Posterior Tibial Tendon Surgery As An Outpatient - Not Overnight?


Aug 1, 2013

The doctor I saw today said he would do the reconstruction for my ruptured posterior tibial tendon as an out patient. That surprised me. Don't they usually keep you overnight?

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Posterior Shin Splints And Posterior Tibial Tendonitis?

Due to running excessively in the military, I believe my leg and feet injuries are related to Posterior Shin Splints and Posterior Tibial Tendonitis.

I am a female, 5'7, 160 lbs, and in the military.

I run approximately 15 to 20 miles a week.

I have high arches, and run flat footed.

I have hereditary varicose veins that have gradually become worse over time.


**5½ YEARS AGO** I dropped a three year weight class due to constant painful sores in both inner calves. The pain went away within a couple of weeks.

**2½ YEARS AGO** I received a second metatarsal hairline fracture on my left foot, due to an over excessive rucking competition (nearly 50 miles in two days, with zero training beforehand) I was volun-told to compete in a few days prior to the event. It healed within three months respectively, and the doctor had orthotics made for my feet. The orthotics worked great for walking, but instantly made my feet hurt while running. The problem continued to persist.

**2 YEARS AGO** I deployed overseas with my hairline fracture injury 99% healed. For most of the deployment, I did not experience any major problems. Towards the end, the unit conducted organized physical training, which included long runs. I started experiencing severe inflammation in my shins, inner calves, and swelling in my feet. The issue continued back home.

**1 YEAR AGO** I went to physical therapy when I came back from from deployment, and received deep tissue therapy for my shin pain. The deep tissue therapy helped my shins recover after each run, and the bumps on my shins started to disappear after each session (once a week). After my physical therapy sessions were completely over, I only had sensitive and tender shins after working out.

**½ YEAR AGO** When my unit increased the amount of running per week, I noticed the pains/sores were coming back in my inner calves. My shins remained tender, but the main focus was the pain in my inner calves. I went to the doctor for this issue, and they gave me a no running profile for a month. That was fine and dandy, until I came off profile and the situation became much worse than before. I played the “catch up” game to get back to how I used to be before I was on profile. In order to do this to my superiors standards, I had to to do this much faster and harder to achieve the results they were looking for. In doing this, the pains came back sooner, hurt more often, and did not require a hard physical workout to feel randomly throughout the day.

**PRESENT** Fast forward to present day, and now we run nearly every day of the week. Granted, most of the runs are now short runs, but now my pains are making any running absolutely miserable. I now have sharp pains starting from my inner calves, shooting up my legs, reaching the bottom of my knees. My inner calves are extremely sore and tender to the touch, even when I'm not running. I noticed just recently that I now have lumps/bumps on the bottom of both feet, in between the arch and heel (which I believe is called the Post Tibial Tendon). None of these issues are clearing up, unless I do absolutely nothing at all. But, once I start to exercise again, the pains and problems come back with full force. The bumps on my feet are not going away at all, I have had them for a few months and they continue to grow larger. So here are my questions:


1. Do you think I have Posterior Shin Splints and Posterior Tibial Tendonitis?
2. If not, what condition(s) do you think I have?
3. Do you believe these possible conditions can be fixed on my own, or should I see a doctor again?
4. I really cannot afford to stop working out, is there any low impact workouts that can keep me in shape if this turns into a medical issue?

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Achilles Tendon Surgery Blood Pooling - 7 Weeks Post Surgery

I am seven weeks post surgery for an Achilles' tendon rupture and still have intense pain from the blood pooling when I stand for even a minute to brush my teeth. After one minute I immediately have to lie down and elevate my leg otherwise it feels like it will explode. Has anyone else felt this 7 weeks post surgery?

I also can only bear minimum weight on the leg at this stage. At seven weeks does that sound normal? I had my tear at the connection to the heel and had haglund's deformity where part of my heel broke off. Anyone else have that and is minimal weight bearing at seven weeks normal for this type of tear.

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Achilles Tendon Surgery Tomorrow

Ruptured my AT two weeks ago playing squash. All the usual symptoms although not as painful as my previous calf tear - although now I'm starting to realise it's much more serious. And not a quick return to sport.

I'm in for surgery tomorrow morning and having read loads over the last fortnight, still not sure what the immediate post op advice is. It seems everyone has a slightly different experience.

I'm a self employed graphic designer and eager to know when I can sit at a desk again and do some work to keep the wheels turning.

Should I be lying down with foot elevated above heart for first few days or much longer?

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Achilles Tendon - How To Sleep After Surgery?

Background: completely ruptured my achilles tendon about a week and a half ago and just diagnosed last fri. Had surgery last night and now have an air boot. 

Told to stay non- weight bearing for 2 weeks, then stitches to come out, then 4 weeks with instep thing to be lowered slighted each week, followed by 4 weeks with flat foot still in the boot. So total of 10 weeks in the boot. 

Firstly, anyone else going through a similar treatment?

Secondly, how on earth do you sleep in this boot? Have it high on a couple of pillows and am on meds, but still v painful. I know it's only day 1, but any advice for sleeping?

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Awaiting My Achilles Tendon Surgery Next Week

I injured this tendon at work. So this is a work comp case. Looking for discussion with others that have been through this.

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Achilles Tendon Ruptured - Surgery Or Plaster?

While playing Cricket i ruptured my right foot achilles tendon,i had x-ray and ultrasound, doc advised me its not into two pieces but broken more than 50%. They gave me two options Surgery or Plaster.I opted for plaster.

So what you guys think how much time will it take to heel and would i be able to play Cricket in next 2 months?

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Achilles Tendon Full Rupture Surgery Rehabilitation

Had surgery ten days ago for complete rupture, in a half cast at moment and go to hospital to get stitches out on Monday and new cast. Very worried about the recovery after reading up on rehabilitation.

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Achilles Tendon - Sensations - 5 Weeks Post Surgery

I'm still only 5 weeks post jury. But really dislike the sensation from injury. My foot isn't floppy but I definitely don't feel like I have full control over it. Its an odd feeling - hard to explain. Course i'm worried it's not healing as nobody ever seems to check that. Will I regain the control? 

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Two Weeks After Achilles Tendon Surgery - Numbness And Tingling In Foot

I had my Achilles' tendon surgery two weeks ago last night I fell twice and now I am having numbness and tingling in my foot except when I get a sharp shooting pain. Do I need to call Doctor? I am still in cast

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Foot / Ankle :: Achilles Tendon Scar Removal Surgery

Very nervous about this surgery. I guess it's the not knowing. I am due to have surgery on Nov. 5. The doc said I could be off work between 2 weeks and 4 months. He doesn't know whether I will have a cast or back in the boot I've been wearing since the end of August. He also said he won't know how much if any weight bearing I will have after surgery. The amount of damage is unknown and no real reason to due MRI since the injured area is visible.

I do know I have no support at home as hubby will be at work and kids at school. Please advise

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Post Surgery Ruptured Achilles Tendon - Satisified With Outcome

Tore my right achilles nearly 3 weeks ago now. Had the operation about 10 days after rupture. I am in my late twenties and it came as a bit of a shock if im honest. I go to the gym regularly and exercise with weights frequently.

Anyway, had the op and im in no pain and have no swelling. I was expecting a lot of pain but nothing. The most discomfort i have is when i have to get up to use my crutches, as after about 15 mins being stood up i can feel the calf start to swell a bit. I am told i am in this cast for another week and then they will change the angle of my foot for another cast. Looking forward to getting back to driving and the gym.

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Sural Nerve Damage And Numbness With Achilles Tendon Surgery

Ten months ago, I had Achilles' tendon lengthening along with foot fusion surgery. Afterwards, 2/3rds of my foot on the outside edge and bottom of my foot has been numb. I kept mentioning it to my doctor, and he would say that it may take up to two years to fully recover from numbness. He even blamed the numbness on the popliteal nerve block that I had for seven days, but the anesthesiologist said that wasn't possible as the numbness started about two inches above my ankle and goes down into my foot.

Finally, I had a nerve conduction study (from my own insistence) that now confirms the injury/permanent damage to the Sural nerve. My surgeon must have nicked the Sural nerve when he did the percutaneous Achilles' tendon lengthening. It causes numbness that radiates down through my 5th metatarsal or little toe. But, 2/3rds of the bottom of my foot is also numb. Could this be from the Sural nerve or may there be other reasons for this numbness? What types of complications might occur with Sural nerve damage? How often does this occur with this type of surgery? This numbness is making it very difficult to walk. I can only walk very short distances at ten months, which is exceedingly frustrating. I am interested in hearing about others' experiences related to numbness and Sural nerve damage.

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Heel Pain 2.5 Weeks Post Achilles Tendon Surgery

I am probably worrying about nothing, but I had surgery on 11 July and since i had my stitches out and cast changed on Tuesday (22 July) my heel has been quite sore. I am PWB and the cast moves slightly when I walk... Could the pain be caused by the cast rubbing on my heel? During the surgery I had metal shards removed from the tendon (caused by calcaneal osteotomy screw disintegrating), treatment for tendinitis and the tendon was re-anchored. I also had a lateral ligament repair, but the site of that is not so sore. I'm not sure whether to call my doctor... I don't want to bother her if this is just healing pain and is normal.

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Achilles Tendon Debridement And FHL Tendon Transfer

I am one week post op after having achilles debridement & FHL tendon transfer. It all started following having my haglund's deformity removed last November, the pain in my ankle never got better following the original surgery infact it got worse. 4 months down the line I was still only able to mobilise for no more than 2 hours.

Following physio (which made things worse) & MRI scan my surgeon still thought it was a nerve problem. I had a constant battle with the surgeons for 6 months before they would do anything. I kept telling them it was my achilles!

Anyhow, last week they operated again & said my achilles was like "mush", they then debrided it & grafted the FHL tendon & muscle. Im now in a backslab, non weight bearing & still in a considerable amount of pain. I have been told that it is going to be a long recovery!

Would be most interested in hearing how people are recovering, what your mobility is & was post op & anything else that may help. Including recovery times as my job requires me to be on my feet for a minimum of 8 hours at a time!

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ACE Inhibitors :: Ramipril - Works Practically Overnight

Is it usual for this medication to work practically overnight? After only 2 doses of 2.5mg. my BP has come down from 161/86 to 124/79. Doc. Says that it could take a few weeks so I'm really surprised.

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Diabetes :: Blood Sugar Spikes Overnight (Type 1)

I have a 13 year son and he was diagnosed with Type1 Diabetes September 2010 and it has been a struggle every since. As a mother, I get so scared because I seem to cant control his sugar. Lately he has been waking up to high readings, over 300, and I'm not sure why it gets that high. We have had problems in the past when he would sneak and eat chips and candy, the stuff that he knows he shouldn't be eating but he promises that he doesn't eat after dinner and is positive that he doesn't know why his sugar is high in the mornings.

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Comminuted Tibial Fracture :: Back Slab With A Full Cast Over

My 6yr old son suffered a bad comminuted fracture to the tibia whilst on a bouncy castle. He was initially placed in a full back slab for a few days but was then meant to be changed to a full lightweight cast. Unfortunately the doctor deemed it far too unstable to mess around with and so has been left in the back slab with a full cast over the top. Its been on 2 weeks and has another 4 to go AT LEAST. i'm really worried about his recovery as he already had low muscle tone and hip instability.

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Orthopedics :: Local Right Tibial Bone Pain, Radicular Pain?

i am a male, 67 years old. i have local pain in the right tibial bone, negative for blood clots and x ray are clear. i have not done any physical activity prior to the pain. what can it be?

i am suffering from spinal stenosis, and will undergo surgery in a few weeks.

can it be radicular pain caused by the spinal stenosis? if so, is there a physical test to help verify that?

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Symptoms - Both Eyes - Posterior Vitreous Detachment

Interested in hearing people's symptoms and experiences with this. I had pvd of the left eye and sure enough 6 months later, right eye. Having problems dealing with it. When both eyes are affected, hard not to think of it 24/7. Would like to hear others stories.

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Pregnancy :: Posterior Cervix And Tilted Uterus

Does anyone have either of these or know of someone who does and was able to go into labor naturally, were able to deliver vaginally? Or did it just end in an induction and C-section? If you did deliver vaginally were you able to get pregnant again without big complications? I have this and my doctor wants to induce because I am due tomorrow and I still haven't even softened, but I have a large chance even without inducing that I will have to have a C-section no matter. Every female on my mom's side has it and all had to have C-sections, except my mom who had my brother naturally and should not of and had to be artificially inseminated(sp) with my sister and I because she was not able to get pregnant on her own after.

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