Tuesday, September 25, 2012

Aligned and Connected: The Cure for Peroneal Tendon Dislocation

Staying connected…
Muscles, bones, tendons and ligaments work together in their own special ways. They work to allow your body to achieve stability, durability and flexibility. However, to stay in good working order you need to safeguard these functions, and appreciate the mobility that they provide. Adequate exercise is important in order to keep joints strong and limber. If you overwork or injure your body, things may not function as normal, and you may experience pain.

The injury…
Peroneal tendon dislocation/dysfunction is a condition that affects two tendons that originate at the muscles on the outside of your calves and allow your foot to roll to the outside when you stand, as well as, support the arch of the foot. When certain injuries occur, tissue may stretch or tear. This can cause the peroneal tendon to dislocate from its normal groove toward the back of the bone. The tendon then rolls over to the outside of the bone sustaining damage in the process.

Why me…
Peroneal tendon dislocation is most commonly the result of high intensity sports activities such as skiing, football, basketball and soccer. On occasion, sprains have also been known to cause this injury. Don’t eliminate the sport altogether, but you can make sure your footwear is appropriate for the activity.

What happens now?
Treatment for peroneal tendon dislocation may include use of crutches to prevent weight bearing, compression bandage to reduce swelling and the use of anti-inflammatory medications. It is important to remain off the injured foot in order for injury to heal properly. Follow your doctor’s instructions without deviation. Surgical correction is necessary when the tissue damage is bad enough to indicate it may tear completely or easily dislocate.

Saw bones
If you must undergo surgery and during your surgeon discovers you are one of the few who does not have a groove for your peroneal tendon to rest in, he may need to cut grooves in the bone and then install metal screws or pins to hold the bones in place while healing occurs. A six week healing time is normal followed by a few weeks of protected weight bearing, then an additional month or more of physical therapy allowing you to regain strength and mobility.

Caution is the word
Re-injury is always a possibility, but you minimize that risk by following your doctor’s orders. Do not attempt to hurry the healing process. Dr. Bowman has experience treating this condition and knows what’s best for you. His goal is to see you completely recovered. To set up an appointment with Dr. Bowman’s call his office at (713) 467-8886.

References:

http://www.houstonfootspecialists.com/library/1912/peronealtendondislocationdysfunction.html
http://www.ahni.com/specialties/foot-and-ankle/common-disorders/peroneal-tendon-dislocation/


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