Tendonitis - Peroneus Longus/Brevis with swelling all year

by Khalai
(Malaysia)



Hi,

My name is Khalai. I have this tendonitis on my left ankle (outer) since 2007.

I feel the pain when I walk, and it gets worse when I try to stand on my sole. I believe this problem started because I was using shoe with damaged heel. I was admitted in hospital twice.

MRI scan confirms that it is tendonitis (on the tendons connected to peroneus longus and brevis).

As part of the treatment, I was given ice pack. I was also asked to elevate my leg whenever possible. All these don't really work for me. The doctor had to give me a few steroid injections, followed by weeks of physiotherapy, which gave me some temporary relieve. The swelling and the pain reduced. However, it didn't last long. The swelling came back after a few weeks.

The doctor said that it has become chronic. So, it's very hard to get rid of this problem permanently

Now, after more than 1 year, I still have this swelling and pain. I can't do some of my favorite activities. Sometimes I get muscle cramps on that part of my ankle.

Please let me know if there is hope for me. What should I do? What are the activities that I should avoid? Is there any treatment that will really work for me?

thanks,
Khalai
Malaysia



----


Joshua Answers:

Well, the doctor couldn't help it when it was new and acute, so it makes sense he wouldn't be able to help you once it became chronic.

It's not any tougher to deal with now than it was then, though it make take a bit more time and effort.

Ice packs won't help much, depending on how you use them. Corticosteroid Injections won't help. Etc.

So, some questions first.

1. When you say swelling, what does that mean? How much? How big? Where, exactly? Is it constantly swollen, or just in the evenings, or?

2. How bad does it hurt now? When? Constantly, or just when you move on it?

3. How much movement/use does it take before hurting?

4. Just one leg, or both?


No worries. There is hope. It will take some effort on your part, but we can get you there if you are willing.







Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert
www.TendonitisExpert.com
















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Aug 31, 2009
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starstarstarstar 		Tendonitis - Peroneus Longus/Brevis with swelling all year
by: Khalai

Joshua,

Thank you for looking into my problem. Here's the answers to your questions.

1. When you say swelling, what does that mean? How much? How big? Where, exactly? Is it constantly swollen, or just in the evenings, or?
[Khalai] : It?s an inflammation. It used to be bigger that how it is now. I believe what is swollen is actually the tendon and it?s surrounding area. It is exactly on the left ankle, on the tendons that connects to peroneus longus and bravis. It is constantly swollen. The swelling and pain get a bit worse after some physical activities. You know all of us have a "lump" at the outer part of our ankles (both sides- I think it's a bone), right? I can feel that the tendon above this bone is very thick.
* I have a picture of the swelling. How can I send it to you?


2. How bad does it hurt now? When? Constantly, or just when you move on it?
[Khalai] The pain is really not constant. It hurts when I
i. Try to stand on my soul (this movement is impossible because of the pain)
ii. Press on the tendon using my finger
iii. Move/rotate my ankle clock-wise
iv. Step on uneven surface (used to be very painful)
v. Jump/skipping (impossible)

3. How much movement/use does it take before hurting?
[Khalai] Please see my answers to the previous question. I feel that the situation has slightly improved in the past few weeks. Many activities used to be impossible. It used to be very bad (walking on beach/sand used to be very very painful). But now at least I can do them slowly. I feel pain whenever I walk fast(not too bad, but I can feel that something is there when I walk). The swelling/pain becomes worse even after a few hundred meters of walking/jogging.
4. Just one leg, or both?
[Khalai] Just one leg (left)

Additional information :
1. I'm obese (170cm, 103.5kg)
2. I used to be active in sports (soccer, badminton, hiking, jogging)
3. When I stand up, my left ankle looks like a bit bended. X-ray shows that the bones are OK. Only the joint is problematic/bended. Probably the tendon is constantly over-stretched whenever I stand or walk. Doctor asked me to use an in-sole to ensure that the problem doesn't get worse. He also asked me to reduce my weight.

thanks,
Khalai

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