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  • Peroneal tendon issues and hypermobility

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    Old 10-17-2016, 09:19 PM   #1
    Mumtoakl
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    Peroneal tendon issues and hypermobility

    Hi I'm new. I'm looking for opinions. First let me say I'm already seeing a podiatrist for my foot after seeing my primary. I'm not seeking diagnoses just opinions. I have hypermobility but not ehlers-danlos. I have "severely" sprained both ankles and least three times to the point I can lay my foot on it's side. Last may I was running on the treadmill barefoot.( yeah stupid I know) and afterwards developed a bruise behind my ankle bone and pain that runs along the peroneal brevis tendon to the fifth metatarsal. I figured just another sprain so I rested, elevated, ice, etc. two weeks or so later it was still hurting so my doc did an X-ray. Nothing broke. Fast forward to now, still very painful and tender if you push right behind or distal to the fifth metatarsal. The more I walk, the more it hurts, stairs especially. No bruising, no swelling, etc. my primary says it's probably a sprain but it's been almost six months. She's referred me to a podiatrist. My question is this. If you have hypermobility, is it possible to have a partial tear of a tendon and not have bruising, swelling etc after months. Doc said if I had a tear I wouldn't be able to walk. Oh, I'm 45 but no arthritis. I'm frustrated it's still so uncomfortable so many months later even with extended rest.

     
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    Old 10-17-2016, 10:10 PM   #2
    MountainReader
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    Re: Peroneal tendon issues and hypermobility

    As an adult, I've come to realize I have Benign Joint Hypermobility Syndrome. Just made the connection in my late 30's.

    I injured my right ankle by just a 'tweak' as I went to sit on a swivel chair. Months later it still hurt and 8 weeks of PT didn't help. I had little to no swelling and no bruising. When I had surgery, the doctor said the ligaments in my ankle were 'trashed'. He said he had no idea how I was able to function walking around. To me, while it hurt, I have so many other joint 'hurts' now that it was more of a nuisance.

    Eight months later, I inverted my left ankle. Pain again, but no swelling at all. Did PT for 3 months and the pain was worse. Exam and x-rays didn't show anything. MRI finally revealed a tear in the peroneal brevis. From what I understand, the tear I have rarely presents this way. At this point, I'm still bracing and living with it. It is a WC issue so I'm not sure about follow-up surgical options since when I inverted my left ankle, I fell down on my right knee and my body landed on top of the right ankle and re-stretched those ligaments I originally repaired.

    To answer your question, based on my experience I absolutely feel an injury could present in this way. BTW, I'm about your same age.
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    Old 10-18-2016, 06:54 PM   #3
    Va2003
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    Re: Peroneal tendon issues and hypermobility

    I am hypermobile in my elbows and knees. Maybe my feet too as my PT said people would hypermobility often have foot issues such as flat feet and tendon issues. I try to be very careful how I do things and exercise. I am constantly injuring myself. Most of my joints ache as well. I am 31 and this has only been an issue for about 3 years but it is tough. I have not looked into ehler danlos but I think it could be a possibility I have it

     
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    Old 10-18-2016, 07:51 PM   #4
    Mumtoakl
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    Re: Peroneal tendon issues and hypermobility

    Thank you for your replies.

    Last edited by Mumtoakl; 10-19-2016 at 12:00 AM. Reason: Updated

     
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    Old 10-22-2016, 07:46 AM   #5
    MissJuneBug
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    Re: Peroneal tendon issues and hypermobility

    I would ask for an MRI. If the tendon was completely ruptured you wouldn't be able to walk but lots of folks walk around with partial tears. With your hypermobile joints, you are just one ankle twist away from rupturing that tendon or other ligaments. Particularly if you can lay your ankle on the floor. I could do that before my last injury and I can still do it with my 'good' ankle. That's not a normal range of motion and indicates your ankle is very unstable. Eventually, my 'good' ankle will need surgery also.My symptoms started out very much like yours. I have Ehlers-Danlos Hypermobile (hEDS) type. I wasn't diagnosed until after all the tendons and ligaments in my foot ruptured.

    My story is long and complicated but if you want to read it, click on my username and go to statistics and then threads started by MissJuneBug. Note that I saw multiple doctors including 2 orthopedists before getting in to see a foot and ankle specialist, who immediately diagnosed me correctly.

    When you say you are hypermobile but don't have Ehlers-Danlos (EDS), does that mean you were diagnosed with Joint Hypermobility Syndrome? I ask because in the genetics and EDS specialists community they are beginning to realize they are one and the same. They're in the process of rewriting the diagnostic criteria.
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    Old 12-20-2016, 09:13 PM   #6
    Mumtoakl
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    Re: Peroneal tendon issues and hypermobility

    I had my MRI three weeks after a cortisone shot and orthotics didn't do anything. MRI shows just tendinitis and he told me to rest. I'm a nurse that works full time so In a cam walker i went. It's only been a week but my foot still hurts like crazy. I'm wearing a figure 8 wrap to bed as I can't tolerate the boot all night. I have a second opinion with an orthopedist in January just to make sure. To the last post. I was told I have Hypermobility but not Ehlers Danlos. I'll try to keep updated. I wonder if a tear could be small enough to cause pain but not real visible anyone have an ultrasound done?

    Last edited by Mumtoakl; 12-20-2016 at 09:14 PM. Reason: Typo

     
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    Old 12-20-2016, 11:29 PM   #7
    kath9033
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    Re: Peroneal tendon issues and hypermobility

    Is there any popping with eversion of the affected ankle? You may very well have Peroneal subluxation that was caused by chronic ankle issues/instability. All it takes is one too many sprains and it can stretch the retinaculum that holds the Peroneal muscles and tendons in place, and it can cause pain along the lateral boarder of the foot up the outside of the ankle half way up the lower leg (below the knee on the lateral aspect).

    I know quite a bit about the nature of these types of injuries through personal and professional experience. I'm a Physical Therapist Assistant, and I've scored a 6/9 on the hyper mobility scale that is currently used. Not EDS, but significant enough that it can cause a whole mess of trouble when it comes to ligamentous injuries. You may have injured the ligaments in prior sprains and they've healed, but loosely. Which puts more stress on your muscles that evert the ankle, mainly the peroneals (longus, brevis, and tertius). So something as simple as over use can cause a major problem and chronic pain.

    If conservative treatment doesn't work, definitely make sure you do a lot of research on reputable docs out there in your neck of the woods. Make sure you're comfortable and confident in their knowledge and capability to treat whatever diagnosis they have given you. Ask as many questions as possible. Lots of people forget that you're basically hiring them to do their job in helping you heal. So as arrogant as some may be, they can go pound sand if they can't be bothered to work with you or give you the time of day. I'm actually in the middle of a pretty complex problem myself and am in need of having a Chrisman-Snook surgical technique done due to Peroneal subluxation after spraining my ankle secondary to nerve damage that is coming from a semi-botched back surgery. Sorry if that was hard to follow, it's confusing I know haha :-) but the technique they want to use is pretty much a last ditch effort in other cases, but it's the first option for me since I've been treating it conservatively for about 8 months now. Mind you, I may be 28 next month, but age isn't really something that is helping me at this point with this very complex situation (going on 1.5+ years now since the original back injury).

    Anywho! Let me and everyone else know how things turn out and if you have any other thoughts, questions, or concerns!! <3

     
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    Old 01-05-2017, 06:45 PM   #8
    Mumtoakl
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    Re: Peroneal tendon issues and hypermobility

    I hear some popping when my foot is extended and then back but they said they didn't see any subluxation on the MRI. I just find it hard to believe after having A minimum of five severe sprain is between both ankles and multiple small spring that it always healed within a few weeks that this could be just tendinitis that's been going on for almost 8 months even being in a boot I've had no relief

     
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    Old 01-10-2017, 10:58 AM   #9
    Dieti
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    Re: Peroneal tendon issues and hypermobility

    I was told that I had lateral tears in my peroneal tendon and the pain followed the tendon down into the sole of my foot. I could not notice any swelling or bruising, though the doc and the PT said they could feel that it was inflamed. So I suppose it's possible.

     
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    Old 02-05-2017, 02:28 AM   #10
    Mumtoakl
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    Re: Peroneal tendon issues and hypermobility

    I'm going on nine months of pain. Orthopedic surgeon thinks it might be lateral band planter fasciitis. And gave me a wedge to put in my shoe. It hasn't helped actually it's made it worse. Doesn't seem to matter if I cut out the pieces where the pain is still hurts. The only time I really don't have much pain is if I'm barefoot and sitting on my bed and even then I still have pain just not extreme. I go back to the orthopedic surgeon in a couple weeks. I'm curious what his next plan is. He did say my ankles are loosey-goosey which I already knew. Onto the next treatment

     
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