Tarsel Tunnel

I have read your post 4 times in an attempt to discern enough solid information to offer a response, but frankly, I am having too difficult a time following your story. You have mixed tenses and gone back and forth between the past and the present so many times that I really don't have a good grasp on what you are saying and what you are asking. You have referenced conditions and surgeries and treatments and results that you have had previously and conditions and surgeries and treatments and results that, I suppose, are presently occurring, but you've intertwined them such that I cannot get the picture. If you hold out any hope of receiving any sort of answer from me, you are going to have to first sit down and think what it is that you want to tell me about your past and current problem and their treatments and results, and do so in chronological order, followed by a clear question, as I'm getting whiplash.

 

Sorry for the confusion, I will attempt this again.

In 2007 I was diagnosed with TTS and tried all the conservative treatments. All of which were unsuccessful. In mid 2008 I had TTS surgery. I did have some problems with the wound healing but it did heal and the foot improved drastically.

Around July 2008 the numbness and tingling returned. I just tried to rest the foot as much as possible. In early Nov 2008 I injured my foot and thought was it was just a sprain. After about 6 weeks with no improvement I was referred to an ortho who said I had actually fractured the foot and it was healing. I was placed in a walking boot for about 3 weeks. Since the injury the numbness and tingling has gotten much worse.

The Doc has tried the following treatment:
- immoblization
- physical therapy
- steriod injections
- anti-inflamatory meds

The only thing that has helped was the injection but only for a few days and symptoms returned.

The Doc ordered in EMG and it came back as TTS.

What is the normal recovery time for this surgery? After first surgery in 2007 I was instructed by the surgeon to walk on the foot from the moment surgery is completed. Is this normal procedure or not?

The ortho that I am seeing now says that I will be non-weight bearing for about 2 weeks then in a walking boot with partial weight bearing for a period of time depending on how the foot heals.

I am confused that two surgeons have such extreme methods post-op and was wanting to know which method is correct.

Again sorry for the confusing post. Hope this clarifys it.

 

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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You say that you began having TTS symptoms some time in 2007, had conservative care which didn't work and then had TTS surgery in mid 2008 which helped very much but then by July 2008 you had symptoms again. Seems to me that July 2008 IS mid 2008, so on what basis do you claim drastic improvement from the mid 2008 surgery if you actually had renewed problems so soon thereafter? Then you mention a previous surgery in 2007. You got me yet AGAIN. And now, I understand you to say that you are about to have yet another TTS surgery. That would make three, not two surgery as you later state (unless you have misled me on something). In any event, once an area of the body has been operated, the anatomy is inevitably changed, sometimes more and sometimes less . . but always changed. I have no idea what might have or will be encountered in surgeries subsequent to the first, but let's assume that there were or will be differences from the first one. Not only would it be impossible for me to know what was or will be done in the subsequent surgeries or whether or not the healing time on this surgery would be the same as for the virgin surgery, but whether or not the appropriate post-operative instructions and methods would be the same. Having chosen another doctor this time, I would not think that you could or should hold that doctor to the advice of the previous one, and especially so if the previous surgeries did not work out. Even if the situations were precisely the same, not all doctors agree on even standard post-operative care and certain not post-operative care based on possibly different procedures with possible different findings. Speak with your current surgeon as to his/her rationale for instructions which you might feel inappropriate based on another doctor's protocol.

 

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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I believe I left out from my last post that it is not my personal protocol in performing typical TTS surgery to allow immediate walking. I generally employing casting and delay any weight bearing for 2 weeks or so. But I am quite retisent to suggest that all surgeons do it that way or that my personal protocol is necessarily appropriate for you. As I previously advised, speak with your own surgeon who has accepted responsibility for your case.

 

Thank you. Your protocol matches more closely with my current surgeon. He is planning on casting for at least 2 weeks.

Sorry if the post to clarify was not quite clear again; however, this will be the second surgery.

 

Foot Doc: I got the entire story at first glance. Maybe you could brush up on your reading skills before posting such a snarky (look it up.)