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implant surgery for overpronation

Posted by Larry L. on 11/10/03 at 23:04 (137013)

I have severe overpronation and am in constatn pain through my arch, the heel, the Achilles tendon, and around the ankle area. Orthotics have been a staple in my life for 20 years. Recently, I decided I needed to do everything in my power to become pain free, so I went to a podiatrist who said that I am severely overpronated and that even with my well-made orthotics, my feet still want to turn in. He said I have a very flexible foot, which makes it want to collapse every time I take a step. We discussed all conventional therapies, and I explained that I had undergone extensive physical therapy, electro...treatment, icing, etc. He recommended surgery-- implants that would go next to my ankle and act as hinges prohibiting my foot to fall over on itself.

I went for a second opinion, but this doctor does not perform such a surgery. She confirmed the first podiatrist's opinion, that I was indeed severely pronated AND that my calf is extremely tight. She said if I do have the surgery done, she recommends asking that they look at lengthening the Achilles tendon while they're in there.

My questions are: Do people know people who have had this surgery done, and was it helpful? And, should I buy one of those nightsplint contraptions to stretch my calf, etc.?

Please tell me what you know and give advice. Thank you.

Re: implant surgery for overpronation

Pauline on 11/12/03 at 13:55 (137251)

Hold on Larry,
You could be in for a life filled with lots of foot pain. My suggestion
is before you undertake such drastic surgery you do lots of homework, and researh on the procedures you're considering. You also need to research and interview doctors to see how many of these procedures they have performed and if possible the patients who had it done.

The foot is a very complicated part of the body and don't let anyone sell it short. You're talking about major surgery almost reconstructive work. You want the very best.

If you haven't already checked with an Orthopedic Foot and Ankle Specialist M.D., I would recommend a trip to see one for his opinion. It certainly can't hurt and you may get a better feel for the surgery you're considering. Pod's and Ortho's often seem treatment options differently.

Above all never be so nieve that you believe surgery will end all of your pain. To the contrary, no surgery comes with a guarantee of anything not even the amount of time it will take you to heal.

Move slowing on this one, read our surgical board for at least three months and by all means check with several more doctors before you under go this procedure. It's not a snip and go surgery.

Did you ever ask yourself what you would do if all the implants fail to correct the problem and cause you severe pain?

You don't want to become a victim of 'snowballing' surgeries one after the other to try and correct what should have been left alone in the first place.

Please do your homework well. The time you spend researching this surgery will be well spent.

Re: implant surgery for overpronation

john k on 11/13/03 at 10:15 (137370)


You should consider this: At the present time can you walk? If the surgery fails you may not be able to walk for a very long time. How will you take care of yourself? I have bad foot pain but I can still go to the grocery store and do basic stuff. Imagine if you could not do these things. I can run or stand up for long periods. I can't even walk every day for 20 minutes but I can walk. I agree that you should see the best ankle and foot orthopedic surgeon and get a second opinion.