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  1. #1
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    Question Torn Peroneal Tendon (rider)- **Update post 17- home from surgery**

    Hey guys!
    So I finally found out yesterday, after months of frustration due to not knowing what was going on, that my peroneal tendon (runs through the foot up the outside of the ankle) is torn and one of the ligaments is too stretched and needs to be tightened. They will have to do surgery to fix both. This is most likely related to a bad injury I had back in June (fell from horse, large bone chips were removed during surgery, all summer off riding... both OS's I saw couldn't believe how bad it was). I go on Monday to my normal OS to go over with him what the other OS who I saw yesterday said. I should find out then if he wants to do the surgery himself or if he would rather the OS in Baltimore do it... I should also know exactly when he plans to do the surgery as well.

    Anyways, the OS I saw yesterday said that, if all goes well, 3 months after surgery I should be able to start lightly riding. I'll ask my normal OS as well to see what he recommends.

    Just wanted to see if anyone on here has had the same or similar injury and what your recovery time frame/experience was like. How long were you out from riding? What precatuions did you take? Any other info would be great as well.
    Last edited by Milocalwinnings; Mar. 12, 2009 at 07:33 PM.
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  2. #2
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    I have a calcaneofibular ligament tear. This is the internal ligament that runs underneath the two peroneal tendons.

    They thought I had a peroneal tendonitis, and spent 8 months treating me for that before this was discovered.

    I will also be having surgery. They told me 6 weeks in a cast, 4 weeks in a boot, and 3 months of bracing for any kind of sport--in other words, 6 months before a return to regular riding.

    Of course it all depends on many things, how healthy you are, how fit you are, how good of a patient you are. My best advice (having gone through another ligament injury elsewhere) is to keep in close communication with the doctor and DON'T PUSH yourself to get back to riding too soon. Retearing the tendon can limit your mobility forever. I know it sucks and you want to get back on but getting everything back in perfect working order first only benefits you later.



  3. #3
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    Quote Originally Posted by Alterageous View Post
    I have a calcaneofibular ligament tear. This is the internal ligament that runs underneath the two peroneal tendons.

    They thought I had a peroneal tendonitis, and spent 8 months treating me for that before this was discovered.

    I will also be having surgery. They told me 6 weeks in a cast, 4 weeks in a boot, and 3 months of bracing for any kind of sport--in other words, 6 months before a return to regular riding.

    Of course it all depends on many things, how healthy you are, how fit you are, how good of a patient you are. My best advice (having gone through another ligament injury elsewhere) is to keep in close communication with the doctor and DON'T PUSH yourself to get back to riding too soon. Retearing the tendon can limit your mobility forever. I know it sucks and you want to get back on but getting everything back in perfect working order first only benefits you later.

    Yeah, I'm really worried about retearing it once I start back into riding. I thought 3 months seemed kind of soon.... but I guess that would be best-case-scenario and it would depend on other factors.

    I need to talk to my OS again about the actual recovery time, because I seem to remember the OS I saw yesterday (different from my normal one) mentioning something about 10 days non-weight baring and then 6 weeks in a boot partly weight baring.... but my mom seems to think he said 6 weeks completely NWB. He gave us a ton of info so I don't remember all of it and didn't think to write it down! Again, I'll find out for sure from my normal OS...

    My OS originally kept telling me I probably just had really bad tendonitis along the peroneal tendon. I still thought something else was going on and pushed for an MRI in November. He said he didn't notice any tears on the MRI (the OS I saw yesterday said it was hard to miss because it didn't present as a typical tear would) and that again, I probably had bad tendonitis. When the pain continued, my OS at that point wanted a second opinion to figure out if he was missing something. So that's why I saw the other OS yesterday.

    I continued to ride despite the pain because I was originally told that stretching it would be beneficial...I'm hoping the tear isn't worse now, since the most recent MRI was in November!
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  4. #4
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    No advice, just so so sorry, and hope your healing is incredibly fast and way exceeds expectations!
    www.specialhorses.org
    a 501(c)3 organization helping 501(c)3 equine rescues




  5. #5
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    Quote Originally Posted by DressageGeek "Ribbon Ho" View Post
    No advice, just so so sorry, and hope your healing is incredibly fast and way exceeds expectations!
    Thanks I'll be heading down to Mississippi in late August for college down there, so I'm hoping that I won't have to deal with this when I'm down there as well. Kind of sucks that I'll be able to start riding just a short time before I have to leave to go down there... but I'm sure my gelding will enjoy the nice break. I'll just have to spoil him rotten from the ground <3
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  6. #6
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    Where in Mississippi?
    www.specialhorses.org
    a 501(c)3 organization helping 501(c)3 equine rescues




  7. #7
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    Oxford I'll be attending the University of Mississippi. 16.5 hrs away from home
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  8. #8
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    Default I'll take a guess......

    and say that if physician wants to do a reconstruction, it is called a "christman-snook" or some variant of it.
    Good procedure.
    You can look it up on Pubmed (if you are into medicine and details) or google and get an overview and information.

    Best of Luck,
    Medical Mike
    equestrian medical researcher
    www.fitfocusedforward.us



  9. #9
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    Quote Originally Posted by medical mike View Post
    and say that if physician wants to do a reconstruction, it is called a "christman-snook" or some variant of it.
    Good procedure.
    You can look it up on Pubmed (if you are into medicine and details) or google and get an overview and information.

    Best of Luck,
    Medical Mike
    equestrian medical researcher
    www.fitfocusedforward.us

    Very interested in medicine and details... I'll def. look up the procedure you listed.
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  10. #10
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    I am an example of what happens if you don't get it fixed. I have djd -- degenerative joint disease -- in my ankle. After several years of leg pain from poor gait mechanics, I went to an ankle specialist who said that I need the ligaments reconstructed to stop all the motion in my ankle. I thought I was just being a baby and that strengthening would do the trick. It kept getting worse and worse. Now I really can't walk without a brace. I keep thinking I will put off the surgery because I hate the idea of being out of commission for so long but maybe I need to suck it up and do it.



  11. #11
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    Quote Originally Posted by imissvixen View Post
    I am an example of what happens if you don't get it fixed. I have djd -- degenerative joint disease -- in my ankle. After several years of leg pain from poor gait mechanics, I went to an ankle specialist who said that I need the ligaments reconstructed to stop all the motion in my ankle. I thought I was just being a baby and that strengthening would do the trick. It kept getting worse and worse. Now I really can't walk without a brace. I keep thinking I will put off the surgery because I hate the idea of being out of commission for so long but maybe I need to suck it up and do it.
    That really sucks...

    I fully plan on getting it fixed asap... I"m actually quite frustrated that this wasn't caught sooner. I went to my OS in *November* and said "I want an MRI, I have a feeling that my tendon is torn" (aside from the fact that it hurts like he!!, when I have that 'gut feeling' about something, I'm almost always right and I've learned from a previous experience that I need to push for whatever it's telling me...). After some demanding I finally got the MRI, and he looked at it and said it looked fine, that I probably just needed to stretch and strengthen it. I was in tears at that appt because I KNEW something was not right and that it wasn't a strengthening issue... I just had that feeling like something else was going on. So, the most recent MRI was in November and since then I've been riding/walking a lot and I really hope that there I didn't do more damage. The OS that I regularly use (see him every 6 weeks-ish for follow ups) is a great doctor and I trust him... he just missed the tear (which supposedly was hard to spot because of the way it presented on the MRI, so it wasn't obvious). At least we know I wasn't crazy when I felt like something more was going on!
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  12. #12
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    Gee Medical Mike, I have been watching your video on rider stability. I thought my ankle had nothing to do with stability. Now I think I know why I have felt so wobbly.



  13. #13
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    Milocalwings, I told the last doctor that my vet did a MUCH better job diagnosing the lameness of my horse and fixing it at a much lower cost with no verbal input from the patient. That didn't actually go over very well.

    I have had several bad falls over the past five or so years and never felt quite right in the saddle. I am way over 40... Now i wonder if it is the laxity in my ankle.

    I am so depressed about the entire situation. I have been in a funk for several months getting it diagnosed and now coming to grips with being unable to function normally when I have already been down for so long. I bought a new horse last year and I have been absolutely unable for one reason or another to get any sustained level of riding going. By the time I do, I will be ancient!

    So take care of your ankle so you don't end up like me. I won't know for two weeks what the post-op plan is but I will let you know when I do.



  14. #14
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    I know nothing about this but wanted to tell you that my horse can commiserate with you-- he has a ruptured peroneous tertius tendon. Hey, at least you won't have to be on stall rest with yours!!! Although you'll probably feel like you're on house arrest for a while.

    Good luck with the surgery. And don't worry about being "lame" and going off to college, you don't need that ankle to hold a beer! (Sorry, couldn't resist with you going to Ole Miss and all.)



  15. #15
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    OP, I'm sorry this has happened to you! No fun at all.

    I've actually done this to BOTH ankles. (My family says I'm special.) The first, in my right ankle, was torn from overuse - I was training for a marathon and ignored the pain in my ankle to stay on my training schedule. When I finally went to the doctor, it was too late. The second, in my left ankle (I'm an equal opportunity injurer) was torn when I stepped off a curb and turned my ankle over. Not a good day. (Ironically, I was on the way to the barn to meet the vet for a lameness check on my gelding. I did the appointment on one leg, leaning on the wall, and then went to the ER.)

    Both times I spent considerable times in a boot aka walking cast. Right = three months. Left = two months. For my right ankle, which was the worse of the two, I also spent three months in physical therapy. I blew that off for the left b/c I didn't have the time. Both continue to bother me, esp. the right. Surgery is a forgone conclusion, I'm just not ready to do it yet.

    My advice - do what your doctor tells you. Seriously. Don't cut corners with this - you'll really set everything back. Make sure you do PT, if the doctor orders it. (Trust me on this one.) And listen to your body - if something doesn't feel right, don't ignore it - you'll just reaggravate everything.

    Good luck and hang in there - let us know how everything goes.
    In memory of Rebuff (1974-2009)

    Rest in peace, my sweet man



  16. #16
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    Thanks guys!

    I've been in a boot since December- it was sort of a 'last ditch effort' by my OS to see if it made any improvement between then and my appt on Wednesday. The only improvement was that it hurt less in the boot, but that's about it.

    The OS I saw on Wednesday said that I could still ride lightly (aka, only walking w/ stirrups or drop the stirrups completely) until the surgery so maybe if it's nice this weekend I'll go do that.

    My horse is so good though... seriously, we never used to really 'click' with eachother and I stuck it out with him mainly because I was his 6th home in a 2 year period and felt bad for him. I'm glad I stuck it out though... it took awhile but we are really clicking now. This summer I went out all the time to see him, even though I was on crutches- so my mom brought him in from the pasture (it was funny- she put his halter on upside down) and then handed him off to me. I put a chain shank on him for a little extra control, but I'm sure it was quite funny to see me hobble around on crutches leading this horse


    I'll keep you guys updated when I find more out about when I'll have the surgery and what exactly will be done.
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  17. #17
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    I'm really out of it so hopefully this email makes sense I kept thinking the surgery was yesterday for some reason.
    Well, the tendon apparently wasn't torn. So at least that makes me more comfortable with Dr. Lower knowing he didn't miss something. When I found out though I was not happy, because I thought I went through this for nothing then- but Lower said I would have needed surgery anyway because my ligaments and everything were extremely loose (he apparently told my parents they were just flopping around in there lol). So I have screws (not metal ones though) in my ankle to hold everything in place and tighter to the bone. These screws supposedly won't have to be removed later, which is good.
    They offered a nerve block if I wanted one, but I decided not to do that because I was afraid the pain would be worse after the block wore off, and I'd rather have pain initially and hopefully have less of it in a few days instead of having no pain at the start and having more after a few days. The devil you know is better than the devil you don't type thing.
    I'm on Percocet again, because Vicodin was the other thing they could give me but that doesn't work on me. Percocet gave me nasty side effects last time- I was pretty much non functioning because I was so incredibly dizzy even sitting up... so they put me on 5MG, 1 pill every 4 hrs instead of 7.5MG and 2 pills every 4 hrs. Pain wasn't that bad initially but I'm starting to feel it a lot more now.
    I go in on Wednesday to be put in a cast (I'm in a half-cast type splint with an ace bandage right now b/c of the possibility for swelling) and he said that in 4 weeks, if everything is healing ok, there is a chance I could go into a walking cast or boot and start weight barring.
    "People ask me 'will I remember them if I make it'. I ask them 'will you remember me if I don't?'"



  18. #18
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    HEAL FAST!!!

    And crossing fingers and jingling that you are in that walking cast ASAP.
    www.specialhorses.org
    a 501(c)3 organization helping 501(c)3 equine rescues




  19. #19
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    Well I'm glad that it went well, and you're making remarkable sense considering! Huge jingles for quick good healing! *hugs*



  20. #20
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    Ditto what Geek said: Heal fast!
    I'm not arguing, I'm just explaining why I'm right
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