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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Surgery On Feet To Correct Plantar Fasciitis. After Surgery Feet Feels Numb & Tingling. Burning Pain. Post-tourniquete Nerve Damage?

I am a woman, 59 years old. I had surgery on both feet a year ago to correct plantar faciitis. After surgery, the tops of my feet were numb and tingling. My DR said it was from the tourniquetes used during surgery and would go away. A year later, the pain has worsened to almost disabling, with horrible burning pain. I can only be on my feet for 30 minutes or less. Does it sound like I have post-tourniquete nerve damage?
posted on Tue, 9 Jul 2013
Twitter Tue, 9 Jul 2013 Answered on
Twitter Tue, 9 Jul 2013 Last reviewed on
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General & Family Physician 's  Response
Hi, Thanks for using HCM.

It could be due to neuropathy or reduced blood supply.
Neuropathy could be due to Diabetes, vitamin deficiency.
Get your sugar test done, lipid levels.
Take vitamin supplements.
You may need to get evaluated for reduced blood supply.
application of tourniquet would have aggravated your symotoms.
Consult your doctor for examination and management.
Hope I answered your question. Feel free to ask me if you have any further queries.
Wish you good health. Take
care.

Regards
Dr. Vidya
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi,thanks for writing to HCM.
Theoritically speaking, tourniquet palsy usually recovers spontaneously within 3 months. But in your case it is more than a year, so I suspect some other problem as the cause of numbness and tingling.
Surgical treatment for Plantar fascitis is the last option and is reserved for patients whose symptoms cannot be controlled after 9–12 months of conservative management.
With surgery, the success rate is approximately 75% (not 100%). Limited surgical release of the fascia has to be done during the procedure and there is a chance of injury to the medial calcaneal nerve which results in numbness of heel and possibly a painful neuroma at the medial side of heel.
During surgical release, excessive release of fascia may lead to collapse of the longitudinal arch of foot (after many months) and worsening of pain.
So I feel that you need a detailed evaluation to diagnose the exact cause.
Hope this information is helpful
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Had Surgery On Feet To Correct Plantar Fasciitis. After Surgery Feet Feels Numb & Tingling. Burning Pain. Post-tourniquete Nerve Damage?

Hi, Thanks for using HCM. It could be due to neuropathy or reduced blood supply. Neuropathy could be due to Diabetes, vitamin deficiency. Get your sugar test done, lipid levels. Take vitamin supplements. You may need to get evaluated for reduced blood supply. application of tourniquet would have aggravated your symotoms. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards Dr. Vidya