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DPM PLEASE ADVISE ON TTS/FHL

Posted by kikster on 5/28/05 at 08:01 (175835)

For 2 years I have dealt with FHL Tenosynovits and minimal irriation to the post tib nerve as indicated on EMG. My MRI revealed FHL, FDL tenosynovitis which i saw 2-3 foot doctors. I chose not to have surgery as for only a 50% success rate and many docs stated the unpredicatbleness of it. I do have orthotics , have tried PT, NSAIDS, 2 injections, casting, rest, differnet orthotics and am just living with it. I did notice the Bextra which i took helped tremendously, but decided not to continue due to the FDA Warnings. I also had to give up my job as a mail carrier, due to my inabiltiy to walk several miles.

My symptoms include pain and tenderness on the inside of the ankle just below the medial malleous at the Tarsal tunnel region.

I DO NOT have numbness, tingling, or burning sensations as the typical TTS problem usually presents itself.

I pain when i am standing for long durations (over 1 hour) and walking for long periods over an hour. I noticed that the more my feet become hjot or sweaty from walking i have an increased level of pain, and when it is cold and my feet do not sweat as much the pain is tolerable.

Do you have any suggestions on what this could indicate?
Any adsvice would be appreciated. Thanks for your time.

Re: DPM PLEASE ADVISE ON TTS/FHL

Sarah H on 5/30/05 at 16:36 (175901)

Just a note on the TTS. If there is an actual tibial nerve compression for which you should see a good neurologist, in other words the mentioned TTS, the surgical decompression might help you. Inspite of all the BS about the low success rate of the surgery, my bilateral decompression of the tunnel gave me my life back. Even if I have aches and pains it is a world of difference compared to the pain I was in before the surgery. If you need more info email me.