About three years ago, I hurt my left foot while walking on the treadmill. From then on, I have had mild pain come and go in my foot, depending on how much I was walking or what shoes I was wearing. About a year ago, I started having pain, stiffness and cracking noises coming from the top of my foot. This fall, I finally went to get a physical with my family doctor's office and was sent to physical therapy when I mentioned my problem. They made everything worse! After realizing that they couldn't do anything for me, I was referred to an orthopedic doctor. I had to wait another 1 1/2 months for the appointment. The day before the appointment, I woke up with such EXTREME pain in my foot, I thought something was broken. I was on my feet much of the day prior. When I went to the doctor, he took an x-ray of my foot and diagnosed me with Posterior Tibial Tendon Dysfunction and arthritis in the top of my foot.
Did my arch actually fall the night before, or had it started when I walked on the treadmill three years prior?
Ever since the appointment, I have had constant pain in my arch area, and top of my foot. The doctor told me that the only way to treat PTTD, was to wear UCB inserts (hard plastic) in both feet to prevent the tendon from tearing and prevent any damage to my other foot. I am afraid that these won't work because I have had problems wearing shoes and inserts all my life.
Can I use over the counter cushioned arch supports or are UCB inserts the only way to prevent tearing of the tendon?
I am so scared to be in pain for the rest of my life. I am only 35 years old. I've gained 30 pounds since this problem began. I know I probably have to lose weight, but how can I if I can't put pressure on my foot?
Is there anything else I can do other than wear UCB inserts to help my condition?
PTTD, unless cause by a sudden and obvious injury, is generally a condition which takes a great deal of time to eventuate, and so, I think it unreasonable to suppose that your arch "fell" over night. But if I can take the account of how your diagnosis was made as being accurate, and if it was based primarily on an x-ray as you imply, I would have to question such a criteria as being sufficient. Medicine is as much art as science, and each condition must be evaluated on its own merits. Accordingly, it is of little use to comment on any individual's treatment without having intimate knowledge of the nuances presented, and the only comments that can be responsibly offered are general in nature, and should not be taken as necessarily applicable to your or anyone else's individual case.
PTTD, is treated in many fashions, both conservatively and surgically. Conservative management would include rest, analgesia, casting, physical therapy and various types of external stabilization and support, including various types of foot and ankle orthothoses. In severe and unremitting cases, various surgeries, both soft tissue and osseous, sometimes concomitantly employed, might be considered. But to recommend a specific alternative for your individual case would simply be shooting from the hip. Any good foot and ankle specialist should be aware of the range of treatment and be able to select the most appropriate for any individual case. Certainly, if one is overweight, weight reduction can be a significant aid to symptomatic relief.
PTTD, unless cause by a sudden and obvious injury, is generally a condition which takes a great deal of time to eventuate, and so, I think it unreasonable to suppose that your arch "fell" over night. But if I can take the account of how your diagnosis was made as being accurate, and if it was based primarily on an x-ray as you imply, I would have to question such a criteria as being sufficient. Medicine is as much art as science, and each condition must be evaluated on its own merits. Accordingly, it is of little use to comment on any individual's treatment without having intimate knowledge of the nuances presented, and the only comments that can be responsibly offered are general in nature, and should not be taken as necessarily applicable to your or anyone else's individual case.
PTTD, is treated in many fashions, both conservatively and surgically. Conservative management would include rest, analgesia, casting, physical therapy and various types of external stabilization and support, including various types of foot and ankle orthothoses. In severe and unremitting cases, various surgeries, both soft tissue and osseous, sometimes concomitantly employed, might be considered. But to recommend a specific alternative for your individual case would simply be shooting from the hip. Any good foot and ankle specialist should be aware of the range of treatment and be able to select the most appropriate for any individual case. Certainly, if one is overweight, weight reduction can be a significant aid to symptomatic relief.
I have the same problem ,as described,same pain , exactly ....been casted , rested, now walking , pain shoots from ankle bone on inside of foot up close to knee ,pain in arch yes .....both feet ...yes.....where p/t goes from tendon to muscle i have pain , certainly i would rather be dead then deal with this for the rest of my life .....suicide has been on my mind ...no job , alot pain why live....getting close to jumping off a bridge head first ....no more pain
dont even consider jumpin over anything...there must be a way to fix this without simply having to buy 500 dollar orthotics and getting a kick in the ass out of the docs office till they mail you and urge you to come back for another pair one year later. These docs are crooked scum...we should sort them out in a jiffy! I think one is better off wearing one of those elastics by wrapping it around their arch and just above the ankle. I for sure have PTTD. I had an accident 5 years ago, now my right food doesnt look like my left anymore. I am aware that nobody (or hardly anybody) is perfectly symmetrical but this is showing its toll. I can't walk without pain, cant run for 2 minutes without having inflammation for the next two days. My family doc, freakin imbecile, sent me to a rheumatologist who farted while looking at my foot and told me i have no problem. This is Toronto Canada...f****** garbage health care. I took myself to a sports clinic and have been receiving physio with no benefit at all (80 dollars/hour). So i quit the physio. It seems we are alone when it comes to real treatment. Wearing orthotics does not remove the problem, it does not even ameliorate it!!! I would not suggest orthotics because they dont do jack s*it. I've had them for 5 years and my condition is worsening. Please help us somebody
Hi...I have PTTD. Just went through Plasma Rich Platelet Treatments and am in Physcial Therapy. Am definitely getting better; but not healed yet. I know it will take time. Also had an amazing massage session today at the advice of a pt I worked with for 5 years, it was very specific to PTTD. I can feel the difference, it helped release the pull on the tendon from the surrounding muscles. WIll keep you informed if you are interested!
I would like more info from the person that had the Plasma therapy. I was diagnosed with PTTD over two years ago. Had a cast on for 6 wks., then this molded brace which I still wear. I still have pain after all this time. Went to another dr. for a second opinion. Same as first opinion. Surgery is not an option for me at this time. This new foot and ankle dr. I recently saw gave me literature on the Plasma therapy. I am very interested to learn all I can about it. I searched everything I could find on-line, but would like to hear from someone that actually had it done. I am tired of living in pain. It is bad enough that I can't wear just any old shoes because of the brace but my #1 complaint is the pain.
Sorry you have suffered for so long. Just found your thread. If I could I would suggest a couple of places for information. The foot is a very complex set of joints and only until recently have plausible answers been found. Here are some links to get you started. http://ezinearticles.com/?My-Back-Hu...elp&id=2876236
instepfootandankle.com on the front page, two hyperlinks are highlighted --HyProCure and Solesupports. Click on the links and watch the videos. Given what you have been through and progressive deformity you are experiencing, these are not always the answer, but in my experience, they have been a pathway for many of my patients to get relief. Either way it gives some insight as to how the foot works and what options are available and are giving rise to new options to foot ailments. As for the Platelet therapy, I enjoy using the procedure. I has lots of applications, but only if something is being done to address the biomechanics/insult/injury, that caused the problem in the first place. It may work this time, but there is definitely a possibility of it coming back
Paul Clint Jones, DPM
Hi! I was just diagnosed with Posterior Tibial Tendon Dysfunction last week -- the "dx" was made by my physical therapist. I began PT earlier in the year for a knee problem and as I became more active, I started to have foot pain. The DPM sent me to an orthopedic surgeon and he said that I had a collapsing arch, gave me some protocols to give to my DPM and recommended insoles. Everything was fine for several months. I continued to walk and jog as tolerated. JUST SIGNED UP FOR MY 1st HALF MARATHON and WHAM! Pain when I walk. Over the last week, I've experienced slight swelling at the ankle and pain from inside the arch all the way up to my knee. My DPM has banned me from walking/running/elliptical -- only stationary bike and some hamstring & quad exercises/stretches.
I am getting so worried that I will not be able to walk or run competitively anymore. I will have to miss a race this Thursday for the 1st time ever. : ( I am very concerned. Any advice? Has anyone used custom orthotics? I believe my insurance would pay a good portion of the cost if it would alleviate my pain. And the pain is no longer "just" when I'm exercising. It's when I wear ANY shoes, and 1st thing in the morning. I am taping my foot for arch support and icing it as often as I can during the day.
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I do not know enough about either your symptoms or whatever examination and tests you might have had leading to a diagnosis of PTTD, and am not convinced that two doctors failed to diagnose you as such but a PT was able to. Each case of PTTD, if that's what you have, is treated on its merits, but conservative treatment generally includes rest, NSAIDS and frequently several weeks in a BK cast. Orthotics are generally employed after a successful stint in a cast or resolution of symptoms by other means. But, as usual, I cannot and will not speak to any individual case. Has either of your doctors confirmed the PT's diagnosis and what is their prognosis?
Hi -- Just completed third and final session of shockwave therapy for recently diagnosed PTTD through podiatrist. Has anyone else had this? It seems to be my only hope. Painful, yes, but doc is promising that I will experience relief within three weeks. Also wearing brace at night as pain is worse in the morning and that is helping a lot
I have PTTD for a year now. Have tried ultrasound, 6 sessions at $1500 of shockwave therapy, (which didn't work so save your $$) left it tears after treatments, orthotics(3 pair) hundreds of dollars spent on physio treatments, massage therapy, chiropractic treatments and running shoes. Still no further ahead. Now I am wearing a brace all day to aleviate the pain. I am pretty well convince that I will never run again. Rest, ice and capsicum ointment helps with the pain but then it's back... SAD
4 years ago I was diagnosed with pttd. I had the surgery where they fuse your foot with cadaver bones and insert 4 titanium screws for permanent stability. It was a tough surgery and even tougher recovery; but, after being in a cast for 8 weeks and on crutches; no weight bearing at all; I went to P/T and worked diligently and was able to play golf after 4 months from surgery. Long walks are tough, but I am able to exercise on the elliptical; but no treadmill. I was fitted with orthotics, but found them unnecessary on the surgically repaired foot because now it's perfect. I still needed one on my other foot because it's flat so I have an orthotic for that foot. I have found that sneakers are best along with tie shoes, not loafers. Anyway, good luck. Allenz1349@gmail.com
Hi! I was just diagnosed with Posterior Tibial Tendon Dysfunction last week -- the "dx" was made by my physical therapist. I began PT earlier in the year for a knee problem and as I became more active, I started to have foot pain. The DPM sent me to an orthopedic surgeon and he said that I had a collapsing arch, gave me some protocols to give to my DPM and recommended insoles. Everything was fine for several months. I continued to walk and jog as tolerated. JUST SIGNED UP FOR MY 1st HALF MARATHON and WHAM! Pain when I walk. Over the last week, I've experienced slight swelling at the ankle and pain from inside the arch all the way up to my knee. My DPM has banned me from walking/running/elliptical -- only stationary bike and some hamstring & quad exercises/stretches.
I am getting so worried that I will not be able to walk or run competitively anymore. I will have to miss a race this Thursday for the 1st time ever. : ( I am very concerned. Any advice? Has anyone used custom orthotics? I believe my insurance would pay a good portion of the cost if it would alleviate my pain. And the pain is no longer "just" when I'm exercising. It's when I wear ANY shoes, and 1st thing in the morning. I am taping my foot for arch support and icing it as often as I can during the day.
Advice please!
Julie
JULIE did you ever get help??? I have the same situation and my mrathon is in may 2 2010 My pain is just starting to sit me out! HHHEEELLPP
Hi -- Just completed third and final session of shockwave therapy for recently diagnosed PTTD through podiatrist. Has anyone else had this? It seems to be my only hope. Painful, yes, but doc is promising that I will experience relief within three weeks. Also wearing brace at night as pain is worse in the morning and that is helping a lot
I was diagnosed with PTTD about 2 years ago. I'm going back to physio next week as the pain is still pretty consistent with walking or weight bearing. I was having terrible pain trying to stand on my foot first thing in the morning, and had to limp around for several minutes until it subsided. I wondered if the weight of the comforter was causing this, so started turning it up at the bottom and loosening the sheet so that my feet were not weighted and could move freely. Since then I have not had this excrutiating pain in the morning, although the general symptoms still remain. Sounds simplistic, but thought I would pass this along. My PTTD originally developed while I was receiving physio for an injury to my Achiles area, so I am a bit worried about going to physio again, but I don't know what else to do, as orthotics alone have not helped.
After 3 years of constant right ankle pain and swelling, MRI results showed Phase 2 (partial tear) of tibialis tendon. 2 years later and after numerous techniques to relieve the pain ( drugs, exercise, rest, braces) I have found a formula that has significantly reduced the pain and swelling. I went to a foot doctor who prescribed good orthotics. It is essential not to fool around with a lot of the "Mickey Mouse" orthotics out there. Go to a good podiatrist who knows what tibialis tendon symptons are and get a pair of AGGRESSIVE orthotics. That means they are mostly rigid and provide a LARGE arch support. Any time your foot rolls in due to the tendon deficiency, the ankle is suffering trauma and the pain and swelling results, so you must try to prevent as much as possible the foot rolling in. Along with the good orthotics get a pair of training shoes that provide maximum stability control, and wear them constantly inside and outside the house. Do not participate in any sports that require prolonged pounding of the feet (long running, squash, tennis), but keep exercising. I found that shortly after doing these things, my pain and swelling were significantly reduced.
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