A member asked:

Non surgical and/or surgical treatment options for proximal tib/fib joint instability?

2 doctors weighed in across 2 answers
Dr. answered

Options: Nonsurgical: physical therapies such as activity modification, supportive straps, and knee strengthening. For patients with chronic pain or instability, surgical options include arthrodesis (fusing the joint), fibular head resection, and proximal tibiofibular joint capsule reconstruction. It would be worth trying the non surgical techniques first. Find a good osteopath or sports physio

Answered 12/30/2016

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Dr. Ahimsa porter Sumchai md answered

Specializes in Sports Medicine

Tib/Fib Instability: Pain in the lateral knee and tenderness of the fibula may be due to Tib/Fib instability, a rare condition seen in runners and cyclists, associated with IT band syndrome, sciatic nerve compression and congenital malalignment and/or sprain of the ligaments connecting the fibula to the tibia at the proximal knee. Arthrodesis is rarely indicated. PT, topical NSAIDs and knee sleeves help most.

Answered 12/28/2016

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