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Doctor insights on: Peroneal Tendonopathy

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How long does it take peroneal nerve to heal after decompression?

How long does it take peroneal nerve to heal after decompression?

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

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EMG Report says "Attenuated bilateral peroneal motor responses" what does that mean.

EMG Report says "Attenuated bilateral peroneal motor responses" what does that mean.

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

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Peroneal nerve--wjere and what is that?

Peroneal nerve--wjere and what is that?

OUTER Lower leg: Peroneal (fibular) nerve is in the outer part of the calf (lower leg). It tends to get injured just below the outer part of the knee where it crosses over the fibular head. The nerve controls muscles/sensation of the outer calf. ...Read more

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I have subluxing peroneals following injury. Is it necessary to have this fixed?

I have subluxing peroneals following injury. Is it necessary to have this fixed?

Depends: upon your symptoms...work requirements....activity level....
Check with an ORTHOPEDIC specialist!


Hope this helps!
Dr Z ...Read more

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I've had subluxing peroneals for two years which I never got fixed and now I'm getting pain there. Could this be related?

I've had subluxing peroneals for two years which I never got fixed and now I'm getting pain there. Could this be related?

If they were sub-: -lucking for 2 years, it usually is progressive, & now they R displacing more often & may B on the verge of dislocating. I would rec that U C a fellowship trained sports medicine orthopedic surgeon or a fellowship trained foot & ankle orthopedic surgeon. ...Read more

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What helps pain from peroneal tendinitis?

What helps pain from peroneal tendinitis?

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

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What causes peroneal tendonitis to happen?

What causes peroneal tendonitis to happen?

Trauma/overuse: Peroneal tendonitis can be related to an injury or overuse and is often associated with a higher arch foot posture which puts more strain on the tendons. Initial treatment with rest, anti-inflammatories and bracing can be effective. ...Read more

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What should I do for Achilles tendinopathy?

What should I do for Achilles tendinopathy?

See specialist: Achilles tendonopathy is diagnosed clinically on exam and the type is confirmed by MRI (tendonosis +- partial tearing over degeneration). Treatment begins with resting the tendon, heel lift if mild or wearing a cam walker type boot with a heel lift for at least 1 month, this is followed by pt as tolerated. Platelet rich plasma injections (not steroid) have be recently used. Surgery if all fails. ...Read more

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What will my pt do for peroneal tendonitis?

What will my pt do for peroneal tendonitis?

Hopefully help u: They have certain equipment like possibly ultrasound machines, galvanic stimulation and various other modalities. Sometimes, they may perform massage or stretches etc all depending on the amount of pain you have. ...Read more

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Whats the difference between tendonitis and tendonopathy?

Acute vs Chronic: Tendonitis is an acute injury of the tendon areas resulting in inflammation and irritation noted on imaging studies. Tendonopathy is a chronic condition in which inflammation is not the issue but micro tearing and lack of healing taking place in the tendon. Consider PRP or stem cell therapy for either condition to use your own body's healing and anti-inflammatory factors to regenerate tissue. ...Read more

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What is invovled after a peroneal tendon repair?

What is invovled after a peroneal tendon repair?

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

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When is it necessary to have surgery on peroneal tendon?

When is it necessary to have surgery on peroneal tendon?

After conserv. care: If you have had conservative care such as p.T. Or been immobilized in a cast and are not doing better, or the tendon is diagnosed as being ruptured, then surgery is advisable. ...Read more

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I had surgery 6 years ago for a torn peroneal tendon. Now iit feels like it is tearing again. What are my options?

See a doctor: Tears are generally longitudinal in nature. An MRI can detect these rather quickly. I would check to see if this is the case. A brace can be worn, a prp injection can be considered. If your prior surgeon is still around go for a follow up. ...Read more

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If I have a peroneal tendon tear will it eventually get better on its own? It's been 5 months and pops. Still hurts sometimes.

No without tx: Peroneal tendon injuries general take months to heal with immobilization. You should have a MRI to determine extent of tear of the tendon. You may need surgical repair if you are still symptomatic. ...Read more

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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

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When i stretch my achilles' tendon, which has tendonopathy.. It feels like it is tearing! is it tearing? It is painful! should I stop stretching?

When i stretch my achilles' tendon, which has tendonopathy.. It feels like it is tearing! is it tearing?  It is painful! should I stop stretching?

Stop streching: Your body, is trying to tell you something. Stop stretching. On a microscopic level, you're stretching it and/or tearing. It. Pain with or without swelling, see a orthopedist or podiatrist. Ice, rest and NSAID in meantime. ...Read more

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Common peroneal nerves, f-waves of CPN & PTN, H-reflex, SNAP of sural nerves and superficial peroneal nerves are not recordable.( report of NCV test)?

NCV Test: A lot of times these NCV tests are inconclusive or need to be repeated. Do you have any symptoms like numbness or tingling? Any history of diabetes or peripheral neuropathy? These disorders may explain those findings. Nerve trauma can also be a possible etiology. ...Read more

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What physiotherapy modalities are recommended for Achilles tendinopathy ?

What physiotherapy modalities are recommended for Achilles tendinopathy ?

May b Achilles bursa: There is a bursa lurking between the tendon & the calcaneus which can b inflamed & may b helped by a steroid injection, but one must b sure it is not the calcaneal attachment @ the distal end of the tendon.Then a steroid injection would b contraindicated. ...Read more

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What to do if I have peroneal tendon subluxation?

Visit foot/ankle doc: If the condition is painful there is a surgical option to fix. ...Read more

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Does peroneal tendon subluxation get better on it own?

Does peroneal tendon subluxation get better on it own?

Ortho, then PT.: Don't try on own, get guidance of shoulder expert and physical therapist. ...Read more

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How do I exercise with Achilles and peroneal tendonitis?

Limit to upper body: Limit your workouts to upper body using machines or bench exercises. Even an elliptical will delay your healing. No treadmill, running, walking and especially no hills! ...Read more

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Is surgery necessary for longitudinal peroneal tendon split?

Is surgery necessary for longitudinal peroneal tendon split?

Function : Studies show surgery if indicated for ruptures or when injuries diminish function. See ortho surgeon for expert consultation. http://emedicine.medscape.com/article/91344-treatment#d10 ...Read more

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If you damage the peroneal nerve, what muscles lose movement?

Foot drop: The common peroneal nerve branches from the sciatic nerve. It includes the deep and superficial peroneal branches. These nerves provide sensation to the anterior (front) and lateral (side) parts of the legs and to the top of the feet. They innervate muscles in the legs which lift the ankle and toes upward (dorsi flexion). ...Read more

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