![]() ![]() The biceps tendinopathy described above again is often treated with a steroid injection, but such injections in other tendons have been shown to be inferior to PRP (9). Other options include surgical repair of the tibiofibular ligaments, but the need for that surgery is rare (12). In addition, PRP and bone marrow concentrate (containing stem cells) have shown success in healing damaged ligaments, hence these injections might be used to help heal the loose ligaments and tighten down the instability (6-8). Newer orthobiologic injections like platelet-rich plasma (PRP) don’t have the same damaging effects on cartilage and have been shown to work well in larger joints like the knee (3-5). One problem here is that while this is a potent anti-inflammatory that can help reduce swelling and pain on a temporary basis, these steroid shots also kill cartilage (2). For more chronic pain that’s been there longer, a diagnosis of which of the above problems is causing the pain is critical.įor example, if we take the above causes of pain, here are some things that can be done:įor an unstable or damaged joint, simple solutions that are commonly offered include a steroid injection into the area of joint. For most acute pain that’s been present for only days to weeks, rest and/or physical therapy is usually the answer. Treatment here depends on what’s causing the problem. Causes include: Read More About Peroneal Nerve Injury Show More How Do You Fix Fibular Head Pain? ![]() Trauma and nerve compression, especially caused by a fractured or dislocated ankle, can all cause injury to the peroneal nerve. What Causes Peroneal Nerve Compression? There are many potential causes of peroneal nerve compression, such as overuse activities, surgery, instability, or any compression on the outside of the knee. Typically, this will present as pain on the outside of the knee radiating towards the baby toe, the calf, and the lateral shin towards the lateral ankle. The common peroneal nerve branches behind the knee and this could be irritated from any overuse activity, surgery, instability, or any compression on the outside of the knee. This can pain can be made worse when the hamstring muscle is used, for example in the gym when leg curls are performed. ![]() When this muscle is chronically tight that can cause the tendon to get ripped up through wear and tear, a condition that’s known as tendinopathy. The outside hamstrings muscle attaches to the fib head. This is not usually part of the typical orthopedic exam. Many people with the instability of the head of fibula don’t know it until an experienced manual physical therapist or physician tests the stability of the bone side to side, finding that one fibula moves dramatically more than the other. These ligaments include the tibiofibular and lateral collateral. The joint here between the two bones can become arthritic or swollen, which can cause pain. If the ligaments that hold the fibula to the tibia are loose or damaged, this causes too much motion or fibular head instability. ![]() Why is My Fibula Hurting?įibular head pain primary causes can be broken down into a few categories: In addition, this excessive movement can cause the peroneal nerve that wraps around the fib head here to become irritated. Since there is a joint here between these two bones, if this bone moves too much the joint can be damaged and become arthritic. When these ligaments become too loose this can cause the fibula to become unstable and fibular head pain. The tibiofibular ligaments attach the fibula to the tibia and help stabilize the posterior lateral corner of the knee (blue in the image here attaching the yellow fibula to the tibia). ![]()
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