Peroneal Tendonitis, Peroneal Tenosynovitis

There are a number of tendons in the foot which helps control movement while you are mobile (walking, running). The two major tendons that go around the outside of the ankle are called the peroneal tendons. They are important tendons because they balance the ankle and the back of the foot and prevent the foot from turning inwards repetitively, causing lateral (inversion) ankle sprains. Overuse and injury of these tendons causes weakness and mobility dysfunction. Normally, these tendons pass behind the bone on the outside of the ankle (fibula). In some instances, injury can cause the natural restraining mechanism to fail and allow the tendons to slip over the bone (Peroneal tendon dislocation). They are slightly weaker than the muscles and tendons on the inside of the ankle and are prone to injury as the ankle turns, rolls or becomes sprained.

Peroneal Tendon Dislocation / Tearing

Tearing or dislocation can occur in one or both of these tendons. This leads to pain, swelling, sensitivity and a sense of instability behind the outside of the ankle. They can also pop out of the supporting ligaments that hold them in place (a dislocation); once this occurs, continuous or recurrent dislocation and tearing is inevitable without immediate attention and repair. Stitching and at the worst, tendon replacement may be required for patients suffering from torn or dislocated peroneal tendon(s).

Treatment

Ultrasound is an excellent tool for reduction of swelling and pain when treating the injury. If treatment does not require surgery, rest the area, apply ice for 10-20 minutes at a time for at least 3 times a day. Do this to the injured area for the first day up to 3 days.

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Moist heat may be used after the acute swelling is improved and rest prevents further muscle injury. Ice will reduces initial inflammation and swelling and the moist heat circulates blood through the area to speed the healing process.

An Infrared Personal Therapy system is one of the most helpful tools for a peroneal tendonities. Through the absorption of infrared thermal energy, tissues are safely and gently heated - increasing blood flow within the treated area. Your body's natural response to this increased temperature is to try to maintain a condition of homeostasis - a balanced environment or state of equilibrium throughout the body. To do this, your body responds with a rapid increase in blood flow to the area (this is known as vasodilation), increasing the supply of nutrients to injured cells and flushing out toxins (including lactic acid, commonly found in trigger points) to promote healing. Our Thermotex Platinum Pain Relief Device provides effective, non-invasive, non-addictive pain relief with no side effects.

This can be further helped by the use of ultrasound applications over the affected area, as it reduces swelling quickly and increases blood flow to the area, helping the tendon heal more quickly.

If stitching of the tendon is required, do not use ultrasound on the area until all scabbing or wounds on the skin surface are gone. On this occurs, regular ultrasound use will "work" the tendon, increasing its flexibility and softening scar tissue in the area.

The trick to any tendon injury is getting it to heal with minimal scar tissue formation and with as much realignment of tendon fibres as possible - something Radiant Energy and Ultrasound are great at! Even with optimum healing there is always less elasticity in a previously injured tendon. The trick is to make sure you heal this the best you can, that way your chance of reinjury down the road is much lower than average.

If you suffer from mild inflammation or pain after certain activities or movements use ultrasound therapy when you complete the activity and then rest and elevate your foot/ankle. Limit the application of ultrasound to a couple of treatments per day (the manual will recommend treatment frequency depending upon the injury). In between ultrasound treatments, maximize your pain relief and injury recovery by using the Thermotex Personal Therapy System. When you're on the go, and not near an electrical outlet, take advantage of the "wear anywhere" concept of our hot/cold wraps - the highest rated wraps in the industry. Proven Performance, Proven Relief - only found at MendMeShop.com. If you have been given a treatment plan by your health professional, make sure you adhere to it to ensure pain free living. In general, people who are committed to their therapies and exercises will have the best medical outcomes.