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Please help, do I have Tarsal Tunnel Syndrome?

Posted by Care on 10/27/03 at 11:27 (135745)

Hi,

I just got over being in a cast for 2 months due to a stress fracture in my ankle. Even before I found out I had a fracture I have had sharp pain in my ankle (in the inner arch region) when I walk and a numb big toe. When I was in the cast I had no pain in my leg because I had to be completely off of my ankle for many weeks and then could weight bear for a couple weeks. Now I am finding that I am having nerve pain radiating up my leg to the back of my knee and up the inner calf. I also feel a nerve sensation up to my inner thigh. It is mostly in my inner and back-side of knee. I find that my leg tingles as well. My ankle never feels stable, it always feels weak. I only get severe sharp pain once in awhile in my ankle in the arch region. But it seems to be getting worse. I have had this ever since March 2002. I'm just wondering if this could be tarsal tunnel syndrome developing and getting worse due to my stress fracture?

Re: Please help, do I have Tarsal Tunnel Syndrome?

Chad H on 10/27/03 at 14:34 (135760)

The nerve sensations you are describing don't sound like TTS. Typically, the TTS pain starts on the inside on the ankle and may radiate down.

The pain you are describing sounds more like an issue with your sciatic(sp) nerve.

Do you have any back problems or back pain?

I really don't think these are tts symptoms. Others will hopefully respond with better info.

Good luck.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Care on 10/27/03 at 16:23 (135774)

Yes it could be my sciatic nerve because I have had lower back problems in the past. I don't have a pain shooting down my buttock or thigh in the back though and it feels like it's more from the inner ankle. Sharp pain or aching when I walk in the arch and heel of my ankle and feeling of weakness in my ankle. Radiating nerve pain(not that painful at all) up to my inside knee. I have really strong stomach muscles now as well and my back hasn't been bugging me at all lately. So I'm not exactly sure what's going on!?

Re: Please help, do I have Tarsal Tunnel Syndrome?

marie on 10/27/03 at 16:26 (135775)

Care,

Ask for an EMG. I had sharp pains from the back of me knee to my ankel. Yes tts can effect your legs...not as common but it does happen.

marie

Re: Please help, do I have Tarsal Tunnel Syndrome?

marie on 10/27/03 at 16:29 (135776)

How is your back right now? Has it been giving you any problems? An EMG will give you answers. It's probably not your back if it's not a problem right now. Your symptoms are similar to mine when I started my TTs journey. See your pod and ask for an EMG. Don't put it off as it'll only get worse.

Yes my pain was inside my knees as well.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Care on 10/27/03 at 21:38 (135814)

Thankyou for your response. Yes my back seems fine right now it hasn't given me any problems lately. What is an EMG again? What were your symptoms?

Re: Please help, do I have Tarsal Tunnel Syndrome?

Lari S. on 10/28/03 at 00:26 (135825)

Care, It could be TTS, as mine started as pain in the arch and big toe/adjoining toe. It then went up the leg to the knee. I was at first dx'd with diabetic neuropathy, and told that nothing could be done for it. I never had any ankle pain, but the foot got worse throughout the day. I was barely sleeping at night until the nerves would finally settle down. I always knew that the first step of the day was going to be the best. After 3 years of increasing pain, spreading to the 3 other toes, I changed doctors. This one sent me for an EMG/NCV. An EMG (electromyogram) tests the affects of the nerves on the muscle. Mine was run in conjunction with the NCV. He used the right (good) foot for a baseline first. It ran in the range of 5's. The left foot ran in the ranges of 13-15's, and the neurologist said that the EMG/NCV was a pretty definitive test for TTS. My foot pain got so bad that I couldn't stand to have sheets touch my foot, much less any type of shoe. I opted for TTS surgery, and am still in the recovery mode. However, I can already tell a difference in that the foot is tightly wrapped and I can stand it. That would have been impossible prior to the surgery. I hope you can get an EMG/NCV test done if, for no other reason, it could rule out TTS. Hang in there and keep us posted.
Lari

Re: Please help, do I have Tarsal Tunnel Syndrome?

Care on 10/28/03 at 09:44 (135845)

Thanks Lari. I will definitely check into getting an EMG.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Kathy on 10/28/03 at 20:48 (135902)

Is an EMG painful? I've heard from some that it is unbearable, others say not so bad. What's your opinion?

Re: Please help, do I have Tarsal Tunnel Syndrome?

Care on 10/29/03 at 00:10 (135914)

I was wondering that too Kathy, I mean if it is painful to have an EMG?
I've never had one before either...so it would be interesting to hear what people say about it and how it works.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Melissa on 10/29/03 at 10:19 (135937)

An EMG is not an enjoyable experience, but can give you physician a diagnosis if it is positive. They put acupuncture type needles attached by a wire in your foot and leg and send electrical current through them. This causes the nerve to be stimulated. They check the electrical acitivity between the two points on 3-4 sites on your foot all the way up your calf. They may also check your lower back because sometimes you can get a false positive for tarsal tunnel and it may actually be a pinched nerve in your lower spinal area. If your foot is hurting bad enough, you will be willing to endure whatever discomfort to get a definitive dianosis.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Kathy G on 10/29/03 at 12:54 (135948)

Your symptoms sure sound like sciatica to me. Given that you've been in a cast for two months and have a history of lower back pain, I would explore that possibility before jumping to any conclusions about TTS.

I would suggest that you get in touch with whomever treated you for back pain in the past. Perhaps a visit to an osteopath or a chiropractor would help you out. Your PCP might order a muscle relaxant to see how your symptoms react.

Good luck! Sciatica is no fun but it sure is better than TTS.

Re: Please help, do I have Tarsal Tunnel Syndrome?

Care on 10/29/03 at 15:34 (135960)

Thankyou all for the information...I'm thinking now it could be my back. It is very tight in my lower back, hamstring, and calf. I will maybe check with my chiropractor since they deal with back muscles and ligaments etc. and then I have an appointment with my GP. Hopefully he can refer me to a specialist. It is great that you all are so helpful and informative!

Re: Please help, do I have Tarsal Tunnel Syndrome?

LARA on 11/03/03 at 08:02 (136248)

In my experience NCV/EMG's are kind of like visiting the dentist. Not exactly a peek experience - but tolerable.