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.

Causes

  • 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

Symptoms

  • 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

Diagnosis

  • The specialist doctor 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

Treatment

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

  • Surgical intervention is 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.

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