peroneal tendinopathy “my painful ankle!”. peroneal tendons: connect muscles to bones common...
TRANSCRIPT
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”
SYMPTOMS
StiffnessWorse with…
Prolonged standingWalking on uneven surfaces
AT RISK POPULATION
AthletesHikers/skiers
SedentaryOverweight
Diabetics
COMMON CAUSES
OveruseRunning 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 OPTIONS
Debridement of diseased tendon
Removal of swollen “scar tissue” (“synovectomy”)
Repair of tearsPossible tendon transfersRequires some
immobilization
OTHER SURGICAL OPTIONS
Tendon transfers
Bone realignment procedures