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doctor please answer

Posted by Julie A on 8/15/04 at 15:55 (157999)

I was diagnosed with tts, and I am having problems with my toes they burn,and go numb all day and night,It is bothering me more than the ankle pain or anything else.Is this normal.I ice them and helps but only for a short period.I am not sure how much more I can take.Thanks

Re: doctor please answer

Dr. Z on 8/15/04 at 16:19 (158002)

Hi

What has your treating doctor done so far to relieve your pain.

Re: doctor please answer

Julie A on 8/16/04 at 06:27 (158052)

nothing-some ib profen-aleve.that is it.what else can I do?

Re: doctor please answer

Ed Davis, DPM on 8/16/04 at 13:36 (158109)

Julie:
Alleve is okay for musculoskeletal pain but not real helpful for nerve pain. Many treatments exist for TTS:
1)pain meds that have a greater effect on nerve pain, eg. tramadol
2)medications that 'calm down' the injured nerve, eg. neurontin
3)physical therapy - inculding high frequency interferential stimulation
4)TENs unit
5)injections along the post. tibial nerve to decrease scar tissue placing pressure on the nerve
6)exploration of the area around the nerve with sonography or MRI to see if anything is placing pressure on the nerve (any growths or enlargements)
7)checking for any biomechanical contribution eg. foot rolling in too much thus stretching the nerve
8)surgical tarsal tunnel release
Ed