How do you treat a peroneus brevis tendon tear? (2024)

How do you treat a peroneus brevis tendon tear?

For most patients, nonoperative strategies are a reasonable first step in treatment. These may include a 4- to 8-week period of immobilization in a boot or brace, activity modification, physical therapy, lightweight ankle support brace, or a course of anti-inflammatory medications.

Can peroneal brevis tendon tear heal without surgery?

Many patients do not need surgical treatment for peroneal tendon injuries. Many can find relief of symptoms with rest, immobilization with a bandage or brace, exercise and/or stretching, and other self-care measures.

How long does a peroneus brevis tendon injury take to heal?

The healing time for peroneal tendon repair will take up to 8-12 weeks but restoration of function and ability to accept full activity, load and stress can take up to one year.

Does a peroneus brevis split tear require surgery?

Treatment is primarily surgical and must address both the split tendon and the subluxation that caused it. A new classification that guides surgical treatment is proposed. Debridement and repair are recommended for grade 1 tendons, which have damage to less than 50% of the cross-sectional area.

Can you walk with a torn peroneal tendon?

With a torn peroneal tendon, you feel pain along the outside of your ankle. Your foot may feel unstable or unsteady when walking. You might notice symptoms after a sudden injury to your foot or ankle (like a sharp roll of your ankle). Or symptoms may develop gradually due to long-term stress on your tendon.

What happens if you don't repair a torn peroneal tendon?

Leaving a peroneal tendon injury untreated may contribute to ankle instability and an increased risk of ankle sprains.

Is peroneal brevis tendon surgery worth it?

Many people do very well with surgery, they are in a walking boot after 2 weeks, into physical therapy soon after, and for the most part, complete a successful recovery and are happy with their surgical outcomes.

What does a torn peroneus brevis feel like?

Patients with peroneal tendon tears often report common symptoms, including: Pain in the outer ankle. Pain that worsens when turning or stretching the foot. Swelling in the ankle.

What causes a tear in the peroneus brevis tendon?

The causes are not fully understood but may include trauma (rolling or twisting of the ankle), a high arched foot, fracture of the fibula bone, overuse from running or jumping, tight calves, and anatomical variations like a low-lying peroneal brevis muscle belly or a shallow groove of the fibula.

How serious is a peroneal tendon tear?

Peroneal tendon tears or recurrent dislocation are challenging to manage without surgical intervention. Immobilization, braces, physical therapy and anti-inflammatory medications may temporarily relieve symptoms, but they routinely recur when the patient returns to pre-injury activity levels.

What happens if a torn tendon is not repaired?

You probably won't function at your best. Your injury may even cause deformities to develop in the muscles. For some, conservative treatments like resting the area, non-steroidal anti-inflammatory medications (NSAIDs), and physical therapy may be enough to relieve partial tendon tears.

How painful is peroneal tendon surgery?

Some pain, swelling, and bruising is expected after surgery. It is usually most severe for the first 2-3 days. The following strategies are especially important during this time. Try to anticipate an increase in pain when the nerve block (if administered) wears off, usually within 12-24 hours.

Is a walking boot good for peroneal tendonitis?

Conservative Treatment

The vast majority of peroneal tendinosis will heal without surgery. This is because it is an overuse injury and can heal with rest. If there is significant pain, a CAM Walker boot for several weeks is a good idea.

What shoes are good for peroneal tendonitis?

The sole of the shoe should be firm and wide to decrease the stress on the outside ankle. An orthotic or shoe insert with padding modification can be used to help support the ankle thus reducing stress on the tendons.

How do you rehab a peroneal tendon?

Put your affected leg about a step behind your other leg. Keeping your back leg straight and your back heel on the floor, bend your front knee and gently bring your hip and chest toward the wall until you feel a stretch in the calf of your back leg. Hold the stretch for at least 15 to 30 seconds. Repeat 2 to 4 times.

Can you fix a torn tendon without surgery?

The doctor can use imaging and other tests to confirm the extent of the injury. Some tendon ruptures can heal without surgery. However, complete tears will need surgery, particularly if the patient wishes to resume activities. Tendon repair surgery is also necessary if conservative treatment fails.

When do you need surgery for peroneal tendon tear?

A variety of peroneal injuries should be considered ranging from split tear to chronic dislocation. Surgeries are often required after failure of conservative treatment that can cause impaired walking, decreased sports performance, or chronic pain and muscle strain, in order to achieve a good result.

How long does it take to walk after a peroneal tendon surgery?

Use your crutches, walker, or knee scooter for a total of 4 weeks after surgery. You may begin walking without the boot when you are 8 weeks from surgery.

What is the fastest way to cure peroneal tendonitis?

The best way to get rid of peroneal tendonitis is to encourage the tendon to heal itself through exercise therapy and increase the amount of load the tendon and your legs can tolerate overall.

What happens if you wait too long to repair a tendon?

Tendon functions were the best in primary repair, and they got worse as the delay became longer. Repair in the late stage produced significantly worse tendon functions. Sheath closure with remarkable tension worsened tendon healing. We conclude that the optimal timing for tendon repair is at the primary stage.

How long can you wait to have surgery for a torn tendon?

Tendon repair isn't usually regarded as emergency surgery. But, it's generally carried out as quickly as possible after the injury – usually within a few days. This is because the longer the tendons remain ruptured, the more scarring will develop on the end of the tendons.

How do you know if a tendon needs surgery?

Surgery is typically only needed if symptoms are severe or if the condition has reached an advanced stage. It may also be advised if you have a lifestyle that causes repetitive stress on your hands and wrists.

How long do you have to be off work after peroneal tendon surgery?

Recovery from surgical repair of your peroneal tendon typically takes about four months.

Do compression socks help peroneal tendonitis?

Compression gear of any kind will not actually heal tendinitis, but with the right fit, material and quality, it can help with the symptoms! Wearing compression gear can help prevent tendinitis by improving blood flow and stabilizing muscles to prevent stress and strain, as well as reducing swelling.

Is heat or ice better for peroneal tendonitis?

If you experience a sudden injury to a tendon, ice can reduce pain and swelling. Ice the area for 15 to 20 minutes every 4 to 6 hours — and put a towel or cloth between the ice pack and your skin. Heat may be more helpful for chronic tendon pain, often called tendinopathy or tendinosis.


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