Tendinitis and tenosynovitis
They occur mainly in athletes, by microtrauma, or by static disorders, or with overweight. Of course we can find tendinitis specific to any activity, including sports, associated with repeated «unnatural» movements.
This is essentially the Achilles’s tendinitis (running).
Imaging Exam: Ultrasound.
Treatments: sports rest, massages, ultrasound, shock waves, ionisations, heel, foot orthosis.
Tendinitis of Anterior and posterior Tibial Tendon
The anterior tibial muscle inserts on the tibia, bone located on the inner side of the leg. It ends in tendons that fit on the medial cuneiform and the 1st metatarsal bone for the anterior. The posterior tibial muscle inserts on the tibia and fibula, and ends in tendons that fit mainly on the bones of the tarsus.
The tendinitis of the anterior leg, manifests itself in anterior pain and swelling at running. That of the posterior tibial is manifested by a pain behind the internal malleolus and at the plantar arch at exertion then at rest.
The solicitation of these tendons will trigger pain during the examination. you may be ordered an ultrasound or MRI to confirm the diagnosis.
The treatment is medical with rest, frosting, anti-inflammatory (in case of tendon thickening), physiotherapy, and possibly soles. Infiltrations are carried out with caution (tendino-toxicity of corticosteroids). Surgery usually involves the rupture of the posterior tibial tendon.
Chronic tendinitis of Fibulars Tendons
The fibular muscles fit on the fibula, bone on the outer side of the leg. They end in tendons that fit on the basis of the 1st and 5th metatarsals.
The chronic tendinitis of the fibulars, manifests itself by swelling at walking, pain in rough terrain (pebbles), feelings of instability.
Your surgeon will diagnose you by causing pain at the tendon loading.
The treatment is medical with sports discontinuation, painkillers, anti-inflammatory, physiotherapy, and soles (ankle centered inside, or cavus foot). Surgery is rarely necessary (synovectomy for thickening or tendinous rupture management).