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Old 07-08-2013, 08:55 PM   #1
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Question Physio after "minor" PTTD surgery

Anyone with tips, video or drawings for a physio?
Or better, direction for physiotherapist EXPERIENCED in PTTD treatment in Ottawa, ON?
Montreal will do in a pinch, in a month ;-(

Had surgery on May 08 for a right foot debridement of PT and FHL tendons as treatment for an exercise induced PTTD.
7 weeks after surgery progressed to walking (a bit only) on both feet with a Ritchie brace. @ 2 months can walk slowly for 30 min a couple times a day. Ice 15 min 5 times a day. Did Voltaren gel for 2 weeks, looks like it helped a bit.

 
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Old 07-18-2013, 04:56 PM   #2
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Re: Physio after "minor" PTTD surgery

Hi climb on! I am looking at having a Tenosynovectomy on my post tib tendon as conservative treatment has not worked.

You state that you believe your surgery has helped a bit. How are you doing now?

I was reluctant at first when surgery was initially brought up...but now I'm thinking that hopefully this will help me go back to being active? Mine was brought on by overuse/exercise as well. I'd love to know more about your experience.

Hope you're doing well!

 
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Old 07-18-2013, 05:12 PM   #3
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Re: Physio after "minor" PTTD surgery

Hi to both of you

Had the same surgery-failed unfortunately . I sincerely hope that I'm just an anomaly & you both have much success!

Vdizzle- you say yours was brought on by exercise. How long ago? & what specifically (i.e.- did you up your mileage/workout intensity too quickly?) What kind of conservative treatments did you try?

Ally

 
Old 07-19-2013, 11:18 AM   #4
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Re: Physio after "minor" PTTD surgery

Hi allykay!

Yes, I had started back to running & working out after not doing much for about 5 years. I was having some pain while running, but thought it was soreness and just being out of shape, so I continued. The run that did me in was outside on pavement and I didn't track the mileage. It was feeling good so I went with it, and increased mileage by 25% not knowing it. It was only a 3.5 mile run, so I didn't think too much of it at the time. Well, due to the pain, I stopped running but continued walking and the elliptical. Even that became too painful so I went to complete rest. This was in February 2013.

During the first week of complete rest, my feet/ankles were still hurting pretty bad and by the end of the day would be very swollen, so I finally went to have it checked out.

MRI came back with stress fracture and mild tenosynovitis. Doc put me in a cast for 6 weeks. PT for 8 weeks with ionto treatments and ultrasound. I have bought stability running shoes that I wear ALL the time with green superfeet inserts. Met with my doc again in June and we tried an oral corticosteriod for the inflammation (after she suggested surgery, as I wanted to make sure we had exhausted all conservative measures) and decided to continue PT for another 6 weeks. I had some temporary relief, but the inflammation and pain have come back. It's been 5 months since I've ran and done much of anything. I can walk, but long distances like a trip to the mall will aggravate it. I can only imagine what jogging/running would do.

So, I see my doc again on July 31st. I have a feeling I know where the conversation is heading.

Wish me luck!!

 
Old 07-19-2013, 04:46 PM   #5
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Re: Physio after "minor" PTTD surgery

Im in ottawa and while she didnt really have experience in my surgery (PTT repair, Calcaneal osteotomy), Carleton University Sports Therapy Clinic-Marie Elise, was great physio. Although, you need to have a sports related injury. (or maybe say you did)

Last edited by wants to walk; 07-19-2013 at 04:48 PM.

 
Old 07-20-2013, 11:15 PM   #6
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Re: Physio after "minor" PTTD surgery

I'm about the same level as you in terms of pain, same limitations, etc. My last run was Oct 12, 2011 . I'm glad to hear that you did do "too much too soon" type of situation- I had been running for 5 years & didn't up my training so it's kind of a mystery as to why my tendon got swollen in the first place? So if you at least WERE doing a lot more, hopefully that means you know what really brought it on & your surgery will work!!!!! *crosses fingers*

 
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