Peroneal Tendinosis: Causes, Symptoms And Treatment

by Administrator 24. April 2017 10:26

Inflammation and irritation in the peroneal tendons that run around the outer and back side of the foot lead to a condition known as Peroneal Tendinosis. The tendons join the muscles to the bones and overusing them can cause too much stress leading to discomfort and pain. Movements involving excessive rolling out of foot can overstretch the peroneal tendon and cause soreness in the foot.


  • Sudden increase in level of physical training
  • Inappropriate footwear
  • Poor training techniques
  • Frequently running along slopes
  • Sports that require quick pivoting movements such as basketball and football
  • Abnormal foot position wherein the heel is turned slightly inwards
  • Recurrent ankle sprains
  • Tightness or weakness in calf muscles


  • Pain around the back and outside of foot
  • Tenderness in the affected area
  • Pain tends to increase with activity
  • Extreme pain in the morning
  • Discomfort while turning the foot inwards


  • The foot specialist will note down the history of the patient and the severity of symptoms
  • Various postures of the heel are observed for proper diagnosis
  • Imaging tests such as X-Rays and Ultrasound might be ordered by the doctor to have a clear look at the tendons
  • Imaging tests can also reveal any abnormal structures or tears in the foot
  • A Magnetic Resonance Imaging (MRI) test can also be conducted for further diagnosis


Most of the cases of Peroneal Tendinosis heal on their own without surgery.

Non-surgical methods

  • Rest is important for proper healing of the injury
  • Application of ice packs or cold therapy can provide temporary relief from painful symptoms
  • Compression and elevation of the affected foot can also help in reducing inflammation
  • A peroneal tendinosis brace can be recommended by the specialist doctor to protect the area and provide warmth to the affected tendon
  • Taping of the ankle can also provide support and protection
  • Non-steroidal anti-inflammatory drugs (NSAIDs) might be prescribed to the patient for reducing pain and inflammation
  • Stretching exercises can also prove to be useful for providing relief from pain associated with peroneal tendinosis.
  • Deep tissue sports massage is another effective technique to reduce tension in the tendon

Surgical methods

  • Surgery may be required if the pain does not go away with rest or any of the above mentioned treatment methods
  • Surgery can involve cleaning and repairing the affected tendon
  • In case of a tear, the foot and ankle surgeon can deepen the groove in the back of the bone of the fibula and provide more space to the tendons for healing
  • In cases where the condition of the tendon is very bad, resurrecting it is the only option left.

For complete treatment of Peroneal Tendinosis, visit Dr. Heier, a renowned orthopedic doctor in Carrollton, TX. To schedule an appointment, call at (972) 492 – 1334.

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Ankle Dislocation: Orthopedic Treatment In Carrollton

by Administrator 27. March 2017 06:21

Tibia and fibula of the leg join with the talus of the foot to form an ankle joint. A sudden blow to the ankle may hamper the normal positioning of these bones leading to a disturbed anatomic relationship. This condition is referred to as Ankle Dislocation and is generally associated with a fractured tibia or fibula.

Types of Ankle Dislocations –

  • Posterior – Talus moves backward in relation to tibia
  • Anterior-   Talus is pushed in the forward direction
  • Lateral- It occurs when the ankle gets inverted or everted
  • Superior - The force moves the talus in the upward direction between tibia and fibula


  • Twisting or rolling of the ankle
  • Falling or tripping
  • A sudden impact during a car accident
  • Symptoms
  • Severe Pain
  • Swelling and bruising
  • Tenderness
  • Difficulty in bearing weight
  • Ankle may seem to be out of place


The doctor may check the appearance of patient’s ankle and conduct a thorough physical examination to determine the abnormality in the joint. He may also evaluate sensations experienced in the foot. An imaging test such as an X-ray may be recommended for a clearer view of the condition.


Initial treatment of Ankle Dislocation is to apply R.I.C.E principles.

  • Rest – Sufficient rest may allow the scar tissues to connect the muscles and heal the damaged ligaments we well as tendons.
  • Icing – Applying ice after every 15-20 minutes may help to reduce inflammation.
  • Compression - In order to reduce edema caused by deposition of fluid from damaged capillaries, compression may be suggested.
  • Elevation – Keeping the injured feet elevated may help to reduce swelling and bruising.

The doctor may also prescribe certain anti-inflammatory medication and painkillers to alleviate pain. In case any dislocation has occurred due to a fracture, surgical treatment may be recommended. In this, the orthopedic surgeon may use screws and metal plates to restore the position and stability of the ankle joint. He may also ask the patients to wear casts and crutches to immobilize ankle and ensure fast recovery after surgery.

If you are looking for the treatment of Ankle Dislocation, visit Dr. Heier in Carrollton, TX. He is an experienced and board certified ankle specialist. To schedule an appointment with the orthopedic surgeon, you can call at (972) 492 – 1334.

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Mid-Foot Injury: Orthopedic Treatment In Carrollton

by Administrator 23. March 2015 07:19

Midfoot consists of a number of small bones that form an arch in the middle of the foot. Midfoot or Lisfranc injuries result due to breakage of these bones or tearing of ligaments that support these bones. Depending upon the number of bones affected, the condition can range from mild to severe. People often tend to ignore midfoot injuries considering it as a sprain. However, it needs immediate medical attention as severe injury can take months to heal and may even require surgery. If not treated, the injuries lead to increase in stress at the joints, flatfoot and arthritis. Midfoot injuries include ligament tears, strains, dislocations and fractures.


The midfoot injuries occur due to

  • Fall from a height
  • Twisting of foot
  • Stumbling over the top of foot while playing football or other game
  • Direct trauma or accident, which often leads to multiple fractures


Some common symptoms of midfoot injuries include

  • Swelling
  • Inflammation
  • Tenderness
  • Pain  that worsens with walking or standing
  • Discoloration on the bottom of the foot
  • Bruising on both bottom and top of the foot
  • Inability to walk

As the symptoms are often similar to sprain so you can try the R.I.C.E rest, ice, compression, elevation treatment. However if it does not work, then you should consult an orthopedic surgeon.


After discussing your concerns and your symptoms, the orthopedic surgeon will examine your foot as well as yjr ankle. The doctor may twist; move your heels and toes to check the extent of pain. The doctor may also ask you to stand on single foot and come on toes to see the affect on the midfoot. After all these tests and examination, the surgeon may recommend imaging tests to confirm the diagnosis. These tests include X-ray, CT Scan, MRI, etc.


Once the injury is diagnosed, the surgeon decides the line of treatment depending upon the severity of the injury. In case there is no fracture or dislocation and the ligaments are partially torn, then non-surgical treatments may be sufficient. This requires you to wear a non-weight bearing cast for almost 6 weeks. You may be advised to avoid putting weight on the injured foot. The physician may recommend another X-ray after sometime to see if the injury is healing properly.

If the bones do not heal non-surgically, then you may have to undergo a surgery. During surgery, the joints are realigned and broken bone is set to normal position. The injury may take a few months to heal after surgery. In certain cases, if the joint cannot be repaired, it is fused to heal into a single piece. The rehabilitation may take a few months and a physiotherapist can help you strengthen the ligaments in the foot.

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