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Ankle Nerve Release Questions
Hey! this an update to my first post.
firstly, i would love to thank everyone who helped me out in the first post you guys are truly amazing people 🙂
i went to the first doctor and he read what the other doctor wrote and he seemed upset because he doesn’t want me addicted to opioids and how the doctor didn’t sound like he believed me and just dismissed it. which honestly i did have that feeling when i read what he wrote down. anyways the first doctor said we have to do surgery now considering i can still feel my ankle and he scheduled me as the first patient and surgery he was going to do. reason he did this was because well i am relatively young (18 if you were wondering) and he said i have most likely Tarsal tunnel syndrome and something going on with my common peroneal nerve. today i had my first surgery! very nerve wrecking.
first it was the tarsal tunnel. it said “The tibial nerve was tested immediately with the checkpoint device and it was noted to be at a baseline of 20 mA with 70µs pulses.” and afterwards then it was noted “Upon complete release the checkpoint device was used again and was noted to have a final reading of 0.5 mA with 80µs pulses.” (no idea what this means and if this is good/bad)
the common peroneal nerve was said “The CPN nerve was tested immediately once it arrived with the checkpoint device and it was noted to be at a pseudo baseline of 0.5 mA with 90µs.” afterwards this was written down “Upon complete release the checkpoint device was used again and was noted to have a final reading of 0.5 mA with 30µs pulses.” (no idea what this means and if this is good/bad)
is it possible for someone to explain this to me? honestly they say this is “significant improvement” but i would just want this explained to me if it actually is or isn’t.
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Is this the treatment where they put the leg clothes on your fingers
the surgery was called “right tarsal tunnel and common peroneal nerve release” it was on my ankle.
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1 Reaction@whimsicallyinpain
I am not an expert on this for sure but what I read about this seems to be that baseline measurements were taken at the beginning of your procedure using a device to test nerve stimulation and transmission of signals and then it was used to test throughout and at the end which guides the surgeon on how much release is needed and where. This helps to reduce the need for revision surgery in the future.
https://checkpointsurgical.com/resources/use-of-the-checkpoint-guardian-nervestimulator-in-tarsal-tunnel-release-andassociated-neuroplasty-of-the-lowerextremity
It seems like you had a successful procedure and I am so happy for you!
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1 Reactionthank you and thank you for explaining even if you aren’t an expert i still appreciate it 🙂
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2 ReactionsHello,
How did you find your provider that uses this checkpoint surgical procedure in tarsal tunnel release? I had an EMG and have tarsal tunnel compression. It is "mild," on the EMG, but feels severely painful when I take more than 2000 steps and keeps me up at night. I am therefore considering the surgical release. Prior to this I was biking and walking regularly. Which surgeons would you recommend? Does mayo clinic offer treatment for tarsal tunnel compression?
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1 ReactionWho did your surgery using this technique? I have the same condition.
@kristinatmc Hello!
I’m in Illinois so that’s where I had surgery. How I found him was by ZocDoc. Honestly, (almost) a year later I feel like I can do everything I can again! Personally, I first had to do physical therapy, then I had to get this steroid injection (which felt strange) and when none of that was working he got concerned to which I had to surgery to decompress my nerves. He said it’s always better to do it sooner rather than when it is really bad. I had tarsal tunnel+perineal nerve release. I waited a VERY long time (started having issues at 15/16) I have mild (bordering on moderate) loss of feeling in my leg.
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2 Reactions@whimsicallyinpain I have been experiencing similar pain (extreme burning sensation) over top an incision scar that is over 25 years old but has needed to be reopened during additional needed surgeries from a really bad break that also became infected with MRSA. Anyway, I have been battling this burning, and sometimes itching, sensation for about 2 years on and off; and for the last 4 or 5 months all of the time; worse at night. I have undergone PT and have strengthened the actual ankle but the burning is still unbearable and my therapist said it is nerve damage, either from the ankle injury itself, or my lower back which is in bad shape also. I have a nerve conductivity test scheduled for the 20th of January for my back and I am hoping they can at least pinpoint where this problem with the ankle is originating from. This post I will save because all of the information checks all of the boxes of what I am going through. Thank you so much!
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1 Reaction@valleygirl1955 Oh my dear god that sounds terrible I’m so sorry! Honestly, it could be what I had or it could be CRPS I first got misdiagnosed with CRPS then my doctor told me he thinks it’s my nerves and I had burning, constant tingling, sometimes I’d be in pain and yet wouldn’t feel my own touch (probably the scariest thing ever), I couldn’t even “wake” up my leg/ankle because I just flat out could not feel it even if I punched it as hard as I possibly could, nothing. Another thing I had is it would wake me up during the night and I also could not fall asleep too because of that pain. I went for a second opinion and they told me it was fibromyalgia and put it “nicely” that it was just in my head. Went back to the first doctor and decided to have surgery with him. He was actually mad at the doctor who told me “it was in my head” because if I did listen to him I would’ve turned out worse. Im thankful and so happy with the surgery. Honestly, whether it’s CRPS or the tarsal tunnel nerve+perineal nerve it’s better to have surgery.
I wish you luck! 🙂
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2 Reactions@kristinatmc Hello! I told another fellow commenter about this but I fully understand and believe you. I’m in Illinois if you are too or even want to come here to have the surgery I can give you that information! I honestly found my doctor through ZocDoc but I’m assuming any (reputable) foot+ankle surgeon (DPM was my surgeon’s title) can do it (don’t quote me on that though since the surgeon I had has 4 different associations) Any nerve issues are so bad and me personally it took years to finally fix. First, I had to do physical therapy, then I got a steroid shot on my ankle (felt weird) and it didn’t work so he figured it was my nerves. That is personally how I got surgery. I tell this to anyone no matter what after what my doctor told me. Keep trying to find a doctor who believes you. He also told me no matter what if it’s mild or severe get it checked out so it doesn’t get worse.
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