Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: tarsal tunnel syndrome
Forum: The Neurology and Neurosurgery Forum
Topic Area: Fibromyalgia
Posted by CCF Neurosurgery MD/gm on June 02, 1998 at 22:13:41:
In Reply to: tarsal tunnel syndrome posted by Cindy on June 02, 1998 at 11:53:26:


I had tarsal tunnel release surgery in early January 1998. This involves my right ankle and results from a previous ankle fracture from May 1995. The surgery went fine and my ankle seemed to respond well until I went back to work full time. The foot began mostly the same symtoms as before the surgery with pain, numbness, etc. Doctor gave me accomodators. This helped for a while. Now foot is sensitive along surgical scar. Touching this area produces tingling in middle/back of arch on bottom of foot. Anytime I don't wear the accomodators the ankle swells and there is pain. I want to know if this is common, could this be the best my ankle will get, and could the condition worsen with more activity. Thanks.

Dear Cindy:

It is rather strange that your symptoms have recurred after a decompressive
procedure. What is also odd is the description of swelling that you give.
Since I do not have the luxury of examining you, I recommend you see your physician
again and discuss with him/her whether reflex sympathetic dystrophy is an
option. Your symptoms are not very typical but in the setting of previous
trauma to the foot this might be a problem, and might be a superimposed factor
upon the TTS. The treatment for RSD is different and if diagnosed correctly
can provide you with some answers and alternative treatments. I hope this
helps!

Good Luck!

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