Peroneal Tendonitis and Tenosynovitis
The peroneus longus tendon and the peroneus brevis tendon are two major tendons that run along the outside of your ankle. They are collectively called the peroneal (or peroneus) tendons. These tendons are important because they prevent the foot from rolling and causing a lateral (inversion) ankle sprain. The peroneus tendons are slightly weaker than the muscles and tendons on the inside of the ankle and are more prone to tendintis, tears or strains. The tendons can also pop out of the supporting ligaments that hold them in place (a dislocation).
Peroneal Tear and Dislocation
Tearing or dislocation can occur in one or both of these tendons at a time. This leads to pain, swelling, sensitivity and a sense of instability on the outside of the ankle. If you experience a tear or dislocation you should see a doctor as recurrent tearing or dislocation is probably 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. Fortunately, tendintis can be treated with cold compression and blood flow stimulation therapies.
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 them from gliding smoothly within the shealths causing pain. Tenosynovitis can occur along with 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.
Ankle Tendon Treatments
Allowing your ankle to rest is always recommended when you are suffering from tendinitis, tendon tear or bone dislocation. Avoid all activities that may have caused the injury or irritation and begin cold compression treatments as soon as possible. The peroneal and posterior tibial 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 an ankle tendon injury is getting it to heal with minimal scar tissue formation. 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 ankle 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 and posterior tibial tendons and speed up the healing process so you can get back to a life without pain and risk of further injury. Blood Flow Stimulation Therapy™ (BFST®) promotes 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 ankle 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 the pain and swelling of your peroneal tendinitis or posterior tibial tendinitis in an effective and convenient way.
The wrap is adjustable which allows you to control the compression to a level that is comfortable for you and the gel packs are chilled in the fridge not the freezer. This eliminates the risk of cryoburn, or 'cold burns', on your skin that can be cause by ice and strandard freezer gel packs. You can also wear the Freezie Wrap® for longer treatments so you can enjoy even more relief from your ankle pain!
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 ankle tendons faster and with less pain!
The deep cooling effect provided by the Ankle/Achilles Freezie Wrap® gives you the fast, effective relief your sore ankle has been looking for!
Click Here to learn more about Freezie Wrap® ColdCure Technology®
Blood Flow Stimulation Therapy™
Once inflammation has been reduced, nourishing and strengthening the tendon tissue and surrounding area is recommended.
Blood Flow Stimulation Therapy™, or BFST®, will speed your recovery and heal your ankle tendons more completely preparing them for strengthening exercises.
BFST® increases the amount of blood that flows naturally to your ankle to nourish your 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 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.
Click Here to learn more about how Inferno Wrap® BFST® works
With these easy-to-use, home therapies you will notice incredible improvement in your ankle. You will have less pain and stronger 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!
NOTE: We recommend that you consult your doctor and/or physiotherapist before using any of our outstanding products, to make sure they're right for you and your condition.
Please be aware that this information is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider before starting any new treatment or with any questions you may have regarding a medical condition.