Doctor insights on:
Longitudinal Peroneal Brevis Split
I have a longitudinal peroneal brevis tendon split. Pain is on the opposite side of the ankle. Why?
You could be:
"overcompensating" to AVOID pain on the same side as the tear. (A major symptom of Peroneus Brevis tear is pain on walking!
Apply ICE to both sides of your ankle prior to activity and wear good ankle supporting shoes (Until this is dealt with via surgery)
Hope this helps!
Dr Z ...Read more
Trying to decide to fix split of peroneal brevis tendon now or wait till after christmas. How to decide. Doc is leaving it up to me.?
Why not wait: Nd while waiting get a prp injection and keep your foot in a cam walker. What conservative treatment have you tried to date? ...Read more
I have a small split to longitudinal peroneous brevis. I have pain only on the inside of my ankle (not outside). What could cause? Treatment options?
Tear: Rest and immobilization may help it heal otherwise nothing necessary needs to be done ...Read more
I have split tears to both the peroneal tendons. Tried boot for 6 weeks now cast and non weight bearing 4 weeks - still hurts. What's next?
Peroneal tears: Unfortunately, not all tendons respond to "conservative" management--boots, no weight bearing, etc. And even more important, not all tendons follow our preferred treatment time and involvement. Only a careful evaluation by an orthopedic foot surgeon can determine what is the next "best" step, including surgery. ...Read more
What does artifact on the proton axial sequence suggesting a longitudinal split mean on a MRI? What does fluid in the subdeltoid and subacromial bursa
Possible tear: From your question it sounds like the images show something along the length of a tendon that could be from artifact or a tear. Fluid in the subdeltoid and subacromial bursa are secondary findings of a rotator cuff tendon tear. Rotator cuff tendon tear can happen in along the grain of the tendon (a longitudinal split) or across the grain of the tendon which shows up as a discontinuous tendon. ...Read more
Will I need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?
For the flexor tenosynovitis, no; PT, rest w/ a boot, NSAID's may help. "Non-visualized ATF? " I would have to see you clinically. Do you have an unstable ankle? "Split PL tendon"-I would start w/ a boot or brace, maybe PT. If it does not get better and it hurts, may need repair. Good luck!
Dr. Latva ...Read more
No, that is rare: If no growth over the past year, then growth has finished. Most people reach their maximum height in their late teens. Without nutritional problems or chronic childhood illnesses, height is largely based on genetics and parental heights. Aside from eating right, exercising, sleeping well, and being happy, there's not much a person nor his doctor can do to increase height. ...Read more
Upon your symptoms...work requirements....activity level....
Check with an ORTHOPEDIC specialist!
Hope this helps!
Dr Z ...Read more
Biphasic response: Typically, recovery occurs in two stages, with some initial improvement in the days or weeks after the surgery (as stunned nerves wake back up), followed by months of no real improvement and then finally a second stage of improvement (as regenerating nerve fibers finally grow to reach their targets). The important thing is to keep as active and limber as possible while waiting. ...Read more
EMG Report: That's mean that the motor response from the left and right common peroneal was markedly attenuated (weaken or reduce in force). For more information always ask your physician. ...Read more
I've had subluxing peroneals for two years which I never got fixed and now I'm getting pain there. Could this be related?
Heat, ice, ibuprofen: You will need rest, perhaps heat followed by ice and Ibuprofen or some sort of anti-inflammatory. Some would argue the use of heat but it can help circulation to the area and then ice it down. Topical anti-inflammatory creams and anesthetics may help. Rest will help. If worse or not improving, see your pcp, sports medicine doctor, orthopedist or rehab specialist. ...Read more
It shouldn't: Exercise is good in general at any age! ...Read more
As tolerated: A cam boot would traditionally protect a longitudinal tendon tear in your foot or ankle, and so, unless your doctor instructed you otherwise, it is likely you could walk as much as tolerated. I would check with him or her first. ...Read more
Hi I am a longitudinal 162 and I weigh 89 and I am 20 years old Is it possible for a longer and more thanks?
What are conservative treatments for a torn peroneal brevis tendon? I've done pt and had an injection both unsuccessful. Insur. Comp. Denies surgery.
Cause of tear....: This is difficult to answer without knowing the time frame of when the injury occurred and when the various types of treatments were tried as well as the severity and location of the tear. Ill timed p.t. and steroid use can not only be unsuccessful, but, in some specific circumstances, can actually delay the healing. It might be time for another opinion. ...Read more
Peroneal tear/ruptur: The peroneal tendons, either the brevis or longus are examined after the incisions are made and after confirmation is made via an mri. Usually the tendons are partially torn, the frayed pieces are removed and the longitudinal tears are repaired with fine sutures. Wraps can be used to cover the tendon (bovine, porcine or amniotic membranes. ...Read more
Unless you are very thin and athletic.
Why do you ask. ...Read more
Entrapped nerve: You should see an orthopedic foot and ankle surgeon. ...Read more