Possible nerve damage

[Sher3673]

I had a tarsal coalition repair done on my foot in April of this year. I am now having issues with part of the bottom of my foot, including the ball of my foot and all my toes except the last three. When I move my foot, it feels like it has been asleep with the tingling, like pins and needles, and I cant go without shoes on that foot, I cant wear sandals, and when I do try to go without shoes on, the heal of my foot feels like the bone is going thru my foot. When I relax of an evening, my foot has like muscle spasms. I sometimes have problems walking still my ankle feels like it doesnt want to work and then I get a sharp pain in it and I have to stop and relax my foot. I need to know does this sound like I could have some nerve damage to my foot? Please help me!

[rick7769]

I too have had a tarsal coalition and I am post-op one year. I have the same syptoms you are describing. I am going to physical therapy twice a week and have not gained any relief.  My doctor wants to to do surgery again, this time doing a bone graft in stead of screws and pates. I have agreed in order to geet relief. My pain and and tingling are almost worse than my original problem. I hope this surgery will change the feeling that my foot iis asleep and the ball of my foot will return to somewhat normal sensations. I will keep you posted. Good luck..

[Dr Vinod]

You would have the tingling sensation due to irritation of your nerves, It is purely a post operative thing as you have explained, due to change in anatomy and the alignment of your tendons, muscles and with movement you are having this nerve irritation.
You should be taught some exercises and strengthening of the muscles in that area to give relief for long term.
Your surgeon has to explain all the methods of keeping the pain at bay, and consult a good Physiotherapist.
With time and proper footwear, i think you will be relieved of the symptoms. Take care!

[Sher3673]

I can understand that, but then why am I have the feeling that my foot is asleep and tingling when I move it or even walk on it with shoes on. I do wear a good pair of tennis shoes. I am about 12 weeks post op. I would appreciate any your opinion, because my doctor doesn't seem to know why.

[Dr Vinod]

Due to the tarsal repair you have lost lot of mass like muscle and soft tissue so the normal anatomy has been changed and for this you have to wear proper shoes. Try not to wear footwear which causes pain and with physiotherapy and exercise you will gain strength and fight the pain . Take care!