Plantar release ...

wendyn on 9/03/02 at 22:14 (094408)

EMG's are often done in cases of suspected nerve entrapment (TTS). It can help pinpoint the location of the problem (i.e. is the problem in the ankle or higher up - like in the back).

Re: Plantar release ...

Anthony F on 9/04/02 at 06:25 (094419)

Problem (pain) runs from the scared area towards the toes and up towards the calf - sometimes sharp searing pain and all the time a burning type of dull pain, with tingling and dullness in the toe area.

The incision doing the release was made on the inside of my heel area above the heel and before the arch kind of where the arch and heel meet ... a lump of scar tissue has developed in that area. MD thinks that's causing the problem.

But I also have developed severe ankle pain now (assuming that's due to the different gait more wieght placed on that ankle while walking) in the non surgical leg/ankle. I have other pain in the outside rim of the surgical foot seems to be caused by the dropped arch from the full release procedure. THIS HAS BEEN A NIGHTMARE...

Re: Plantar release ...

Mary K. on 9/04/02 at 08:00 (094428)

Anthony I can understand this being a nightmare! I think your doctor is looking for TTS. Alot of the pain you described I have right now. I don't have it by the toe, but I have it by the ankle, arch and running up the back of the calf. I had P.F. surgery back in 98. When I saw the doctor again about this problem, He was convinced right away that it was tts and sent me for an MRI. I don't know, to me seeing a detailed picture
of the structures and muscles in the foot seems better than a readout off a machine.

Re: Plantar release ...

Anthony F on 9/04/02 at 08:34 (094434)

What does TTS stand for? If you don't mind, what is your current state of repair/disrepair? You stated you had the surgery in 98 and you are still having problems...? Holy Cow, is this what I have to look forward to...? Is there anything that can be done?

I am so depressed about this ...

Re: Plantar release ...

Mary K. on 9/04/02 at 10:32 (094436)

Hi Anthony, don't be depressed! TTS stands for Tarsal Tunnel Syndrome. A condition by which your lacinate ligament is entrapping or pinching your tibia nerve located just below and behind your ankle bone. There is a pocket in there where the lacinate ligament and nerve are really close not much room in there to begin with. I had the p.f. surgery in 98. I healed just fine in 8 weeks. After that no problems until about 6 months ago. My doc and I both feel what happened has to do with the biomechanics of the foot and the way I walk. Things shifted around over the past 3yrs and the tibia is now being pinched. My nerve is not entrapped like the MRI showed. Still it is TTS and I need this surgery to relieve it. All the pain that your feeling doesn't mean that this is what you have or will have in the future. hang in! Mary.

Re: Plantar release ...

SandyW on 9/04/02 at 13:18 (094446)

I had my PF surgery 6/19/02, and I too am having the same pain as you Anthony. It seems that my dr has no idea what is wrong with me, that I should be fine. After surgery I was on crutches for 6 days then just in a small wooden shoe, dr said that was fine. After a month to my next follow up I had the same pain as before surgery, so I was put in a walking boot for two weeks, that did not work, then a cast for 10 days until it broke. I am now in a walk air cast boot. I am so fed up with this, I wish I would have never had the surgery. I have an appt with a specialist tomorrow. Should I bring up the TTS what exactly is it?

Re: Plantar release ...

Barbara S on 9/04/02 at 22:51 (094494)

Hi I had a MRI that showed nothing. Sent for EMG and tested postive for TTS. Barbara S.

Re: Plantar release ...

dave r on 9/06/02 at 07:37 (094595)

i personally know two people that have had surgery for pf. They both are much worse than before their surgeries. Both had the traditional surgery and both regret ever having it done.

Re: Plantar release ...

kay on 9/06/02 at 13:32 (094624)

what is traditional surgery? is it full or partial release?

kay

Re: Plantar release ...

Mary K. on 9/03/02 at 21:40 (094404)

An EMG is an electromyography. This test is used to detect nerve damage or damage to muscle tissue due to an injury. It's also used to detect diseases that may be causing this damage. I don't understand why he's using it for nerve entrapment. In my opinion the best way to see if a nerve is entrapped would be to have an MRI. Where does it hurt you now? The heel still or someplace else?

Re: Plantar release ...

wendyn on 9/03/02 at 22:14 (094408)

EMG's are often done in cases of suspected nerve entrapment (TTS). It can help pinpoint the location of the problem (i.e. is the problem in the ankle or higher up - like in the back).

Re: Plantar release ...

Anthony F on 9/04/02 at 06:25 (094419)

Problem (pain) runs from the scared area towards the toes and up towards the calf - sometimes sharp searing pain and all the time a burning type of dull pain, with tingling and dullness in the toe area.

The incision doing the release was made on the inside of my heel area above the heel and before the arch kind of where the arch and heel meet ... a lump of scar tissue has developed in that area. MD thinks that's causing the problem.

But I also have developed severe ankle pain now (assuming that's due to the different gait more wieght placed on that ankle while walking) in the non surgical leg/ankle. I have other pain in the outside rim of the surgical foot seems to be caused by the dropped arch from the full release procedure. THIS HAS BEEN A NIGHTMARE...

Re: Plantar release ...

Mary K. on 9/04/02 at 08:00 (094428)

Anthony I can understand this being a nightmare! I think your doctor is looking for TTS. Alot of the pain you described I have right now. I don't have it by the toe, but I have it by the ankle, arch and running up the back of the calf. I had P.F. surgery back in 98. When I saw the doctor again about this problem, He was convinced right away that it was tts and sent me for an MRI. I don't know, to me seeing a detailed picture
of the structures and muscles in the foot seems better than a readout off a machine.

Re: Plantar release ...

Anthony F on 9/04/02 at 08:34 (094434)

What does TTS stand for? If you don't mind, what is your current state of repair/disrepair? You stated you had the surgery in 98 and you are still having problems...? Holy Cow, is this what I have to look forward to...? Is there anything that can be done?

I am so depressed about this ...

Re: Plantar release ...

Mary K. on 9/04/02 at 10:32 (094436)

Hi Anthony, don't be depressed! TTS stands for Tarsal Tunnel Syndrome. A condition by which your lacinate ligament is entrapping or pinching your tibia nerve located just below and behind your ankle bone. There is a pocket in there where the lacinate ligament and nerve are really close not much room in there to begin with. I had the p.f. surgery in 98. I healed just fine in 8 weeks. After that no problems until about 6 months ago. My doc and I both feel what happened has to do with the biomechanics of the foot and the way I walk. Things shifted around over the past 3yrs and the tibia is now being pinched. My nerve is not entrapped like the MRI showed. Still it is TTS and I need this surgery to relieve it. All the pain that your feeling doesn't mean that this is what you have or will have in the future. hang in! Mary.

Re: Plantar release ...

SandyW on 9/04/02 at 13:18 (094446)

I had my PF surgery 6/19/02, and I too am having the same pain as you Anthony. It seems that my dr has no idea what is wrong with me, that I should be fine. After surgery I was on crutches for 6 days then just in a small wooden shoe, dr said that was fine. After a month to my next follow up I had the same pain as before surgery, so I was put in a walking boot for two weeks, that did not work, then a cast for 10 days until it broke. I am now in a walk air cast boot. I am so fed up with this, I wish I would have never had the surgery. I have an appt with a specialist tomorrow. Should I bring up the TTS what exactly is it?

Re: Plantar release ...

Barbara S on 9/04/02 at 22:51 (094494)

Hi I had a MRI that showed nothing. Sent for EMG and tested postive for TTS. Barbara S.

Re: Plantar release ...

dave r on 9/06/02 at 07:37 (094595)

i personally know two people that have had surgery for pf. They both are much worse than before their surgeries. Both had the traditional surgery and both regret ever having it done.

Re: Plantar release ...

kay on 9/06/02 at 13:32 (094624)

what is traditional surgery? is it full or partial release?

kay