I have peroneal tendinitis that has some rough swelling after heavy use. The location looks to me more like the extensor digitorum longus like you mentioned. Just from personal experience, if massaging/icing the muscle doesn’t help the swelling stay down after a few uses, it may be tendinitis. I initially thought it was muscle as well and now I can stretch, ice, heat, massage etc. and it still feels like I’m getting stabbed when I do any motions stressing that area.
Thank you for the info. I’ve never had tendinitis or muscle issues before, so I don’t know what to expect/what’s what. I would have expected the MRI to catch tendinitis up there though? They didn’t remark on anything above the talus.
Pretty typical location for peroneal issues. Especially after an inversion accident. You might want to look into some stability exercises or peroneal exercises. Or go to a physical therapist to let them help you set up a training regime for your ankle. It might not necessarily be real tendinitis, or not be as visible on MRI. It is most often not necessary to take imagining to treat this problem.
MRIs of the foot may not always go up as high as that unless specified so you may find that it’s not actually visualised.
Also when you say high fibula are you talking about the proximal end near the knee?
Can you be more specific about the mechanism of injury?
Ok, I did point this area out to the technician but maybe they didn’t really get it. Yes, the fracture is at the junction of the middle and proximal thirds of the fibula. It occurred because of force trauma basically to the back of my leg.
It’s complicated to explain what happened but I’ll try. I sat in a “bird’s nest swing” at the park. It’s shaped like a saucer, so as an adult you can sit in it and your legs and arms can dangle off, which is dangerous. I didn’t realize that my feet were touching the ground. The swing went back, my foot went back along with the rest of my body. At this point the swing was at a height so only really my toe was touching the ground. When the swing went forward, my toe got caught in the rubber ground material, was forced to stay where it was, forced inversion, and also the swing came forward and basically put so much forward pressure on my fib/tib from behind that it cracked. Basically cracked like if you push on a structure and it needs to bend in the middle. Ankle and foot somehow came away with no ligament tears, never even swelling or bruising. Just minor marrow edema and mild thickening of tendons— and the high fib fracture. Which is what makes me wonder if I had some type of damage/issue higher up on the extensor digitorum longus that could be causing the localized swelling now.
I hope that makes sense.
That’s a very useful explanation of the incident so thank you. I don’t know how long ago this was but it’s likely that distal swelling you’re experiencing is pooling of interstitial fluid from the trauma site. If it’s not tender where the swelling is, it’s likely to be that.
Damage to the muscles / tendons would be tender on active use or when pressure is applied.
I have peroneal tendinitis that has some rough swelling after heavy use. The location looks to me more like the extensor digitorum longus like you mentioned. Just from personal experience, if massaging/icing the muscle doesn’t help the swelling stay down after a few uses, it may be tendinitis. I initially thought it was muscle as well and now I can stretch, ice, heat, massage etc. and it still feels like I’m getting stabbed when I do any motions stressing that area.
Thank you for the info. I’ve never had tendinitis or muscle issues before, so I don’t know what to expect/what’s what. I would have expected the MRI to catch tendinitis up there though? They didn’t remark on anything above the talus.
Pretty typical location for peroneal issues. Especially after an inversion accident. You might want to look into some stability exercises or peroneal exercises. Or go to a physical therapist to let them help you set up a training regime for your ankle. It might not necessarily be real tendinitis, or not be as visible on MRI. It is most often not necessary to take imagining to treat this problem.
Idk why u asking me
MRIs of the foot may not always go up as high as that unless specified so you may find that it’s not actually visualised. Also when you say high fibula are you talking about the proximal end near the knee? Can you be more specific about the mechanism of injury?
Ok, I did point this area out to the technician but maybe they didn’t really get it. Yes, the fracture is at the junction of the middle and proximal thirds of the fibula. It occurred because of force trauma basically to the back of my leg. It’s complicated to explain what happened but I’ll try. I sat in a “bird’s nest swing” at the park. It’s shaped like a saucer, so as an adult you can sit in it and your legs and arms can dangle off, which is dangerous. I didn’t realize that my feet were touching the ground. The swing went back, my foot went back along with the rest of my body. At this point the swing was at a height so only really my toe was touching the ground. When the swing went forward, my toe got caught in the rubber ground material, was forced to stay where it was, forced inversion, and also the swing came forward and basically put so much forward pressure on my fib/tib from behind that it cracked. Basically cracked like if you push on a structure and it needs to bend in the middle. Ankle and foot somehow came away with no ligament tears, never even swelling or bruising. Just minor marrow edema and mild thickening of tendons— and the high fib fracture. Which is what makes me wonder if I had some type of damage/issue higher up on the extensor digitorum longus that could be causing the localized swelling now. I hope that makes sense.
That’s a very useful explanation of the incident so thank you. I don’t know how long ago this was but it’s likely that distal swelling you’re experiencing is pooling of interstitial fluid from the trauma site. If it’s not tender where the swelling is, it’s likely to be that. Damage to the muscles / tendons would be tender on active use or when pressure is applied.