peroneal tendinopathy “my painful ankle!”. peroneal tendons: connect muscles to bones common...
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PERONEAL TENDINOPATHY
“My Painful Ankle!”
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PERONEAL TENDONS: CONNECT MUSCLES TO BONES
Common cause of “outside” ankle pain
Usually result of overuse
Slow to heal!
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ANATOMY2 Tendons:
Peroneus longusPeroneus brevis
Location: outside part
of ankleFunction: turn
ankle up and out
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SYMPTOMS
“Burning”pain
Swelling “Catching”“Popping”
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SYMPTOMS
StiffnessWorse with…
Prolonged standingWalking on uneven surfaces
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AT RISK POPULATION
AthletesHikers/skiers
SedentaryOverweight
Diabetics
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COMMON CAUSES
OveruseRunning on uneven surfaces
( sides of road)Tight calf musclesExcessively flat feet
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TRADITIONAL NONOPERATIVE TREATMENTRestIce Heel insertDeep tissue
massageOrthoticsPhysical therapy
modalities
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IMMOBILIZATION
Walking bootUsually 2-4
weeksOften helpful“Burns no
bridges”
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NEWER TREATMENT : SHOCK WAVE THERAPYSafeNoninvasiveIn-office procedureEnhances tendon
healing“Brings blood to tissue with poor blood supply”
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SURGICAL OPTIONS
Debridement of diseased tendon
Removal of swollen “scar tissue” (“synovectomy”)
Repair of tearsPossible tendon transfersRequires some
immobilization
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OTHER SURGICAL OPTIONS
Tendon transfers
Bone realignment procedures