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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Ankle Pain

I have been having ankle issues for a few years on and off. Last month a new podiatrist i saw asked for MRI and the report showed Tenosynovitis of the preoneus brevis and longus tendons with peroneal brevis tendinitis without tear , no other issues anywhere in the multiplanar multisequence imaging. He recommended an ankle brace for 6 weeks, 2 weeks into using it, the pain is more persistent than before and also the degree of pain much higher. Next options according to him are ankle arthocoscopy with synorectomy. Physical therapy can be tried but he doesn t think it will help much. He is not for using steroid injections as that will mask the pain and not treat it. I am looking for options
Mon, 4 May 2015
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Orthopaedic Surgeon,  's  Response
Dear patient
You have got peroneus longus and brevis tendon synovitis and that is not benefited by ankle brace. Next line of management is local depomedrol injection and it's very beneficial. It not only relieves pain but also relieves inflammation and reduces synovitis. In some cases it provides permanent relief and it's safe procedure without side effects and is opd procedure. So its worthwhile to take a chance and upto three injections can be given. If steroid injection is not helping you can go for surgery afterwards also. So I would recommend local steroid injection under ultrasound guidance.
If not relieved go for synovectomy either open or arthroscopic. All the best.
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Suggest Treatment For Severe Ankle Pain

Dear patient You have got peroneus longus and brevis tendon synovitis and that is not benefited by ankle brace. Next line of management is local depomedrol injection and it s very beneficial. It not only relieves pain but also relieves inflammation and reduces synovitis. In some cases it provides permanent relief and it s safe procedure without side effects and is opd procedure. So its worthwhile to take a chance and upto three injections can be given. If steroid injection is not helping you can go for surgery afterwards also. So I would recommend local steroid injection under ultrasound guidance. If not relieved go for synovectomy either open or arthroscopic. All the best.