تعريف

Tendinopathy is an injury to the tendon. It can cause pain, swelling, and limited movement. The injury can include:

  • التهاب الأوتار – التهاب الوتر
  • Tendinosis—tiny tears in the tendon tissue with no significant inflammation

The peroneal tendons run along the outside of the ankle bone. Treatment depends on the severity of the injury.

أسباب

Peroneal tendinopathy often occurs as a result of:

  • Repetitive overuse injuries which may occur from regular activities
  • Trauma to the ankle such as a sudden twisting of the ankle or foot
  • A sprained ankle that turned inward
  • Overstretching the foot

عوامل الخطر

Factors that increase your risk of peroneal tendinopathy include:

  • High arched foot
  • Previous ankle sprain or injury
  • Weak ankles

الأعراض

Symptoms include pain, tenderness or swelling along the bottom of the foot or side of the ankle. You may also experience weakening or instability in the foot or ankle.

التشخيص

الطبيب سوف يسأل عن الأعراض والتاريخ الطبي. الفحص السريري سيتم القيام به.

Your doctor may also need images of the foot and ankle. These may be taken with:

  • الأشعة السينية
  • التصوير بالرنين المغناطيسي
  • الموجات فوق الصوتية
  • الاشعة المقطعية

Your doctor may also inject a medicine in local structures. This can help your doctor confirm what structures are causing the problem.

العلاج

تحدث مع طبيبك حول أفضل خطة لك. تشمل خيارات العلاج ما يلي:

Immobilization

A cast, splint, or brace may be needed. They will help keep your foot and ankle from moving to let the tendon rest. You may also be asked to wear special shoes or inserts.

الأدوية

للمساعدة في إدارة الألم، قد يوصي طبيبك بما يلي:

  • مسكنات الألم المتاحة دون وصفة طبية، مثل الأسيتامينوفين أو الأدوية المضادة للالتهابات غير الستيرويدية (NSAIDs)
  • مسكنات الألم الموصوفة طبيًا
  • Corticosteroid injections

علاج بدني

Physical therapy excercises will help to regain strength and range of motion within the foot and ankle. Other physical therapy methods include ice, heat, or ultrasound to reduce pain and swelling.

جراحة

Surgery may be needed in some cases. It can help to repair the tendon or adjust support structures of your foot.

الوقاية

To help reduce your chance of getting peroneal tendinopathy, take the following steps:

  • Avoiding activities and sports that repeatedly stress the ankle.
  • Do not put yourself at risk for trauma to the ankle.
  • Build strong muscles to support your joints.
  • Gradually increasing the frequency and intensity of exercise.
  • Learn proper technique for sports and exercise.
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