Unpredictable resultsPosted by Jureviciuus on 11/12/04 at 18:07 (163750)
I have a foot and ankle ortho i have been seeing for a year now for mild taresal tunnel syndrome, burt is does not feel mild too me. My doc told mer surgery is unpredicstble results and should go to pain managemewnt. Another doc also an orthopaedic foot and ankle doc says abojut 50% success rate. TO me that sucks. Also he said there is a possiblity i can get worse from the surgey. IU was wondering what others thoufgt about ths expereincew eith success rate and if anyone regrets thir tts surgery.
Thank you god bless
Re: Unpredictable resultsTerri on 11/12/04 at 18:22 (163756)
Yes, I sure do regret my surgery I had in Jan of this year. Developed excessive scar tissue, my tendon is damaged due to the inept surgeon and am worse than before. There was no relief from the TTS symptoms at all. At least the ortho dr was truthful with you, many of us hear these fairy tale expectations of 80% or higher 'cure' rates. Have you searched for a Dr. Dellon trained dr in your area?
Re: Unpredictable resultsEd Davis, DPM on 11/12/04 at 18:30 (163760)
Yes, the results tend to be unpredictable but there are some things to consider. If the TTS is caused by a growth pressing on the nerve, removal of the growth and taking pressure off the nerve is a lot more successful than the type of TTS in which the issue is acar tissue placing pressure on the nerve. If it is indeed the latter, then doing things to decrease scar tissue around the nerve is a good way to go. I generally get good results by injecting hyaluronidase, an enzyme that 'dissolves' scar tissue but leaves the good tissue alone, around the nerve.
Re: Unpredictable resultsdenise g on 11/13/04 at 04:53 (163800)
I was told by Dr. Deland, NYC , my surgeon that succes rate is 80 percent. I no longer have tss pain, am 6 weeks post op, however have pain from scar tissue which physical therapist is breaking up. ALso have a lot of stiffness, which gets better every day. I am better off than before the surgery and hope to contiue to improve every day. Will have a better picture at 6 months than 6 weeks. Did you go for physical therapy to break up scar tissue?
Re: Unpredictable resultsMarsha G. on 11/14/04 at 18:38 (163909)
I AM THREE WEEKS POST OP. I DO NOT KNOW IF I REGRET IT YET OR NOT. I DID HAVE A FLARE OF RSD SO THAT HAS SET ME BACK SOME. THE ONE THING I DO REGRET IS NOT READING THE POST ON THIS WEB SITE BEFORE I HAD SURGERY. MY DR. PAINTED A PRETTY PICTURE FOR ME. I BLAME MYSELF MOSTLEY FOR BEING SO STUPID AND NOT ASKING THE RIGHT QUESTIONS. HE LEAD ME TO BELIEVE ONE WEEK IN A CAST AND THEN I IN A WALKING BOOT. I FAILED TO ASK IF I WOULD BE WALKING IN THAT BOOT....! I HAD AN ENTRAPED NERVE AND I HAVE NOT ASK HOW YOU UN TRAP IT....HAHA AND TENDONITIS ON TENDON........THAT MUST BE WHY MY ANKLE HURTS SO BADLY...
ANYWAY I THINK THE BEST THING TO DO AT THIS POINT IS PRAY....
Re: Unpredictable resultsGinger on 11/15/04 at 12:15 (163981)
I had surgery in June. I had therapy for the scar tissue and the stiffness. Everything is great....until I try to come out of my New Balance walking shoes. Then I have pain. Regular dress shoes make my ankle hurt enough that I have to take them off halfway through the day and then it aches for 2 or 3 days. If the shoe has no back, even if it is flat with no heel, I have horrible pinching across the arch and up the ankle a little and I cant tolerate my weight on the foot for as much as 8 or nine days. The doctor says I need orthotics to assist with the arch. He says I may never be able to wear some types of shoes. Being an accountant, tennis shoes arent really in the dress code.
But at least I can walk now. Some stiffness, but thats it. I can even shop.
Maybe it depends on how good your surgeon is and how much damage was done to the nerve prior to the surgery.
Re: Unpredictable resultsEd Davis, DPM on 11/15/04 at 13:37 (163991)
He may be looking at his success rate which may be, perhaps, better than the national average which is about 2/3.
Re: Please reply DR Ed and others who have a comment!!!Jureviciuus on 11/15/04 at 17:54 (163999)
I started this post and would like to make an additional comment. Is there an advanayge or disadvantage in terms of successful surgery if I have this TTS with FHL tendonitis surgery, sooner or later? For example I had this start 14 months ago and if I wanted to have surgery now than waoit anopther year would the success rate be any differnet at this point in time than next year? Having this for 14months I have only a smidgeon of pain reduction since 14months ago and I am not on any meds only lexapro.
The doc thinks it is more FHL tendonits with mild tarsal tunnel and a neuritis. Tried evertyrthing and the best thing that helped me to get relief was ART 'Active release therapy'. It did not cure me but helped me resduce the constant pain, it seems off and on now but never goes away.
Re: Unpredictable resultsKim on 11/15/04 at 21:08 (164012)
Ginger, you have been the only other person to have mentioned the pinching pain, i have been having the pinching pain right underneath the ankle bone & in the arch . I have been only wearing the support sock the dr. gave me plus the nike air sneaker , the new balance sneaker was to heavy to wear & i tried alot of them on but the lightest sneaker i found was the nike air. I am a nurse & on my feet all the time, did get dr. excuse to work only eight hours a day versus 12 hours tomorrow will be my first day back.You also mentioned the tightness , i have that also it feels like my big toe to my heel is tied together with a taut string, My question to you is does your foot have pressure & does it feel heavy ?, I have alot of pressure & sometimes my foot feels like it weighs 200lbs. The zingers the dr. mentioned are nothing compared to this .I had my surgery Sept. 8th. I still take the roxicet every 4 hours or so for the pain , was hoping to have cut them out by now, i cant take motrin because of taking it for 31/2 years ended up with gastritis. Still tryingto keep faifth everything will be alright. The dr. keeps telling iam month ahead of schedule, & i need to quit pushing myself so hard. If you have any advice to help with the pinching pain it would be greatly appreciated.
Re: Please reply DR Ed and others who have a comment!!!Ed Davis, DPM on 11/15/04 at 22:54 (164018)
Did you have an MRI? If so, what did it show about FHL?
Re: Unpredictable results - reply to gingerdenise g on 11/16/04 at 04:18 (164028)
My surgery was 10-1-04, having some shooting zinger pains in incision, the best thing i'm doing is having physical therapy because it is breaking up the painful burning scar tissue, of which there is a lot. My incision just stopped discharging, finally. Went back to field work yesterday, visiting probationer's in their homes, only did it for 2 hrs. didn't want to overdo my first day, sat at my desk the rest of the day, but I guess you won't have that option with nursing. Good luck to you don't overdo and elevate when you can. Have you had physical therapy? So far I'm pretty happy with the surgery expecting with time to be even better.
Re: Dr Ed DAvis Thanks MRI RESULTS:Jureviciuus on 11/16/04 at 07:29 (164032)
There is fluid signal intensity surrounding the FHL and FDL consistent with tenosynovitis. This is more prounounced surounding the FHL tendon and there may be a septation associated with it. No tear of the tendon is identified. The surrounding muscles are normal in signal intensity and morphology. The extensor tendons appera intact. The PCT is intact as well as the achilles tendon. The anterior and posterior talofibular ligamants are intact.
What do you think Dr ED???????????
Re: Unpredictable results - reply to deniseKim on 11/16/04 at 10:19 (164046)
Had Physical Therapy for 4 weeks they gave me alot of exercises to do at home with the big yellow band to help stretch, i know if i dont do these stretches dail the tightness is worse. I
am worried if I will be able to do my job ,only time will tell I start back tonight. Thank you & everyone in the message board for the advice & support.
Re: Dr Ed DAvis Thanks MRI RESULTS:Ed Davis,DPM on 11/16/04 at 10:37 (164052)
Does not sound like any compelling reason, based on MRI results alone to have surgery on FHL. What else has been tried such as PT, orthotics...?
Re: Dr Ed DAvis Thanks MRI RESULTS:Jureviciuus on 11/16/04 at 16:33 (164071)
Tried 3 pairs of orthotics and nerve test shoed only minimal cahnges in post tib nerve.
Orthotics 3 pairs
2 coretisone injections no relief
crutches for 4-6 weeks
this websites ibuprphen creme
ART helped to a degree, but no substantail relief
cold ice soaks heat treatmewnt
14 moonths of this has affected my job as i cannot do any prolonged standing or walking.
I can stand for an hour then the pain increawes so i must sit.
I have no numbness tingling or burning type pain, it is more of a constant depp dull aching pain that is just localized behind the medial malleous.
ANY Medical advice would be greatly appreciated.
Thank you very much for your time.
Re: Dr Ed DAvis Thanks MRI RESULTS:Ed Davis,DPM on 11/16/04 at 19:46 (164099)
How much of the pain is on the inside of your ankle versus on the bottom of your foot? What I am actually asking is how much is due to the FHL and how much is due to TTS. If the answer is that the predominant pain is on the bottom of your foot, then suspect TTS to be the major culprit. If pain on the inside of the ankle predominates, then FHL would be more significant as a problem.
The one thing I don't have a way to determine online is if the orthotic design was optimal for you.
When you were casted, was a molded fiberglass cast used or was it a removable cast (CAM walker)?
Re: Unpredictable resultsLynn F. on 11/16/04 at 21:52 (164131)
Marsha, Please don't be so hard on yourself. We put our trust and faith in these dr's because, by the time we go to them, we're in agony (not to mention at our wits end). We truly are at their mercy. With any surgery there are risks but hopefully rewards as well. I don't know what the outcome will be for you but I do know you need to give it time. In the meantime, take comfort in the fact that you're doing everything in your power to get better. I hope you have a quick and full recovery. Hang in there.