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Plantar Fasciatis vs. TTS

Posted by Sandy B on 4/21/04 at 06:48 (149274)

I have been battling foot pain for about 8 months now. First diagnosis was PF and was given 3 rounds of cortizone, anti inflammatories, rest, PT, etc, suggested orthotics didn't get cause of the cost. None of these seemed to work. Second podiatrist said it was Tarsal Tunnel, had nerve conduction test and that came back negative and he still wanted surgery since I get the tingling when tapped, said orthotics wouldn't work. Since I'm not keen on being off my feet for that long and the possible complications involved. I opted for nothing
Decided to take off some weight to see if it would improve anything, I've gotten down about 20lbs (still have 50 to go) and pain wise my right foot went from a 9-10 to about at 4-5 which is manageable. The left foot has gone from a 4-5 to about a 9-10. I started back to exercising about 1 1/2 months ago just doing low impact aerobics which just now started to aggrevate a little.

The pain always seems to be in the way back of heel to outer part of heel which too me isn't a normal area for either diagnosis.

I don't feel confident in either Dr's diagnosis enough to go with anything so now I am stuck in pain.

Would like any suggestions.

Re: Plantar Fasciatis vs. TTS

Ed Davis, DPM on 4/21/04 at 19:17 (149316)

Since the PF was never completely treated we don't really know if that was the culprit. NCV is not a very sensitive test for TTS (misses many cases) but is fairly spedific (if positive then you probably have TTS).
With a negative NCV, you need another opinion as to the surgery. Does the bottom of yur foot feel numb?

Re: Plantar Fasciatis vs. TTS

john king on 4/22/04 at 13:16 (149361)

I would try every conservative treatment option before considering surgery especially TTS. My pod told me TTS is not a common disorder and that if the guy doing the surgery messes it up you have a big problem. That was enough for me. My feet have hurt for years but at least I still have feeling in them. Diabetes can also cause foot pain and can affect the nerves in the feet.

Re: Plantar Fasciatis vs. TTS

Sandy B on 4/22/04 at 14:25 (149365)

Thanks for responding, I was also treated for the PF w/ the treatments above with no relief.

I sometimes get a swollen feeling not quite numb on the bottom of my feet. I have had both arms operated on for carpal and cubital tunnel (ulner nerve) so they are thinking I am predisposed to these kind of conditions.