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  • Peroneal Tendon Problems

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    Old 03-23-2009, 12:09 PM   #1
    crawling52
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    Red face Peroneal Tendon Problems

    I am new to this site and have never written on a message board before. Because I have been in so much pain and am frustrated about my left ankle i thought it might help to write about it. Please forgive me but this will be a rather long post.

    It all started last August while I was doing a lot of hiking getting ready for my family trip to Yellowstone. My left ankle started to ache so i wrapped up with an ace bandage and continued hiking. It got worse while I was at Yellowstone so i cut down on the mileage and kept going because it was a once in alife time trip for me.

    I went to my primary care physician in September. She referred me to an orthopedist, which I saw in early October. He said I had peroneal tendonitis and prescribed physical therapy for 4-6 weeks. This seemed to help for a while but I tried to take a short hike and I ended up limping the next day. He finally gave me an MRI after I insisted on December 5th. It showed moderate inflammation of the peroneal tendons but no tears. I was given a lace-up ankle brace and prescribed a Flector Patch for pain. These patches just upset my stomache and did nothing for the pain.

    I started to feel a little better so I went on two 2-3 mile hikes on Jan. 11 and 18th. This made the pain worse. I went back to the orthopedist on Jan 29th. He recommended a cortizone injection into the tendon sheeth, which was preformed by his assistant while he was out of the room.

    Feb. 2nd I felt worse than I did before the injection. I decided to see a podiatrist, which I saw on Feb 5th. She took x-rays and examined my ankle. I was given a stiffer brace to wear with a shoe and some night splints to use one hour a day for both ankles. Then she gave me 2 cortizone injections into my ankle joint and wrapped up my ankle in a soft cast like material and an ace bandage.

    The night splints made the pain worse so I stopped wearing them. I saw the podiatrist on Feb. 17th. She gave me two more cortizone injections, wrapped my ankle and told me to discontinue wearing the night splints.

    I decided to baby my ankle. So I used crutches or a cane for that week. It was feeling quite a bit better. I saw the podiatrist on Feb 24th. She told me to walk around normally with the ankle brace on. then she wrapped up my ankle again.

    Feb 28th I started to feel much worse. Pain level was about a 8-9. My peroneal tendon appeared to be dislocated. Then It seemed to go back in place on Mar. 2nd and then back out again on the 3rd. I saw the podiatrist on Mar 6th. I was given a CAM walker boot and she wrapped up my ankle to the knee. I asked if she could push the tendon back in place but she said that could only be done with surgery. She told me to use crutches to be non-weight bearing.

    Pain level was down to a 7 but my ankle was swelling up and I was experienceing numbness going down into the bottom of my foot. I saw the podiatrist on March 12th. She didn't seem to believe me when I told her that I hadn't put any weight on my foot. She wasn't convinced that my tendon was subluxed, because of the swelling she thought it looked like the other one. She prescribed physical therapy for 4-6 weeks and a cream for the numbness. She wrapped up my ankle again to the knee even though I thought that would make it swell.

    I went to 2 physical therapy sessions on March 12th and March 16th. I didn't seem to help I even thought it made it worse. After doing research on internet I decided to see a orthopedic foot and ankle surgeon. I have an appointment on the 30th.

    My current condition is my foot swells when I don't keep it elevated. I am either in so much pain I can't sleep or my foot feels numb. I hope to get a solution to my problem on the 30th. I am afraid it will mean surgery but I can't live like this any longer. I have been reduced to using crutches, crawling or using my rolling desk chair around the house.

     
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    Old 03-23-2009, 01:09 PM   #2
    janewhite1
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    Re: Peroneal Tendon Problems

    Whoa, too many cortisone injections! Do not go back to that podiatrist, 5 in one spot in the space of a few months could easily cause tendon rupture.

    Seeing an orthopedic foot and ankle surgeon sounds like a good plan. Meanwhile, take a deep breath and let it out slowly. Keep the foot propped up, stay off it. You might want to print out your story to take to the surgeon. Also, make sure you have films and reports for any MRI or X-ray you have had.

    He may wish to operate. This might involve repairs to the peroneal tendon itself, or it might involve deepening the groove behind the lateral malleolus, (the "ankle bone") or both. It depends on your situation.

    Let us know what happens, and good luck.

     
    Old 03-23-2009, 09:01 PM   #3
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    Re: Peroneal Tendon Problems

    crawling, do as Jane said. Prop up, "baby" the foot until the 30th. If the first doctor didn't rupture the tendon by injecting it, the podiatrist surely sent it over the edge with all those injections. I'm sorry you've had such a time of it.

    I had both peroneals repaired and the surgery isn't too bad. It's a 3-4 month recovery period and the pain was nothing compared to my PTT surgery.

    Welcome to the board. There are lots of knowledgable people on here to answer your questions.

    emmie

     
    Old 03-24-2009, 07:22 AM   #4
    crawling52
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    Unhappy Re: Peroneal Tendon Problems

    Thank you for your replies to my post. I never thought about the possibility of my tendon being ruptured. I also noticed that my left foot sometimes feels much colder than my right. This seems to happen when it feels numb. I guess the swelling is sometimes pressing on a nerve. Has anyone else experienced this? Could one of those shots struck a nerve?

     
    Old 03-24-2009, 07:51 AM   #5
    geggar
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    Re: Peroneal Tendon Problems

    Quote:
    Originally Posted by crawling52 View Post
    Thank you for your replies to my post. I never thought about the possibility of my tendon being ruptured. I also noticed that my left foot sometimes feels much colder than my right. This seems to happen when it feels numb. I guess the swelling is sometimes pressing on a nerve. Has anyone else experienced this? Could one of those shots struck a nerve?
    Everyone is right about too many injections into that area. 3 should be the limit and I probably wouldn't have even done one. You should have been sent to PT and "IMMOBILIZED" right away. That means just because it feels a little better doesn't mean you can go out hiking on it again. That was the main problem is that the tendonitis was never given a chance to heal and now it has probably progressed to a more serious problem that may well require surgery to fix. Probably need to repeat the MRI to find out if there are any longitudinal tears or subluxing of the tendon.

     
    Old 03-24-2009, 07:53 AM   #6
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    Re: Peroneal Tendon Problems

    When my foot was bad, I found that just being on crutches would cause it to get cold and numb. Not walking kinda confused the circulation, I guess. Could that be what you are experiencing?

     
    Old 03-24-2009, 03:47 PM   #7
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    Re: Peroneal Tendon Problems

    Oh yikes with the injections! Before I was finished with your post, I thought run to a foot and ankle orthopedic specialist. Good for you that you are. Hopefully all those injections have just irritated it.

    My doc, when seeing him for AT and Haglund's would ask me if I could ever feel popping. That would be the subluxing of the PT. So aside from seeing what you saw - do you feel the popping? If you have that, then I would think you are in there for surgery and the deepening of that canal for the tendon at least that is what my doc told me.

    I agree you need to ask for another MRI. And ask the new doc their thoughts on the injection. I saw a pod before the ortho and even the ortho's PA was concerned that the pod had offered me the injection. I had already read about it and said no thanks and made my new appointment to change docs.

    I also agree you went out hiking too soon. They take longer to heal!

     
    Old 03-25-2009, 11:08 AM   #8
    crawling52
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    Re: Peroneal Tendon Problems

    Dear nkathleena

    I haven't heard poping but I have seen my tendon move in and out of the groove when I move my foot a certain way. I noticed this after my podiatrist first saw me and mentioned something about my tendon subluxing. So I looked it up on the internet and then tried to observe and feel this while moving my foot in a circle. I assumed she would eventually suggest surgery if conservative treatment didn't work. So I suffered longer through her treatments then gave up after it kept getting worse. Also further research on the internet lead me to believe I should be seeing an orthopedist who specializes in the foot and ankle. I checked my podiatrist credentials on the web and found out she graduated in 2005. I don't consider that enough experience to handle a problem like mine. She should have referred me to someone else instead of getting snippy with me.

     
    Old 03-25-2009, 03:01 PM   #9
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    Re: Peroneal Tendon Problems

    Oh gosh, I don't think that many cortisone shots should have been done. I have preoneal tendonitis and probable tears and my doctor says no matter what, never let anyone tell you that you need cortisone shots. He said that they will only make the tendon weaker and it causes a huge risk for tearing. I have also tried PT for almost six months and all types of braces. Mine is from a foot surgery i had. My tendon is rubbing on a plate and screws in my foot every time i walk.

    Unfortunately tendons arent the best healers on their own, and often times if they are torn they do need surgery.

    Let us know what other doctors tell you.

     
    Old 03-26-2009, 04:22 PM   #10
    nkathleena
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    Re: Peroneal Tendon Problems

    Well, if it really is moving in and out of the groove, then it probably is tearing, but the popping/snapping - according to what my dr said, you would feel it - not hear it.

    Here's a couple of good articles

    [url]http://www.footphysicians.com/footankleinfo/peroneal-tendon.htm[/url]

    [url]http://www.orthogate.org/patient-education/ankle/peroneal-tendon-problems.html[/url]

    And this one has an excellent description of the different dxs of peroneal tendon pain, treatments etc.

    [url]http://emedicine.medscape.com/article/91344-overview[/url]

     
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