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Doctor insights on: Peroneus Brevis Tendon Treatment

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Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis. New MRI shows hypertrophic tear of peroneus longus. What are my options?

Peroneal retinaculum repaired twice, peroneus brevis to longus tenodesis.  New MRI shows hypertrophic tear of peroneus longus.  What are my options?

I would try: And figure out what stresses are being placed on the tendon.....For whatever the reason it seems the peroneals have alot of pressure on them.....I would think of how to destrees or remove load from them or whatever is causing them to fail. ...Read more

Tendon (Definition)

Tendons are made up of collagen and are the functional tissue that interfaces between muscles and bone. Muscles generate force that is transmitted through its tendon that inserts on a specific bone that is moved in the plane of the connecting joint made ...Read more


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Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

Lateral epicondylitis, tendinopathy with multiple tendon ruptures along extensor tendon. Treatment options?

That is a very com--: Plex problem that you have. Is it in the same arm or elbow area? Is this from an injury? Without being seen ; examined/investigated, its difficult to address all your issues in a meaningful way. You need to see an orthopod or a elbow/shoulder surgeon to get the best advice, as otherwise you'll get a pot pouri of suggestions, which may or may not help. Good luck. ...Read more

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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?

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?

MAYBE: 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

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What is the best treatment for peroneus longus tendon tear?

What is the best treatment for peroneus longus tendon tear?

Extent of tear?: The vast majority of partial tears are initially treated with immobilization using a splint for 2-4 weeks with possible therapy. If the tear is complete or persistently symptomatic after non-surgical treatment, surgery may be indicated. ...Read more

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Does peroneus brevis split tear alwys require surgery?

Does peroneus brevis split tear alwys require surgery?

Definately not: If pain persists and conservative therapy fails that is when surgery should be considered. ...Read more

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Severe tightening of flexor hallucis longus tendon in foot?

Stretch: If the flexor tendon is too tight it will also cause cramping of the arch area. You need to stretch out your great toe by hyperextending it gradually (holding your big toe toward your face) also use some icy hot, etc. Make sure that you stretch this at least 2 times daily, and before and after exercise.Good support is also needed in the shoes. ...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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Extensor tendon injury. Who treats it?

Hand surgeon: Tendon injuries in the hand are typically treated by a hand surgeon. Hand surgeons can orthopaedic surgeons (like myself), general or plastic surgeons. Look for someone who is board certified and has a certificate of additional qualification (caq) in hand surgery. ...Read more

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How is Achilles paratenonitis distinguished from Achilles tendonitis?

How is Achilles paratenonitis distinguished from Achilles tendonitis?

Irritat'n of cover'g: Initially, irritation of the outer covering of the tendon called the paratendon causes a paratendonitis. The word paratendonitis simply indicates that there is inflammation around the tendon. Inflammation of the tendocalcaneal bursa may also be present with the paratendonitis.Either of these conditions may be due to repeated overuse, or ill-fitting shoes that rub on the tendon. ...Read more

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What are the symptoms of flexor hallucis longus tendon injury?

What are the symptoms of flexor hallucis longus tendon injury?

Torn or inflamed?: If torn it will not flex & stays in a somewhat extended position. It also causes a limp since it is involved in push off. Hurts when it happens & may have some calf cramping, but pain goes away fairly fast. If inflamed it hurts in gait push off, u may deal & hear it squeaking. All attempt 2flex is painfull. Torn = surgical, inflamed= activity modification nsaids, ice rest ? Pt also. ...Read more

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MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

MRI of ankle shows tenosynovitis of flexor longus tendon. Can that contribute to tarsal tunnel?

Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more

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Collateral ligament sprain. What is treatment?

Collateral ligament sprain. What is treatment?

Which ligament?: There is a collateral ligament in the elbow, and also in the knee. Initial treatment might include bracing and nsaids. ...Read more

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Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Peroneal tendons subluxing. Extensor retinaculum repair just failed. Cavus foot from CS. Can both retinacula (2) & cavus be fixed at once? Techniques?

Yes: the cavus is the bone position typically as in your condition at the heel. A bone cut can be made to align the heel. The retinacular repair can be done at the same time. ...Read more

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What are the symptoms of a flexor hallucis longus tendon injury?

FHL: Tendonitis usually has pain to tendon and on rom of hallux with some get sesmoiditis along wrk it. Swelling may be present. Use rest, ice, compression and elevation and taks some nsaids . If persists see podiatrist in area. ...Read more

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Difference between peroneal tendonitis and peroneal sublaxtion? Symptoms? Treatments?

Difference between peroneal tendonitis and peroneal sublaxtion? Symptoms? Treatments?

Tightness/snapping: With tendinitis there is tightness especially after rest. With subluxation there is often a snapping or popping sensation as the tendon moves out of place. ...Read more

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What can I do to treat 3 possible torn tendons (achilles, peroneal, and posterior tibial tendons)?

Rest: It is important to determine if the tendons are, in fact, torn. You may need to have an MRI to do this. If they are torn, they may need to be repaired surgically. Otherwise, depending on the severity of the strain or partial tear, rest and anti-inflammatory medications with off loading would be indicated. ...Read more

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What is achilles' tendon transfercsurgery?

Achilles Tendon Surg: Achilles tendon transfer surgery is where the tendon is moved from the back of your heel forward to the top of your heel. This is done with neurologically spastic patients where you want the tendon to work but not so powerfully. ...Read more

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