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Old 09-03-2009, 03:24 AM   #1
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Unhappy Posterior Tibial Tendon Problems

Hi all. I had an MRI done about 6 weeks ago, ordered by podiatrist because my foot hurt and there was swelling after a 3 day trip where I did a lot of walking. She said the MRI showed a partial longitudinal tear of the PPT and put me in a cam walker for a month, saying tear would heal itself. She then fitted me for a richie brace that I wore for one day as I was in incredible pain - felt like I had no support. I called her and she said go back to cam boot. SO, some friends of mine said I should be seeing an OS; yesterday I made an appt with a foot specialist OS and called podiatrist's office to tell them I was coming to pick up my MRI film. An hour later I get call from podiatrist; she's all upset, saying that the radiologist read the MRI wrong - I do not have a partial tear, I have a complete tear! Basically, she never looked at the film all of this time. Do you think that these past 6 weeks of walking around in the boot might have damaged my foot even more? I am so upset, cause I am a school librarian, and I could have had surgery (if needed, which seems likely) in July and would have been able to be back to school with only missing a couple of weeks. I am going to OS tomorrow. I've been reading threads about the surgery and I am worried. How much time will I need for recovery til I am able to go into work??? Thanks.

 
Old 09-03-2009, 04:40 PM   #2
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Re: Posterior Tibial Tendon Problems

Every person heals differently so it's hard to say how long you'll need for recovery. I teach 6th grade science and totally missed the last six weeks of school.My PTT ruptured this spring and I had surgery on April 29th. I spent 8 weeks non-weight bearing in a wheelchair followed with 8 weeks partial weight bearing in a boot. My doctor not only repaired my tendon but reconstructed my arch which had collapsed.
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Old 09-04-2009, 02:00 AM   #3
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Re: Posterior Tibial Tendon Problems

Are you OK now? Were you in a lot of pain after surgery? Was yours a complete tear?

 
Old 09-04-2009, 04:30 PM   #4
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Re: Posterior Tibial Tendon Problems

For the most part I would say that I'm much better. Yes the tear was complete. I have 3 sessions of PT left to help strengthen my Achilles, which was lengthened on July 29th. I won't lie, the pain involved trying to strengthen the Achilles is still there. Do I regret doing the surgery...no, I guess not but, would I do it again....NO. Feel free to continue to ask me questions. I don't mind answering them. I hope you have a better experience than I did. Make sure you have total confidence in the surgeon. I wish I had the same confidence and faith in my foot surgeon as I do for the OS who replaced my knees.
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Old 09-08-2009, 03:22 PM   #5
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Re: Posterior Tibial Tendon Problems

Hey
I wanted to know if anyone that has gone through this could give me some much needed advice. Last July '08, I fell down stairs. Doctor did x-rays, but did not notice until 2 months later that cuboid bone in foot was fractured. He put me in a cam walker some 10 weeks or so. After I got out of the boot, my foot still hurt and we tried an air brace, meds and several other options, but to no avail, nothing helped. He took an MRI and said I had this PTT problem and it was just in the tendonitis stage. I sought out another opinion in which doctor looked at the same MRI, said the tendon was shredded. Options were to wear an AFO brace the rest of my life or have extensive surgery. My foot is very flat and pain is substantial on the side where my cuboid was fractured now. I am seeking another opinion, due to the fact that no one has ever told me what stage now this is in, sometimes I stand up and I cannot walk. Does anyone have any input, it would be greatly appreciated, I'm in a lot of pain.

Gimpy33

 
Old 09-08-2009, 04:57 PM   #6
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Re: Posterior Tibial Tendon Problems

Quote:
Originally Posted by Gimpy33 View Post
Hey
I wanted to know if anyone that has gone through this could give me some much needed advice. Last July '08, I fell down stairs. Doctor did x-rays, but did not notice until 2 months later that cuboid bone in foot was fractured. He put me in a cam walker some 10 weeks or so. After I got out of the boot, my foot still hurt and we tried an air brace, meds and several other options, but to no avail, nothing helped. He took an MRI and said I had this PTT problem and it was just in the tendonitis stage. I sought out another opinion in which doctor looked at the same MRI, said the tendon was shredded. Options were to wear an AFO brace the rest of my life or have extensive surgery. My foot is very flat and pain is substantial on the side where my cuboid was fractured now. I am seeking another opinion, due to the fact that no one has ever told me what stage now this is in, sometimes I stand up and I cannot walk. Does anyone have any input, it would be greatly appreciated, I'm in a lot of pain.

Gimpy33
Find a good surgeon that you trust and go for the surgery. Your problem won't go away or get better so if you are happy with the braces (that work for a while) and can put up with the pain then don't do the surgery. I also tore mt PTT and ignored it by trying to heal myself. In the interim I started having a lot of pain and swelling - my arch collapsed and after trying several braces and seeing 4 DR's I decided to have surgery in March 2009. I am not going to tell you that it isn't a long recovery - it is. I had a triple with 5 screws- was in a cast, a boot etc. but now almost 6 months out I can walk (not always without pain or swelling) but it is getting better. The pain is very different then the pain I had before, and I am certain that as time goes by it will get even better. I am very happy I had the surgery - I intend to go walking on the beach this winter with my friends and I will keep up! Good luck to you whatever you decide. Your healthboard friends are always here to give support - they were my inspiration. Take care, Mar

 
Old 09-21-2009, 12:58 PM   #7
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Question Re: Posterior Tibial Tendon Problems

I too was seeing a podiatrist about tendonistis for four months. He had me rest for a month then made custom orthotics and sent me for physical therapy for 3 months. He said it would be a long process to heal so I didn't think anything of still having minimal pain with some movements at PT. My therapist is the one who recommended an MRI which showed I had a significant lateral tear of the posterior tibial tendon and recommended reconstructive surgery. I have since seen two othropedic surgeons who both said I can live with the tear given the correct support. I am now in a boot waiting for the orthotic (brace may be another option). Hopefully this will work, anyone living with a posterior tibial tendon tear?

Hope you are recovering from your surgery, doesn't look like something I'd like to have to go through but with a complete tear as yours you probably had no choice. Definately a long, painful recovery....

 
Old 09-21-2009, 08:42 PM   #8
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Re: Posterior Tibial Tendon Problems

Unfortunately the PTT does not usually heal. If you choose to live with pain and wearing braces the rest of your life you can manage it, but you can't heal it. I think you have to weigh the pros and cons of living with the pain forever or for a year of healing. If the arch is collapsed there is no doubt you will have to wear some sort of supportive device, probably orthotics with a brace.

For me, living like that wasn't very appealing so I chose to have surgery. but everyone has to make the decision that is right for them. You will find lots of information on this board if you do a search of PTTD. There are a lot of supportive people on here and if you do decide to have surgery your "foot friends" will help you along the way!


Best of luck with whatever you decide.

Emmie

p.s. I had a tendon transfer and heel slide along with achilles lengthening.

Last edited by emmie54; 09-21-2009 at 08:47 PM. Reason: added info

 
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