P.T.T.D PROBLEM -what exercises are there

What makes you think that the posterior tibial muscle is weak and what do you believe will be accomplished by strengthening it?

 

I have flat feet ,I have p.t.t.d in both feet , had a cast on left foot for 6 weeks , no injury what so ever just one day training on my mountain bike i experienced major pain on the inside of my foot (both) went to the doc...they were confused ? went to the foot docter 3 weeks later ,ended up with orthotics , the pain just got worse ,i could barely stand for more than 15 min. , this went on for 4 months , i'm starting to walk with crutch s , slowly ,exercising my quads,thighs slowly .... I have pain on the inside of my legs from the ankle bone up to 5 inchs from my knee ( i believe this is the p/t being not that strong. out right weak ?....left foot is fatter than the right foot is this common ? after any time in a cast such as me , don't you think the p/t is also weak ,just like the calf ,thighs ,quads,foot muscles ?

 

Unless you have omitted some important information, it sounds to me as though you are relating YOUR diagnosis rather than one offered to you by your doctors. Has the foot doctor offered any specific diagnosis and rationale for the treatment that is being attempted or are you being left to search on your own?

 

I have researched to no end , yet the diagnosis by the foot doc was P.T.T.D , my understanding is overcoming this is not possible , one must live with the pain forever........My archs fell for sure , i used work on concrete 7 days a week, good shoes ,on my feet up to 10 - 15 hours a day , i weighed around 270 @5' 8 tall for 5 years (overweight ) I truely never let my feet rest only at bed time, I had an mri done on the left foot , no problem found ..IS THERE A CURE , EXERCISES ONE MUST DO THAN PREVIOUSLY DESCRIBED ,LAST POST..........DO PEOPLE IF ANY EVER OVERCOME THIS PROBLEM.....THIS IS THE ONLY HEALTH PROBLEM I HAVE HAD IN MY 48 YEARS .

 

DISCLAIMER:
THE FOLLOWING IS OFFERED GRATIS AS GENERAL INFORMATION ONLY, AND, AS SUCH, MAY NOT BE APPLICABLE TO THE SPECIFIC QUESTIONER AND/OR HIS/HER PROBLEM. IT IS CLEARLY NOT BASED ON ACTUAL KNOWLEDGE AND/OR EXAMINATION OF THE QUESTIONER OR HIS/HER MEDICAL HISTORY, AND IT CAN NOT AND SHOULD NOT BE RELIED UPON AS DEFINITIVE MEDICAL OPINION OR ADVICE. ONLY THROUGH HANDS- ON PHYSICAL CONTACT WITH THE ACTUAL PATIENT CAN ACCURATE MEDICAL DIAGNOSIS BE ESTABLISHED AND SPECIFIC ADVICE BE GIVEN. NO DOCTOR/PATIENT RELATIONSHIP IS CREATED OR ESTABLISHED OR MAY BE INFERRED. THE QUESTIONER AND/OR READER IS INSTRUCTED TO CONSULT HIS OR HER OWN DOCTOR BEFORE PROCEEDING WITH ANY SUGGESTIONS CONTAINED HEREIN, AND TO ACT ONLY UPON HIS/HER OWN DOCTOR’S ORDERS AND RECOMMENDATIONS. BY THE READING OF MY POSTING WHICH FOLLOWS, THE READER STIPULATES AND CONFIRMS THAT HE/SHE FULLY UNDERSTANDS THIS DISCLAIMER AND HOLDS HARMLESS THIS WRITER. IF THIS IS NOT FULLY AGREEABLE TO YOU, THE READER, AND/OR YOU HAVE NOT ATTAINED THE AGE OF 18 YEARS, YOU HEREBY ARE ADMONISHED TO READ NO FURTHER.
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An essential requisite reflecting the reliability of any answers to your questions is that the diagnosis be accurate, and I am not prepared to be unequivocal on that matter without an examination which, of course, I cannot perform on you. But as you state that you have researched PTTD extensively, you surely have learned that there are both conservative and surgical approaches to its treatment, dictated by the severity and specificity of the problem and the training and experience of the doctor. Results of treatment, as with all medical problems, varies from patient to patient, but inability or unwillingness to employ rest as at least one aspect of treatment is likely not conducive to your chances of the long-term complete relief which you obviously desire. Beyond that, without knowing the individual nuances of your condition, I certainly cannot make the definitive statement which you probably would like from me. There are only so many ways to skin a cat, and in the end, some cats may not get skinned.

 

I have rested my feet / legs for far too long ( both ) I SAT IN A WHEEL CHAIR IN ORDER TO GET AROUND for longer than 6 weeks?...iced feet , med's for inflammation ,,I was wondering why you decided not to address any specific questions relative to the amount of information given ....surgery is out of the question ? what else must a patient do? thank you for time........

 

You have stated that you never give your feet a rest except at bedtime. That obviously is not helping. I cannot address specific questions because I do no have specific knowledge of your status, and with performing an examination of my own, your attempt at explanation is not adequate to give me that knowledge. This and forums such as this cannot and should not deal with the specifics of individual cases which can only accurately be determined and related by the attending.

 

WHY with respect to HYPERPRONATION ....Happens due to obliteration of the sinus tarsi ..................99% of all people with PTTD the orthotics have done nothing to help patient , listen to the peopl e who thought it would help but didn't.........The latest medical rumor is that a sinus tarsi stent has worked to resolve a very big problem ....If your a docter like you say are , answer straight up , please don't dodge the question ....I can trouble shoot electrical and electronics over the phone .... If a persons truely good at what they do , they can explain it over the phone as to how to resolve the problem ...Skill is knowing what questions to ask ? YOU don't address most of the questions head on on this forum.....way toooo many air pockets in your answers...........By reading alot of your posts your certainly well read ...as far as i can tell ?

 

You are totally deluded if you think that fixing people is in any way analogous to fixing electronics. I can fix them too . . often over the phone. But if it were that simple to fix humans, then you would have gotten the fix for your problem from the doctors and/or all the time you've spent researching the topic. The fact IS that unlike electrical or mechanical devices which have clear cut methods of diagnosis and replaceable parts and modules, living creatures cannot be fixed by the same principles. Had you read sufficient numbers of my posts, then you would have noted that I emphasize that forums such as this are for general information, and neither intended nor appropriate for addressing specific issues in any individual. If it were as simple as you seem to think, then doctors would diagnose and do most of their treatment by telephone, and as I'm sure you can verify, they do not and can not. You are mistaken if you come here or to any forum thinking to find someone to replace your own doctors. in that regard, you suffer from excessive and unrealistic expectations which are neither my duty nor my responsibility to accommodate. If you are dissatisfied, you can have back all that you paid. Oh wait . . You DIDN'T pay anything. Try THAT with your own doctors.

 

How and why would someone pay for services (not) rendered .....Kind of like spitting into a head wind........This forum is of little help to anyone..................

 

Sounds to me as though you have already gotten rather accustomed to spitting in the wind. Did you not pay for the apparently ineffectual treatment of the doctor(s) whom you actually went to see and who had an actual responsibility to you, or are you a deadbeat there too, and is/are your account(s) now in collection? You had a right to have expectations of service from that/those doctor(s), but how much verbal guff have you given him/her/them? Likely it's far easier to be brave and mouthy when you have only to hurl your insults and criticisms through the Internet instead of doing it face to face brave guy/gal?

 

I will say one thing , docters have there place , theres valid proof of that , yet i have seen more results relative to p/therapists, after the docter has seen the patient ,the p/t spends quaity time,get a little more in depth relative to the problem at hand with the patient , docters spend two to five minutes with you hoping they have come to the right conclusion , today it is all about the $$$$$$$$$$$$ money, not quality care , i realize they are practicing , yet after a docter has seen say 500 patients , you would think they could fiqure out the correct protocol for that particular problem. I had rolled my foot while mowing the lawn one day , it hurt like hell , called my buddy who is a chiropractor he cracked or adjusted my foot, no xray needed ,at that time i had known for 20 years , (never had a problem since ) ,.........I'm financially secure thank you very much ...

 

Perhaps it is your personal failure of the selection of your doctors, and is necessarily your personal experience with them which is at issue rather than all or even most doctors being worthy of your expressed disdain. I have never seen a patient for anything other than a followup checkup where nothing much was at issue and had spent only 2-5 minutes with them. If you are getting so little care with such little success as you imply, then why would you not then learn do a better job at doctor selection and find someone who better meets your needs? And I return to the fact that, as you do not believe that you should pay for service which does not meet your expectations, and certainly you have said that to be the case, why have you and no will doubt continue to pay the $$$$$$$$$$$ of which you speak so disdainfully? Most conditions seen by most doctors are rather routine matters which respond well to well-worn treatment, but the fact that yours perhaps did not neatly fit into a well-defined pigeon hole or that the routinely accepted treatment did not work to your satisfaction is simply a reality which sometimes occurs even with the finest of doctors, and does not deserve your blanket denunciation. Why don't you return to that bone cracker and get your problem "adjusted." I haven't the slightest interest in the status of your financial security, but, unless you got there by inheritance, gambling or lucky investments, you did so by getting paid for the work you did, which no doubt, in regard to the amount earned, somebody, somewhere consider exorbitant, just as you have passed your unknowing judgment on fees earned by doctors. Perhaps no one will ever suit all of your needs, but it seems that you got every bit as much here for nothing as you got for paying the big buck of which you complain to someone whom you chose.

 

Is this PTTD hereditary?

 

If you mean, in terms of a genetic defect or predisposition, I know of no evidence that suggests that. If you mean in terms of inherited body structure and strength of tissues, perhaps a predisposition to it might be argued.

 

Reading this make me think of "FIRST, DO NO HARM".... I think it's high time so called Doctors like you remember this!!!! I have PTTD and do exercises daily which DO help!!! I am FINALLY out of my boot cast and able to walk again WITHOUT surgery!!!

 

Sounds like somebody forgot to take his paranoid schizophrenic medications today.

 

I was dx with posterior tibial tendonitis/flexible flat foot about two years ago. I tried all conservative treatments such as casting, pt, orthotics in good shoes to no avail. I saw four different doctors who all agreed with the diagnosis; however three different treatment potocols were suggested. The more research I did, the more evident it became that there is no simple answer when it comes to treatment. There are so many factors that must be taken into account in determining the treatment. I recently had a complex flat foot reconstruction surgery. My surgeon does NOT have one set surgical protocol. Before the surgery he explained three proceedures that he would definitely do and two other proceedures that he may have to do. He would not be able to determine if one or both of the other proceedures would be necessary until the actually was in there.

I don't think that it is reasonable to expect a specific treatment reccomendation sight unseen when a top doctor could not absolutely guarentee which proceedures would be needed for an established patient until he was actually performing the surgery

 

Hi, how did your surgery go? What procedures did he do? I have been recommended for "everything" in regards to this surgery.