Peroneal Tendonitis and Tenosynovitis
Peroneal Tendon Anatomy
The two major tendons that run along the outside of your ankle are called the peroneal (or peroneus) tendons. They are known individually as the peroneus longus tendon and the peroneus brevis tendon. The superior peroneal retinaculum and inferior peroneal retinaculum ligaments run over top of the 2 peroneus tendons holding them close to the heel bone.
The peroneal tendons are important tendons because they prevent the foot from rolling and causing a lateral (inversion) ankle sprain. The peroneus longus tendon and the peroneus brevis tendon are slightly weaker than the muscles and tendons on the inside of the ankle and are more prone to injury.
Tearing or dislocation may occur in one or both of these tendons. This leads to pain, swelling, sensitivity and a sense of instability on 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).
Peroneal Tendonitis and Tenosynovitis
Peroneal tendonitis (also spelled tendinitis) is the inflammation and irritation of one or both of the peroneal tendons. Like all forms of tendonitis, peroneal tendonitis is a condition that may flare up and subside over a period of time.
Peroneal tendinitis is usually caused by repetitive use of the tendons, but can also be caused by trauma such as a rolled or sprained ankle. Little tears in the peroneus longus tendon and the peroneus brevis tendon irritate the tendon fibers resulting in pain and inflammation.
Peroneal tenosynovitis is swelling and inflammation of the peroneal tendons' sheaths (or coverings) which prevents the tendons from gliding smoothly within the shealths causing pain. It can be experienced at the same time of peronial tendonitis, and has similar symptoms. It often results in trouble moving the ankle and will feel sore to the touch. In rare cases, tenosynovitis can be caused by infection, so it is always recommended to check with your doctor to rule this out as a cause.
Symptoms of Peroneal Tendinitis/Tenosynovitis
- Pain and/or swelling along the tendon and possibly up the leg along the fibularis longus muscle during or after activity.
- A burning sensation along the tendon.
- Pain either first thing in the morning or at night.
- Stiffness in the foot and trouble stretching the area.
Who is at Risk?
- People who play sports or do activates that involve repetitive ankle movements.
- People who participate in activities such as running on uneven surfaces, racket sports, basketball, hiking, or skiing.
- People with high arches in their foot.
- People in aging populations, because our tendons lose elasticity and become brittle.
Treatment - What You Can Do!
Allowing your peroneus longus tendon and the peroneus brevis tendon to rest is always recommended following a tear or dislocation. Avoid all activities that may have caused the injury or irritation and begin cold compression treatments as soon as possible. The peroneal tendons are difficult to rest completely as they are essential tendons for walking and daily activities. During your recovery, you will probably have to modify and/or eliminate any activities that cause pain or discomfort in your ankle until the pain and inflammation settle.
The trick with healing a peroneal injury is getting it to heal with minimal scar tissue formation and with as much realignment of the tendon fibres as possible - something the Achilles/Ankle Inferno Wrap® is great at! Even with optimum healing, there is always less elasticity in previously injured peroneal tendons. This will cause the tendons to hurt during daily activities and exercise. However, if you heal your peroneal tendons efficiently and quickly, your chance of re-injury later on is much lower than average.
Fortunately, there are healing tools that can help treat your peroneal tendons and speed up the healing process so you can get back to a life without pain and risk of further injury. The Achilles/Ankle Inferno Wrap® will treat scar tissue and reduce inflammation while the Blood Flow Stimulation Therapy™ (BFST®) will promote blood flow to heal your tendons faster and more completely than any other methods available.
Cold Compression Therapy
Doctors recommend using cold compression as soon as possible following an acute peroneal tendon injury, like a sprain, and after any re-injury. This will reduce pain and swelling and minimize tissue damage that occurs with soft tissue injuries like tendon tears and tendinitis.
The Ankle/Achilles Freezie Wrap® allows you to treat your peroneal tendonitis in an effective and convenient way.
Cold Compression Therapy works by interrupting and slowing nerve and cell function in the injured area and reducing swelling that can block blood vessels. This is important because once blood vessels are blocked or damaged, they can no longer carry oxygenated blood through the peroneal tendons and tissue cells begin to break-down.
Without cold compression therapy cellular break-down and tissue damage continues as the cells do not get the oxygen they need to survive. By limiting the amount of damage, you also limit the amount of healing that needs to occur. This is a very important step to heal your peroneus longus and the peroneus brevis tendons faster and with less pain!
The deep cooling effect provided by the Ankle/Achilles Freezie Wrap® slows cell metabolism thereby reducing cellular break-down and tissue damage. Furthermore, because the cold wraps serve to numb the nerves, the wraps also reduce pain! The Ankle/Achilles Freezie Wrap® uses a supercharged cooling gel pack with a medical-grade neoprene compression cover to keep the cold directly off your skin preventing cryoburn while delivering cold right where you need it - around your sore ankle.
Blood Flow Stimulation Therapy
Once the peroneal tendinitis inflammation has been reduced, nourishing and strengthening the tissue in the tendon and surrounding area is recommended.
Using Blood Flow Stimulation Therapy, or BFST®, will speed your recovery and heal your peroneus longus and the peroneus brevis tendons more completely preparing them for strengthening exercises. BFST® increases the amount of blood that flows naturally to your ankle to nourish your peroneal tendons and ligaments, improving elasticity and accelerating the healing process.
By treating your ankle with Blood Flow Stimulation Therapy you can increase your body's blood supply to your peroneus longus and the peroneus brevis tendons and increase your body's natural healing power. In addition, the fresh blood flow whisks away dead cells and toxins that have built up from tendonitis and tissue damage leaving the area clean and able to heal faster. Our Ankle/Achilles Inferno Wrap® provides effective, non-invasive, non-addictive pain relief and healing with no side effects.
With these 3 easy therapies you will notice incredible improvement in your peroneus longus and the peroneus brevis tendons. You will reduce your pain and strengthen your tendons to get yourself back on your feet again. The more diligent you are with your treatment and rehabilitation, the faster you will see successful results!
Learn More About These SUPERIOR Tendon Treatments
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