Peroneal tendonitis is an inflammatory condition of the
peroneal tendon, which runs along the outside of the
lower leg, behind the ankle and under the foot. This
condition is commonly seen in runners as an overuse
condition. Peroneal tendonitis can occur as a result of
injury, overuse, or with aging as the tendon loses
elasticity.
Overuse is the most common cause of peroneal tendonitis.
People beginning an exercise program or increase their
level of exercise can experience symptoms of tendonitis.
The tendon is unaccustomed to the new level of demand,
and this overuse will cause an inflammation and
tendonitis.
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side effects associated with NSAIDs and other medication
remedy methods.
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Peroneal
Tendonitis
Peroneal tendonitis is simply the inflammation of the
tendons connecting muscle to bone in and around the
ankle and/or foot. Peroneal tendonitis can be caused by
a number of factors. Some of the more common factors
associated with peroneal tendonitis include:
_ A sudden increase in the intensity of training.
_ A rapid increase in the frequency of training.
_ Repeated training on rigid surfaces.
_ Poor core strength.
_ Genetic abnormalities.
Symptoms of peroneal tendonitis include:
_ Pain and tenderness along a tendon, usually in
proximity to the ankle or foot.
_ Pain is worse with movement or activity.
_ Pain at night.
_ Tenderness and swelling over the bit where the tendon
inserts onto the ankle or foot.
_ Pain when you try to bend the ankle or foot against
resistance.
_ Stiffness after exercise.
Treatment of peroneal tendonitis:
The goal of peroneal tendonitis treatment is to relieve
pain and reduce inflammation. Often, rest, ice and home
care pain relievers are all that's needed.
The goals of peroneal tendonitis treatment and peroneal
rehabilitation include;
_ Protection of the injured tissues to allow healing and
to control the early inflammatory phase.
_ Ice packs or ice massage.
_ Rehabilitate flexibility, strength, proprioception,
and muscle imbalance, and control physical activities
with the aid of taping and splinting.
_ Non-impact aerobic conditioning, flexibility training
and strengthening exercises.
_ Return to full activity as peroneal tendonitis
symptoms allow.
The goal of rehabilitation should be designed to
decrease the symptoms, strengthen the muscles of the
peroneal region and improve flexibility. The person with
peroneal tendonitis must return to sports activity
carefully and slowly. Criteria for resuming full
physical activity should be based on function, not time.
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nflammation can also be treated with nonsteroidal
anti-inflammatory medications such as Motrin or Advil.
These medications can be helpful treatments for peroneal
tendinitis but do have side effects. Side effects of
these medications can include stomach upset and bleeding
problems.
Your doctor might suggest treating your peroneal
tendonitis with steroid drug injections. Injections of
cortisone reduce peroneal tendonitis inflammation and
can help ease pain. However, this peroneal tendonitis
treatment should be used with great care because
repeated injections may weaken the tendon or cause
undesirable side effects. Cortisone injections can also
increase your risk of rupturing a tendon.
Prevention is the best treatment for peroneal
tendinitis. The key to avoiding problems such as
peroneal tendonitis is to slowly increase the intensity
of your exercise, vary the types of activities you
perform, and try not to cycle between periods of
activity and inactivity. Follow these guidelines to
prevent peroneal tendonitis or prevent the recurrence of
peroneal tendonitis:
_ Do not train hard when muscles are stiff from a
previous workout.
_ Introduce new activities or new training levels
gradually.
_ Allow ample warming up and cooling off time.
_ When competing, check courses beforehand.
_ Train on a variety of surfaces.
_ Using proper footwear.
_ Monitor yourself daily for signs of fatigue. If
fatigued, give yourself a break for the day.
Proper conditioning should include aerobic fitness,
lower body strength training, and lower body flexibility
training. Flexibility is very important in preventing
overuse injuries such as peroneal tendinitis.
Gradual progressive stretching increases flexibility and
can prevent the injury from returning. Be sure to
stretch both before and after all activities. Calf,
Achilles, and peroneal stretching exercises may be
performed daily.
If
you experience peroneal tendonitis, you are more likely
to have symptoms again down the road, but with an
intelligent approach to your exercise or activity
routine, this problem can often be avoided.
If
you have any abnormal biomechanical problems of the
lower extremity, they must be addressed or the
tendonitis will recur. The type of running shoe you
wear, arch supports and a foot strap should all be
considered based on your individual gait evaluation.
Consult a qualified therapist for a professional
evaluation.
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