I wanted to post some test results and get some opinions. I had posted some in the past but for any that didn't see.
Nerve conduction studies were obtained following posterior tibial motor,peroneal motor and sural sensory nerve stimulation. There were prolongation of the distal latency of the right peroneal and bilateral conduction velocity slowing 22.8 meters per second right,35.9 left. Sural latencies were intact following right sided stimulation,boderline latency on left with conduction velocity slowing 35.2 meters per second. This was an abnormal study consistent with a bilateral sensory motor neuropathy. These findings should be clinically correlated.
Somatosensory evoked potential(SEP) were obtained following posterior tibial nerve stimulation at the ankles. Following stimulation of either side,well-formed and reproducible popliteal fossa,lumbar and cortical potentials were seen. There was mild prolongation of the L3 response. There was shortening of the left L3-Lp37 interpeak latency. This is an abnormal study consistent with conduction delay subserving the sensory pathway of he left lower extrmity between the popliteal fossa and lumbar cord. The finding should be clinically correlated.
Also my blood work the only things that were off were my wbc count was 2.6, lymphocycte, abs was .80, bun was 7, sgot was 55, sgpt was 97, gfr african amer was 167. My b12 is actually high at 1500 but down from 2000.
My bone scan, the delayed images demonstrate a focal area of increased radiotracer uptake in the posterior inferior aspect of the right calcaneum. There is also mild diffuse increase radiotracer uptake in the distal end of the left tibia as well as the malleolar region. There is mild increased radiotracer in the distal end of the left fibula. The mild increased radiotracer uptake in the region of the left ankle/joint could be secondary to a stress/overuse injury or inflammatory arthritis.I had a mri of brain/spine that was fine and my mri foot/ankle showed inflammation.
Now my pain is the left inner ankle/foot/calf. Like today I can barely get of bed and am in severe pain with vicadin.How can that be mild and what all my tests show? I almost feel its a trapped nerve that is not showing.I'm hoping maybe Mayo can look more into that if I go since on there website they do similar. I do have sometimes inflammation that seems mild in the right but nothing feels mild in the left. Thanks for any help

Has anyone sent you to an orthopedic doctor? It almost, just almost sounds like the test results from my stress fracture of the tibia at the ankle.

Billye

I second the motion. Maybe an orthopedic would pay more attention to your pain issues too, rather then just not calling you back, as you have experienced. Also, I know you have been off and on a lot of medication, but noting the possible inflammatory arthritis mentioned, has anyone tried you on anti-inflammatories?
Cathie

Yes actually the first doc I saw was the ortho who did xrays,bone scan and mri of ankle. He was the one though it didn't show anything put me in the air boot. I originally thought this was because of an overuse injury from exercise. Then the ortho felt I needed to go to the neuro. Now I have no idea. As an inflammatory med. I'm not sure. Can you give me ex?

I used to get stress fractures from years of dance lesssons they almost
always put a airboot on. Ther's a ton of over the counter meds.
Motrin,which had to be prescribed a long time ago, Aleve. Bayer for
Arthritis my Aunt swears by the last one. And a whole bunch more,
if you want to try them drink milk or take on full tummy. I'm not
sure when you had tests,but by now it has probably turned into
Arthrits or PN. What do your feet feel like,(iknow what you said) when
you stand up,for instance mine are numb but feel like i'm standing
on broken bones. I have metal from my knee to my ankle on left leg
it never hurt until today. PN is unpredictable. Do you ever have any redness
a fever feeling or swellng around or near where it hurts. I hope
you make it to Mayo nooo you will go to Mayo or Chicago. I sure
sure wish you could get into Cleveland there so good as well. Did you
get put on list in case there's a cancellation? Sue

Nerve conduction speeds are slow along entrapped nerves. In your case, the right leg tested slower than the left. Given your MRI showing inflammation of the left, a stress fracture is possible but it probably would have shown up on the MRI.

Do you have a good pulse in both feet? Are both feet pink (or a shade of brown with a red flush if you're dark) with clear skin? If you have poor blood circulation in the feet, that could be caused by prediabetes or diabetes, and could be the root main cause of your PN and foot problems. Have you been tested for fasting glucose and glucose tolerance?

I hope you don't smoke. Smoking makes circulation problems and associated conditions seriously worse.

I really feel that I may have pn with the other issues that come and go but the left inner ankle/foot/calf is seperate issue that no tests are showing concrete. If it were a stress fracture though wouldn't the mri/bone scan/xray show? I'm thinkng it is entapped nerve and the one doc I had seen thought it was tts but when my other syptoms which are what I would call minor started showing I went more with the pn. My mom is going to call about the dillion for nerve surgery inquiry not to say I would do. The mayo wait list and there suppose to call me this week to see if they even feel they can help is until Sept. My mom is looking into pm places where you go for a few weeks and its an overall thing not just meds or shots but coping too. Will see. As for my pain and meds is where a huge problem. I have been prescribed for pain vicadin,motrin perscription strength,neuproxin,tramadol. I vary depending and they really want me off vicadin but all seem the same as relief and don't give much at all. Like I really feel I took nothing. I have the licodin patch on which yesterday I could not stand cause it hurt having it on. Will see for today and I have 3 on. So I feel my issue the pain is not even going away with meds. Anyhow I'm back on Cymbalta like I said and I was wondering if anyone new how long it takes to help if does? As for how I feel right now I can barly walk with the pain to the bathroom. It feels like no circulation around the ankle and like the pain from the inner ankle to even touch kills.The pain radiates to the foot and calf.Sometimes I feel like I have a knife in my foot and to the side of my ankle. It feels like I got shot almost. I did go the endocronolgist but my sugar is normal but she order a bone density and did a urine thing for 24 hours with more blood work and waiting for results. The area looks and when someone touches it to them feels normal but I feel horrid pain. Thank you.

Daniella,
I am currently healing from a stress fracture in the same are where you are having all the pain. When the pain first started, my rhueumatologist xrayed the ankle and told me everything was normal. He then sent me on the way thinking it was a strain from shoes that dropped my heel lower than it was accustomed to being. And I had been doing more walking than usual. So he just said basically, "live with it and it'll probably get better." Then it started swelling and I could not put weight on it without being in terrible pain. So I got the crutches out and lived with it for about 2 weeks more. Then finally it was unbearable and I went back to the doctor. He ordered an MRI this time and it did show the stress fracture and it was a really bad one.

He told me that when stress fractures are first formed, they don't show on the imaging and it was only when it worsened that it showed.

Have you had repeat images done? It is possible that it was just forming when it first happened and it might show now.

Billye

Yeah no I have had the different test over period of time. I'm going to look back into tarsal tunnel and sent my reports to the dillion. Before I had the other mild issues I thought though none of my tests showed tts it maybe cause its right in that area but I still think I may and pn as well for the less issues. Feel better.