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PTTD/Adult Acquired Flat Foot

Discussion in 'Ask your questions here' started by Jarsenal, Jan 27, 2010.

  1. Jarsenal

    Jarsenal New Member


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    I was diagnosed in the last year with PTTD/Adult Acquired Flat Foot (Bilaterally) More severe in the right then the left.

    I'm a 44 year old female, in relatively good shape, active but not athletic by any means. I "used" to walk daily about 3 - 6 miles (depending how much time I had) with a good pair of walking shoes. That was about the extent of cardio work outs. I have several other underlying health issues but so far none of them have been tied into my feet issues.

    4 Years ago I started getting pain in my feet but had too many other health issues that could have been the result of my dying to worry about so I ignored the feet until all my follow up appointments with my other issues were cleared. By that time my feet hurt so bad that when I stood up I had to let them get acclimated to my weight before I even tried walking.

    The initial diagnosis and final actually is PTTD. WE first tried conservative measures to help alleviate this condition, like ankle brace (both feet), orthotics (both feet), cast (Right), walking boot (Right), anti-inflammatory meds, elevate (Both), ice (Both). At one point the right foot felt better for about a week, then it went right back to hurting. I had a MRI done and I have a 3cm partial lateral tear near the ankle (thats why I had a cast for 3 weeks and a walking boot for 3 weeks, it felt good for a week, then right back to square one accept now I can't do the toe lift at all. The left foot not only has PTTD but he thinks I may also have plantar fasciitis due to the sharp pain in the bottom part of my heal, which we did treat once with a shot in the heal but that only helped for about 8 weeks? So I finally looked at him and said, "Ok the right foot, nothing has worked whats our next step?" His answer, "surgery" and LOTS OF IT.

    This is the break down of what I am having:

    Calcaneal Osteotomy
    Posterior Tibal Tendon Repair
    Flexor Digitorium Longus Tendon Transfer
    Tendo Achilles Lengthening.

    He said my range of flexing my foot up is only 3% in both feet and anything under 10% is poor and the Achilles Lengthening would help prevent any type of reappearance of the same problem. So I'm all for surgery, I'm so tired of being in pain but also very scared of recovery.

    I've been through some hard health issues, I'm very familiar with surgery and tough recoveries, I'm a determined person but I want to be realistic about this.

    What type of recovery are we talking? I have my husband and 2 adult children to help me get around I work a desk job and plan to rent a wheel chair for a month, is it unreasonable to think I might be back at work in 2 weeks, as long as I use my wheel chair for mobility? Am I just wishful thinking?
     
  2. FootDoc

    FootDoc New Member

    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.
    ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
    I can't and won't speak to your individual case or how much post-surgical pain you might experience and how well you will tolerate it. But what would be the issue with one returning to a totally sit-down job if he/she is going to be totally wheelchair bound as long as required, is not going to bear weight on the operated foot/feet and ostensibly could keep them elevated if needed?
     
  3. Jarsenal

    Jarsenal New Member

    Though vague and I completely understand why, I appreciate your response and I don't see any reason why someone who "felt" well enough to go back to work in 2 weeks shouldn't in a position that they were able to stay off their feet/foot, keep their feet/foot elevated.
     
  4. Unregistered

    Unregistered Guest

    Hi, I am in a similar situation. I, however, am 20 years old and a very healthy, active competitive runner. I was diagnosed with PTTD (bilaterally) about a month ago, after 2 other misdiagnosis of tarsal tunnel syndrome and posterior tibial tendon strain. I am currently in physical therapy and wear ankle braces on both feet full time. I am receiving orthotics soon, but the option of surgery is still not far off. With only small periods of reduced pain since March, I experience shooting, sharp pains with no warning or gradual onset. I know the possibilities in front of me and I am prepared to do anything it takes for the pain to stop. I want all individuals with PTTD to know that there will be a light at the end of the tunnel, no matter how long it may take us to get there.
     
  5. Unregistered

    Unregistered Guest

    After exhausting all conservative measures for over a year, I had extensive flat foot reconstruction surgery 16 weeks ago. Keep in mind that each person is different. There are many different combinations of surgical proceedures possible. There are so many different factors to consider which makes it impossible to say that your recovery will be like mine. I am 52 and in good health. In my case, I was NWB for 8 weeks followed by eight weeks in a boot. Initially, I was PWB and slowly transitioned to FWB. At about 13 weeks post op, I was able to get around pretty well fwb in the boot without crutches. Four days ago, I was given clearance to gradually transition from the boot to a sneaker with an aso brace. The first week, I am wearing the brace/sneaker combination in the house about half of the time and am in the boot the rest of the time. Week two, the doctor wants me to wear the sneaker/brace at home all of the time and boot when I am out and about. The following week, I am supposed to gradually start to wear the sneaker/brace combination when I am out and about. I am supposed to wear the brace until my next appointment in 7 weeks. So far, I am doing well. I have no pain, just occasional twinges but then again I have a "new foot." I am aware that it could take up to a year to really recover from the surgery. My doctor said that the height of the arch is not important. The goal is to allign the foot properly to normalize the stress on the ptt and spring ligament which were a mess before my surgery. The recovery is very long and slow. I have a job which requires me to be pretty active and mobile and am finally returning to work in 9 days. I really think that with some minor modifications, I will be ok to return to work
     
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