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Old 01-29-2010, 07:56 AM   #1
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Treating PTTD without surgery. Any success?

I have PTTD in one foot, and am being fitted with a boot/brace. I really don't want surgery as it would mean 2 months on crutches and I don't trust myself on crutches for that long. (I'm 79) I've heard about the knee roller, but have doubts about that too. Anyone have successful treatment without surgery? Have you found braces/boots to be corrective? I can walk OK, but at the end of the day, the ankle hurts. I just had knee replacement and am doing fine. But now this!!! AGH!

 
Old 01-02-2011, 08:55 PM   #2
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Re: Treating PTTD without surgery. Any success?

Hi, Exit 148, I was wondering what you ended up doing about your foot surgery? I am trying to decide whether to have surgical correction for my PTTD or keep getting along without it. The problem was first diagnosed 5 years ago, but I decided not to have the surgery at that time. I just had an orthotic support made for my shoes and was able to get along without much pain or problem until this summer. I am retired so I don't have to be on my feet a lot. I jist can't go hiking LOL. I am also a square dancer and I was able to dance several evenings a week until recently. I was going without my orthotic support as my foot seemed to be doing well, then I torqued my foot while towing a canoe up a river bank. Now I can get by with moderate activity as long as I wear my (speedlace) ankle brace. But have had to cut back quite a bit. I am trying to decide whether at almost 66 it is worth going through the surgery or whether to just get by with my situation. What did you decide to do and are you happy with your choice?

 
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Old 01-13-2011, 06:58 AM   #3
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Question Re: Treating PTTD without surgery. Any success?

I, too, would like to know how Exit148 is doing. My situation is almost identical to that of Georgia Chicken (Stage 2 PTTD, age 66, wearing an Illinois boot). I want to know how much relief, stabilization I can expect and if I really do need to consider surgery to have a pretty much "normal" lifestyle. I can walk around, do regular things, but standing for any length of time is really painful and long walks, like a mile walk or an afternoon of being in the mall is too much. I've only had the boot for six weeks. Will longer make a difference?

 
Old 01-13-2011, 04:17 PM   #4
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Re: Treating PTTD without surgery. Any success?

Could you ask your doctor whether there are treatments that will stop the progression of pttd? Ask him if you are looking at surgery in the future. He knows your foot and may be able to use his clinical judgement to give you a better picture of what the next step will be

 
Old 01-13-2011, 08:40 PM   #5
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Re: Treating PTTD without surgery. Any success?

Before I saw an orthopedic surgeon I went to a podiatrist - actually two different podiatrists. The first just gave me a flimsy ankle brace and no advice on activities and I just kept getting worse. After several months I went to a more knowledgeable podiatrist who put me in a walking cast type apparatus. With a plaster cast for the first two weeks. I was in the walking cast for almost 6 months with extremely limited activities. It sure didn't cure the foot, but it got better. After that is when I first saw the OS. When he explained the surgery to me I was appalled and asked to avoid surgery, so he sent me to an orthopedic specialist for custom fitted orthotics. That was 5 years ago. My foot has deteriorated since then. But for a long time it was good enough to use in a limited way with only a moderate amount of pain.

I guess I now have two choices. One is to severely limit my activities while wearing an ankle orthosis. That is what I am doing now and have been doing for the past 6 months.

The other seems to be surgery or else I will be in a wheel chair.

Even with the limited activity and ankle orthosis I can't spend a lot time doing things like shopping without having to ask for a wheel chair. It was really embarassing when my 80 year old friend was pushiing me aroung the store in a wheel chair.

 
Old 01-14-2011, 01:38 AM   #6
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Re: Treating PTTD without surgery. Any success?

Before having pttd surgery I was very limited in what I could do. The pain and swelling I had were a 25 on a scale of 1 to 10. I am now almost 5 mths post op and honestly it was well worth it. To be able to walk without the severe pain and swelling is worth it. I had never had surgery prior to this one and I was terified. Turns out it was the best thing I have ever done.

 
Old 01-14-2011, 10:57 AM   #7
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Re: Treating PTTD without surgery. Any success?

Thanks. That is encouraging to hear. Every time I think about scheduling surgery I can't help but react with "Ewwww... I can't sign up to have my foot mutilated." Reading all of the posts it just sounds so horrifying that it has been hard to justify.

 
Old 01-14-2011, 11:45 AM   #8
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Re: Treating PTTD without surgery. Any success?

Thanks to both Roxygirl1 and Georgia Chicken. I did call my doctor's office today. The advice is to keep wearing the boot for six months and then try to "wean off" if the foot seems better or to come in for a discussion of surgery. The boot is supposed to keep the condition from getting worse but neither it nor any physical therapy will make an improvement. My choices seem to be the same as G.C.'s, live with the limitations and reduced paid with the boot or look into surgery. The surgery does sound very intimidating. Let's keep up and see how our conditions progress!

 
Old 01-14-2011, 01:41 PM   #9
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Re: Treating PTTD without surgery. Any success?

Good luck. I know it is a tough decision

 
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