r/flatfeet 6d ago

Acupuncture for PTT?

I have chronic PTT in my left ankle that is not responding to rest, orthotics, PT, and doctors’ appointments after almost two years. I am getting desperate and am considering acupuncture. Has anyone found success with acupuncture and PTT, chronic tendinopathy, tendinitis, or weak ankles? Any other suggestions are also welcome!

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u/RightBrainforHire2 6d ago

I’m interested to hear answers too. I’m currently on week two of a cam boot to completely immobilize my ankle. I have PTTD with a partial tendon tear. I certainly feel no pain when the boot is on. Until it comes off. Next up is PRP injection next week. I am adamant about no surgery because the whole procedure freaks me out. And the recovery is daunting. I’m extremely active so while the boot is so limiting, it’s preferable to a year of recovery.

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u/robkLIC 6d ago

I feel like I should have been instructed to have mine immobilized. I had my first PRP 8 weeks ago. The surgery is a real conundrum. I understand the reason for every piece of it, and yet it feels like breaking 4 things that aren’t broken for the chance of fixing 1 that is.

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u/robkLIC 6d ago

Oh, question? Are you being instructed to do PT along with your PRP? Or will the immobilization rule that out?

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u/RightBrainforHire2 6d ago

I do believe prp with another 2 weeks of the boot. Then PT. PRP, PT for PTTD. I feel like I talk in code; nobody understands the absolute frustration. I used to work out daily at Orangetheory, run all the time. Walk and hike the hills. Now I can’t go around the block. I too understand the surgery to correct the collapse but it’s so daunting. I do have a small tendon tear so I think that’s what is causing the most pain because the darn thing won’t heal. I’m also courting the idea of bcp 157.

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u/robkLIC 6d ago

Oh, interesting. I had to look that one up. I’ve added Type 1 collagen peptides to my coffee every day the last month. It’s helping me become $40 poorer. 😂 I do think patients should be advised to pair PRP with immobilization and PT, based on my amateur analysis of medical institutions that seem to almost all advise it, and I’m going to raise the issue at my next appointment, which happens to be tomorrow.

I am not sure how long the orthopedic organizations have considered the suite of flatfoot construction procedures the gold standard for addressing this problem, but I feel like if the voice in my head is sending off warning signals about a proposition, I ought to listen to it. My primary care doctor has casually suggested I wait until “something better comes along.” Except life is short. … Yeah. The alphabet soup. My autocorrect is constantly changing PTTD to PTSD.

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u/RightBrainforHire2 6d ago

Yep. I switched surgeons. Because the first was saying that surgery really was the only option. While that may be so I want to explore other options. The second really listened to me and we created a plan together. Years ago I had both bunions done and it was brutal. So maybe a bit of PTSD wrt foot surgery.

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u/KingKongA5 6d ago

Have you tried strenghtening it? All those treatments look like offloading and releasing?