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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Tenosynovitis Of The Tibialis Posterior Tendon, Peroneus Longus And Brevis?

I am a runner. 35yrs old. 115lbs. 5 4. After 2 stress fracture of my right fibulas, a diagnosis of Hashimoto s thyroiditis and 8mos off of running I am still having mild foot pain every morning upon waking. After 8 mos I tried to run just a mile. I noticed I still have pain in my peroneals. Osteopath thought I might have tarsal coalition bc my foot doesn t move well. Talus locks up and had little independent movement. I had an MRI yesterday and it showed I have tenosynovitis of the tibialis posterior tendon as well as the peroneus longus and brevis. We do not know WHAT is causing it if I don t have a coalition. I don t want to take antiinflammatoris bc I m worried it will just mask the problem. Drs have warned me if I run through pain I risk a rupture. I am at my wits end after 18mos of this and no one knows what is going on. Help.
Wed, 12 Oct 2016
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Orthopaedic Surgeon,  's  Response
Hi you have pain in your foot which increases on running. You have been diagnosed as having Hashimoto's Thyroiditis and Tendinitis of tibialis posterior and peronei tendons. Sometimes we call them overuse injuries and as such no definite cause may be found and our aim of treatment is to reduce swelling in the tendons . In my clinic , I would prescribe Anti inflammatory pain killers , Local Heat and protection while walking. I will wait for 2-3 weeks and if there is no relief then I would proceed with Local steroids .
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What Is The Cause Of Tenosynovitis Of The Tibialis Posterior Tendon, Peroneus Longus And Brevis?

Hi you have pain in your foot which increases on running. You have been diagnosed as having Hashimoto s Thyroiditis and Tendinitis of tibialis posterior and peronei tendons. Sometimes we call them overuse injuries and as such no definite cause may be found and our aim of treatment is to reduce swelling in the tendons . In my clinic , I would prescribe Anti inflammatory pain killers , Local Heat and protection while walking. I will wait for 2-3 weeks and if there is no relief then I would proceed with Local steroids .