Cryosurgery for TTSPosted by Nancy F. on 11/30/04 at 08:24 (164942)
The more I read about cryosurgery,the more I want to try it. It sounds like it makes great sense to me. Anyone ever have it?
Re: Cryosurgery for TTSDr. Z on 11/30/04 at 09:33 (164951)
I have been told that this could be a treatment. I would contact Dr. Goldstein wwww.footfreezer.com .Ask him about this.
Re: Cryosurgery for TTSNancy F. on 11/30/04 at 16:59 (164982)
Yes, He is my doctor thanks to you giving me his name a few yrs ago. I live 5 minutes away from him. We will see after my emg next week. That is probably the only surgery I would ever try after reading all the surgery horror stories.
Re: Cryosurgery for TTSDr. Z on 11/30/04 at 20:02 (165001)
I am known Dr. Goldstein for years since podiatry school. If for some reason he isn't doing this specific procedure let me know I have another doctor that is but you have to travel. Say hello to Dr. Goldstein for me
Re: Dr Z.Darlene on 12/01/04 at 07:23 (165010)
Is there any research on cryosrugery and TTS?
So far I haven't read one positive result about it. What could they do other than the posterior tibial nerve and you can't numb the entire nerve?
Re: Cryosurgery for TTSNancy F. on 12/01/04 at 07:59 (165013)
No he is. He has his own web site. He is teaching the other drs how to use this machine.
Re: Dr Z.Nancy F. on 12/01/04 at 08:03 (165014)
Id b interested in knowing this also. Supposedly the cryo has a 90% success rate , doesnt hurt & u r on your feet back to normal in 48 hrs. I have to find the web site for it. I think it is The Freezer doctor. com Let me know if it isnt & I will call Dr. Goldstein for it ahain. My email is (email removed)
Re: Dr Z.Nancy F. on 12/01/04 at 08:05 (165015)
http://www.footfreezer.com so sorry gave you the wrong email before.
Re: Dr Z.Dr. Z on 12/01/04 at 15:32 (165032)
Re: Dr Z.Dr. Z on 12/01/04 at 15:33 (165033)
I am so sure you are doing to find Cyrotherapy treatment in the literature with regards to the posterior tibial nerve. In theory it can be done just not so sure there are alot if any doctors doing this procedure.
Re: Dr Z.Darlene on 12/01/04 at 16:23 (165035)
Thanks Dr. Z.
But if you freeze the posterior tibial nerve, what about the motor functions?
Re: Cryosurgery for TTSHelene R on 12/01/04 at 17:57 (165039)
I happened to read an article yesteday on cryosurgery for PF in Oct 2004 issue of Biomechanics. If anyone is interested, here is the link. http://www.biomech.com/showArticle.jhtml?articleID=51201060
Re: Dr Z.Dr. Z on 12/01/04 at 21:35 (165050)
I knew this question would come up. Yes motor function should return,however the patient would lose motor function for a period of time. When I asked this specific question to one of the leading doctors in this field they only talked about arm and not the foot. They splint the arm for I believe it was a few months. IT was a long period of time. I never did get the answer for the post tib when I asked a few times. I got the impresion that in THEORY it can be done but I know of no one who is trying this. I can't find this in the literature. I was very excited when I first was introduced to cryotherapy but what if motor function doesn't return after freezing or lets say it will return but it take six months well that's six month with no foot motore function. Dr. Goldstein may be able to relate more imformation as he is more involved with this technique. This procedure may turn out to be great but I have no personal experience with this or did Dr. Trescott who is the founder father for cryotherapy
Re: Cryosurgery for TTSDr. Z on 12/03/04 at 08:27 (165121)
So he is using cryotherapy for TTS?
Re: Cryosurgery for TTSEd Davis, DPM on 12/08/04 at 15:38 (165370)
I don't see how crysourgery could be attempted on a mixed nerve since one cannot selectively effect pain fibers without damage to autonomic and motor fibers.
Re: Cryosurgery for TTSDr. Z on 12/10/04 at 11:11 (165444)
The THEORY is that there is regrowth after the damage to the motor fibers which takes place I believe faster then the sensory fibers. Ok. Would someone show me their results and then I will consider this. This is one that if they are wrong, wrong can be very bad for the patient
Re: Cryosurgery for TTSDr Goldstein on 12/16/04 at 18:59 (165780)
The technology and physiology of cryosurgery is that it IS selective for sensory nerves at the teperature we treat at Minus 70 degrees below celcius and for the time of the treatment 3 minutes followed by a 30 second defrost cycle. It will only destroy the endoneurium and leave the epineurium and perinurium intact. I suggest you read Dr. Andrea trescott's articles on cryoanalgesia so that you will be more informed from facts rather than opinion. I do not mean this to be derogatory rather than the medical profession will make remarks about things they do not have experience with rather than admitting the have no knowledge of the subject.
Re: Cryosurgery for TTSDr. Z on 12/18/04 at 15:25 (165838)
Steve, ( Dr. Goldstein)
What is your experience with Cryotherapy for TTS so far.??
Re: Cryosurgery for TTSDr. Z on 12/19/04 at 16:56 (165864)
I want to make sure that this is clear to the posters. I not only read Dr. Trescott articles, but I went to visit her. What The posters in this thread are really looking for is anyone experience with Cryotherapy and TTS. Do you have any experience with this condition?. It would be a wonderful treatment if it is effective and stood the test of time. So far I can't far any information regarding TTS and cryotherapy.
Re: Cryosurgery for TTSJeff S on 12/22/04 at 00:18 (165959)
I emailed Dr goldsteins office, they said they have done the procedure for tts on 6 patients. They did not give me any other info such as success etc ???
Re: Cryosurgery for TTSDr. Z on 12/22/04 at 08:59 (165971)
Ask them what the results were so fare. I have asked to question before on this site but so far no response.
Re: Cryosurgery for TTSEd Davis, DPM on 12/22/04 at 21:48 (166013)
The issue of fiber selectivity is purported to be true for injections of alcohol used as a sclerosing agent as the 4% solution is only strong enough to affect type C unmyelinated pain fibers. Nevertheless, few practitioners are willing to inject the sclerosing agent around the posterior tibial nerve. One must have a very high degree of confidence in the fiber selectivity for sensory nerves before being comfortable with the procedure. The consequences of not having the selectivity is too great to simply go with one set of articles but practitioners need to see either some studies or a sufficient body of experiential evidence to be able to recommend such a procedure with confidence. The 'remarks' which seem to annoy you are simply based on a request for evidence; evidence which practitioners feel needed before they are to recommend or perform such a procedure on their patients.
Re: Cryosurgery for TTSRandy on 12/24/04 at 12:58 (166084)
PULSED radiofrequency lesioning of nerves is supposed to destroy only the sensory nerves. Have heard of it being used successfully, but the doctor who pioneered it (in europe) warned that results depend on shill of practioner.