peroneal tendinopathy
Post on 24-Feb-2016
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PERONEAL TENDINOPATHY
“My Painful Ankle!”
PERONEAL TENDONS: CONNECT MUSCLES TO BONES
Common cause of “outside” ankle pain
Usually result of overuse
Slow to heal!
ANATOMY2 Tendons:
Peroneus longusPeroneus brevis
Location: outside part
of ankleFunction: turn ankle
up and out
SYMPTOMS“Burning”pain
Swelling “Catching”“Popping”
SYMPTOMSStiffnessWorse with…
Prolonged standingWalking on uneven surfaces
AT RISK POPULATIONAthletes
Hikers/skiers
SedentaryOverweight
Diabetics
COMMON CAUSESOveruseRunning on uneven surfaces
( sides of road)Tight calf musclesExcessively flat feet
TRADITIONAL NONOPERATIVE TREATMENTRestIce Heel insertDeep tissue
massageOrthoticsPhysical therapy
modalities
IMMOBILIZATION
Walking bootUsually 2-4
weeksOften helpful“Burns no
bridges”
NEWER TREATMENT : SHOCK WAVE THERAPYSafeNoninvasiveIn-office procedureEnhances tendon
healing“Brings blood to tissue with poor blood supply”
SURGICAL OPTIONSDebridement of diseased
tendonRemoval of swollen “scar
tissue” (“synovectomy”)Repair of tearsPossible tendon transfersRequires some
immobilization
OTHER SURGICAL OPTIONS
Tendon transfers
Bone realignment procedures
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