I too suffer from the same thing, just not flat-footed. I have done everything possible, next is surgery. It is set for a tendon transfer, however, I am getting a second opinion. It sounds so severe. I am able to walk and all, using orthotics, and some days alot of pain (taking inflammatory) while others not too bad, which in turn lets me rethink about having any surgery at all. It would require using next tendon (that operates toes), break the heel, reposition it, insert 2 screws and off work 3 months. That... I don't like. I am just not sure anymore at all. I've been dealing with the severe swelling at ankle (inside foot) and just want it to get well. I've heard of using a cadavear (sp?) tendon, but this Dr. says they don't do that. I am not sure. Has ANYONE ever had a tendon transfer and what is your outcome?? Is it worth it? Or is it just a short-lived thing? Thanks. b51kitty
I have been having inner ankle pain on and off for about 2 years, then it became constant. I finally went to see an OS who ordered an MRI, which shows a partial tear of the posterior tibial tendon and fluid accumulation in the tendon sheath. I asked him about non-invasive possibilities such as orthotics or braces, and he said that they would be of no use since the tendon is torn. He referred me to a foot and ankle specialist who said the same thing. The foot and ankle Dr., who is the author of the text book on foot and surgery that medical schools use, took x-rays, did some simple testing and looked at my MRI's and recommended tendon transfer, calcaneal osteotomy and synovectmy. I am scheduled for surgery on Dec. 6. He also told me that the longer I put off surgery that the worse it would get and eventually it would not be fixable with the above mentioned procedures, but instead would require fusion. He said I would be on crutches for 5 weeks, then in a walking cast for 5 weeks. I hope this information is helpful to any of you that are wondering what to do.
I had the exact same thing show up on my MRI...partial tear and fluid. That was over a year ago, and things haven't changed. I have worn custom orthotics for about a year, and they do help some, but I still do have pain and swelling daily in my arch and area around the tendon. I am currently recovering from my second ankle ligament reconstruction surgery (3 months ago). I asked my OS (foot and ankle guy) if he would fix the tendon problem when he did the last surgery and he said no because a partial tear did have the ability to heal if I wore my orthotics religiously. He said only a complete tear warranted immediate surgery, and I may need surgery in the future to correct it and my fallen arch, but wouldn't mess with it now (I'm only 20). Anyways, just wanted to share my update, as I posted this thread quite a while back. I hope your surgery goes well on the 6th (thats my b-day..lol). Please keep me updated on how it goes!
Please let me know how you are after the surgery. I hope it is a fix. I am going for a 2nd opinion late Dec. I am not sure what to do yet. The surgery you are having is exactly what the 1st Dr. was going to do.
I'm in the same boat as you guys. I've been putting off surgery and just dealing with mine for the past 3 years. It isn't getting any better, but also it isn't getting worse. I'm curious to see how the surgey went on dec 6th so keep us posted.
Well here are the highlights of my surgery thus far. The surgery lasted about 90 minutes. The doctor came out and told my husband that the surgery went well. I was in recovery for about 90 minutes. After coming to, they gave me 3 or 4 nerve block injections to numb me from knee to toes. I was told that when the block wore off that the pain should be a little less than what I had experienced coming out of surgery, before being given the nerve block. Ouch!They sent me home with scripts for Vicodin and Percocet. I had about a 4 hour ride back home that evening, so being numb was a good thing! Upon getting home, I experienced nausea and lightheadedness whenever I had to get out of bed and hobble to the bathroom, which is all of about 10 steps. This lasted into the next day. Of course my body was somewhat in shock from the surgery, and being drugged up. The nerve block didn't totally wear off until sometime on the 8th, so it lasted almost 2 full days. When it finally did wear off, the pain was not at all what I was expecting. I actually felt more discomfort than I did pain. The pain I did experience a few times a day starting on the 9th has been horrible muscle cramping in the bottom of my foot and up the outside of my leg. Thankfully, it only lasts a minute or so since I am not able to reach these areas to massage them. I occassionally wiggle my toes up and down a few times to stretch the muscle on the bottom of my foot. I think it helps to keep the cramps down. I haven't had any cramps in almost 2 days now. When I feel like one is coming on, I tell it to go away-maybe it's listening I have been getting out of bed and attempting to do some chores around the house every day since the 9th. I do have to rest quite often and elevate my leg when I do, as my foot will start to ache.
Two of my 5 kittys spent a lot of time in bed with me the first couple of days watching over me and my husband has been so helpful and thoughtful. What a great support team I have! I go for my 1st follow-up visit on the 14th. It will feel good to get this dressing changed and interesting to see how it looks and what the doctor has to say. I am feeling optomistic as of now! I will post again after my appointment and let you know what he says.
Take care and Blessings
Hi Rita, I am scheduled for the same surgery due to a ruptured tendon on the 22nd. My original surgery was to be on the 6th as well...but I came down with a cold and it had to be postponed. I am just wondering how you felt on Day 3...as for me that will be christmas day. I just want to be coherent for my kids. My dr. only perscribed Vicodin...which I am thinking may not be enough. Also, I am doing this with a local and iv sedation. No epidural or general. I don't know if I will be getting a leg block or not. Here's hoping! You said that you were up doing chores? Are you doing that on crutches? You seem to be really moving forward rather quickly. Gives me hope!
I was also given iv sedation. My doctor also prescribed only Vicodin and the anesthesiologist prescribed Percocet. The anesthesiologist gave me the nerve block after I woke up in the recovery room. I can't imagine them not giving you a nerve block, as it is extremely painful when you wake up - I would certainly inquire about it. There is no way that Vicodin would even touch that kind of pain. Vicodin does nothing for my pain and I can't take Percocet, which is a fairly strong pain reliever. I am taking Darvocet when I need something, which is not very often. If needed, I am ususaly taking Ibuprofen. The chores I have done thus far are laundry and wrapping Christmas gifts. You don't really have a lot of energy to do too much, but I have a hard time doing nothing - tho I do have a lot of reading to be doing. I have been getting around on this great device I found called the one-crutch. It is just that - one crutch that has a platform on it which you put your knee of injured leg on. It leaves you with one free hand and is pretty easy to get around on. When you sit down, you can then use the platform as a leg rest for your injured leg.
I think you should be pretty coherent by Christmas day, unless you for some reason just have a lot of pain and are on strong meds. You may not have a lot of energy, but you should be able to enjoy your children and the day.
I'll be thinking of you. Take care
Last edited by WanderingMod; 12-12-2006 at 08:17 PM.
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I am interested in knowing exactly what the Dr. did. Did he do a tendon transfer- and you can still wiggle your toes? Did you have your heel cut or broken and screwed back on? It sounded as though you didn't. Sounds as though you are really doing great, esp if you are moving around already. Where did you find that "one-crutch"? It sounds perfect to use - certainly alot cheaper than what my Dr. wanted me to get - the Roll about cart that costs $650. You mentioned dressings. You don't have a cast? What did the Dr. say today? How long are you going to be out of work? I am going for my second opinion next week. I am going to have to do something as I believe with doing nothing, my foot has fallen in the arch area some. The first Dr. tells me I would be out 3 months and would not be able to even touch the floor for 2 months. What you had sounds alot less severe.. Please let me know. Thanks alot.
I had the following procedures done. Flexor digitorim transfer(tendon transfer), calcaneal osteotomy(heel shift) and synovectomy(tissue removal). I believe he put screws in my heel, as he told me that would be part of the procedure. I will have to ask him next time I see him if those are permanent, as I am not sure. Yes I can still wiggle my toes - I thought I might not be able to. Yes I did have some sort of a partial cast on under the surgical dressings.
Yesterday when I went for my appointment, which was 8 days after surgery, the doctor removed the surgical dressing and casting, and also the staples from my 3 incisions (a large, 5 to 6" above arch, 1" lateral heel, 1/2" back of heel). All looked well according to him. To me it looked quite bruised and somewhat swollen, but my husband and I both noticed that my foot and arch also looked much straighter! He then placed small sterile strips across the incisions then put a fiberglass cast (I chose purple)on my foot and leg. My toes are sticking all the way out, and it goes up to about 6" below my knee. I am to remain non-weight bearing in this cast for 3 weeks. I have an appointment again at the end of that time period, which will be Jan. 4th, to be taken out of this cast and put in a walking boot for about 4 weeks. The only time I will be allowed to take the walking boot off is for taking a shower.
I did have quite a bit of pain last night, which I am sure was due to the staples being taken out, the new cast being put on, and all of the walking around that I did. I feel better today though!
My doctor also suggested the roll-a-bout. When I came into his office with the one-crutch, he was curious and asked me where I got it. It really is great, especially when you live in a small space like we do.
I hope this helps, and I will continue to keep you updated. I wish everyone a very Merry Christmas!!
Last edited by WanderingMod; 12-15-2006 at 09:19 PM.
Thanks so much for answering all my questions. I will certainly look up the one-crutch site. Your procedure sounds exactly what he wants to do with me. I am really tired of the pain and it limits my daily activites now. I have surgery set for Jan 16, but cancelled my appt with him because I wanted a
2nd opinion (set for the 20th at Mayo). I am not sure when I should really get it done as winter is so confining, and I'd rather be outside in the sun with my cats. I do know that my foot is beginning to collapse so I prob. need to do it very soon.
How long do you have to be off from work? I have gotten a shower chair -then I can prop my leg outside the tub plus bag it up to keep it dry. Well, sounds like your getting along great and I wish you a speedy recovery. I will watch for your updates.
Merry Christmas to you.
Surelynine, how are you feeling now? I went for my 2nd opinion and it was exactly like the first dr. He said to do it and get on with life. Guess I will. Unsure as to if I want him or the first one. The 2nd dr. didn't think it was a huge deal as the first one made it out to be. 1st one is closeby and the 2nd one is far away. Just wondering how you are doing. I looked up the one-crutch site and it was unique. Can you do stuff around the house still? Are you in any pain? Have you put it down yet? when do you get your boot? Were you off work 8 wks or more?
Thanks for asking, I'm feeling fine. I do as much as I can -laundry, a little bit of cooking and cleaning, sewing. I even drove my car a little bit the other day. Actually, I've had more discomfort than pain. When I do have pain, I usually take ibuprofen, as it works better for me than vicodin, which is what the dr. gave me. I get my cast off and the walking boot put on the 4th of Jan. I am self-employed and work from home, so I have been working part-time. From the day I had my surgery until the day I get the walking boot it will have been 4 weeks. The dr. said absolutely no weight is to be put on my foot until I get the walking boot. Good luck with your surgery.
Hi, I am now wondering how your foot is going to "feel" when you get to put it down. You mention some discomfort. I am still unsure about my surgery. My foot feels good.. just some days it swells if I go too much, and have big time burning and pain - but just when I over do it. Otherwise, its pretty good. I just hate to go through it to hopefully get a better outcome "for the long term use". I know if I don't it will collapse- so I have to. I go see my dr. here in early Jan. Seems like just the other day you had surgery and now your fixing to go into the boot. Time goes fast. I am interested in knowing how your foot feels walking - if there is any pain - and how it feels - if it's the same or different feeling. The Dr. here tells me it will never be the same, you will have no pain, but it will feel different. That really bothers me. I don't kow what "different" will be. Well, back to work. Have a great day! Kitty