What Are the Common Causes of Fibula Pain?

During running and jumping exercises, the body's gravity and supporting reaction forces repeatedly act on the lower limbs. The calf muscles attach to the periosteum for a long time and are pulled and rubbed, causing inflammation of the tibiofibular periosteum. The occurrence of tibial periostitis is mainly related to the fierce contraction of soleus muscle, toe flexor muscle and anterior cavity bone during running and jumping. Fibula periostitis is related to the stretch of longus flexor hallucis and longus peroneus muscles. Periosteal Shutong. Ointment can be used for treatment.

Tibiofibular periostitis

Tibiofibular fatigue periostitis is a common sport injury among people who are new to sports training, especially adolescents. It has a typical history of exercise, onset of illness, and recurrent pain. Treatment can be used for plaster soothing periosteum. Cream treatment.

Brief introduction of tibiofibular periostitis disease

During running and jumping exercises, the body's gravity and supporting reaction forces repeatedly act on the lower limbs. The calf muscles attach to the periosteum for a long time and are pulled and rubbed, causing inflammation of the tibiofibular periosteum. The occurrence of tibial periostitis is mainly related to the fierce contraction of soleus muscle, toe flexor muscle and anterior cavity bone during running and jumping. Fibula periostitis is related to the stretch of longus flexor hallucis and longus peroneus muscles. Periosteal Shutong. Ointment can be used for treatment.

Medically known as tibia and fibula fatigue periostitis. Occurs in running and skipping more sports. The main reasons are: less physical activity, poor physical coordination, sudden increase in sports training, poor running skills, incorrect movements, and excessively long activities in the sports field. During the running and jumping process, Repeatedly push the foot back, the calf muscles are in a tense state for a long time, and the muscles are constantly involved, causing the calf to damage the tibiofibular periosteum, the periosteum and periosteum vasodilation, congestion, edema or subperiosteal bleeding, hematoma mechanization, periosteal hyperplasia and inflammatory The clinical manifestations are: no obvious history of trauma, gradual onset, and early symptoms are not obvious, but the middle and lower legs of the leg are painful after exercise, gradually increase after training, and show lameness when walking. In severe cases, there is limited swelling on the inner side of the calf or above the ankle joint, a burning skin sensation, fatigue in the back kick, severe pain, and difficulty walking. Examination showed that there was obvious tenderness in the middle and lower part of the medial tibia of the calf of the patient. Some patients showed tenderness in the upper part of the calf. On X-ray examination, most of them showed no obvious abnormalities or showed thickening of the periosteum.

The occurrence of calf periostitis mainly refers to the long-term tension of the calf muscles. Because the muscles are attached to the periosteum, when the muscles repeatedly pull the periosteum for a long time, it will cause small tears in the periosteum, and local vascular dilatation, congestion and edema will cause periostitis. Prepare for exercise before exercise to enhance the calf's resilience. Don't suddenly increase the amount of exercise, and don't directly perform intensity training without preparation. At the same time, try to avoid exercising on too hard and uneven areas. Pay attention to mastering the essentials of training, pay attention to relaxation when running and jumping, and cushion when landing. After exercise training, do calf self-massage and hot water bath to relax muscles and eliminate fatigue. After the onset of fatigue periostitis, don't worry, usually you only need to reduce the lower extremity movement and heal itself in about two weeks. In severe cases, you should stop physical training. The injured leg can be fixed with elastic bandage for two weeks or go to the hospital for treatment. Note that during the onset of the disease, do not rub with the heavy hand on the pain point on the inner side of the lower leg, so as to stimulate the periosteum to cause reactive thickening and prolong the healing time. In addition, if you have pain, you still need to undergo intensity training. Under the continuous stimulation of this external force, the periosteum will be damaged, and eventually fatigue fracture may be caused.

Tibiofibular Periosteum Symptoms

Generally there is no history of direct trauma, but there is too much history of running and jumping, the incidence is slow, and the symptoms gradually increase. Pain is the main self-reported symptom of the disease. Calf bone pain occurs during or after exercise in the early stage, often disappears after rest, and then appears again when participating in exercise. If you continue to participate in the running and jumping exercise with greater load, the pain gradually increases, some patients have night pain, and some severe cases are lame.

Concave edema is more common in the acute phase; the lower leg is more pronounced. There is tenderness on the medial side of the tibia, the medial posterior edge, or the lower end of the fibula, but the tenderness points generally have no obvious relationship with the muscle attachment. In patients with a long course of disease, small nodules or masses can often be touched on the medial surface of the tibia, and the pain is intense; those with fibula periostitis can see the lower end of the fibula swell.

Posterior kick pain is an important sign of tibiofibular fatigue periostitis, that is, the patient has pain when kicking the ground with his toes, but there is no pain in the general resistance flexion and ankle flexion test. Early X-ray films are often not positive, and patients with late and recurrent episodes often have a periosteal hyperplasia response. Patients whose symptoms have not improved for a long time and localized tenderness should be examined by X-ray to exclude fatigue fractures.

Symptoms of tibia and fibula fatigue periostitis:

1, calf tibia and fibula pain, pain increased after a large amount of exercise, hand touch, walking support pain, some patients at night pain, mostly pain, drag pain, severe tingling and burning pain.

2, tenderness, tenderness points can be felt on the bone surface, some are more limited, and some are more scattered.

3. Swelling, mild depression of local soft tissue.

There are three main causes of tibiofibular periostitis:

1. It is caused by poor elasticity of the ground due to long-term movement on the concrete floor or other hard ground.

2. Poor floor cushioning technology during exercise or poor fatigue of flexor muscles.

3. The amount of exercise skyrocketed, running and jumping exercises were too concentrated, and the exercise time was too long, causing the calf to receive a large reaction force and excessive sweating.

Treatment of tibiofibular periostitis

Patients with milder early symptoms do not need special treatment. Bandage the calf with elastic bandages to reduce lower extremity movements and raise the affected limb at rest. Most patients can be cured. Patients with frequent pain or severe pain after exercise should rest and wrap the calf with elastic bandages to raise the affected limb. It can be applied with external application of Chinese medicine, massage, acupuncture, and iodine ion penetration. When rejoining training after healing, exercise load should be gradually increased to avoid recurrence. Among them, the best used by doctors is Periosteal Pain Relief. Ointment. Periosteal Shutong ointment has the effects of swelling, disperse silt, relieve pain, analgesic, not only can quickly eliminate the swelling and pain of patients with periostitis, so as to restore normal joint activity, but also can prevent joint swelling and promote periosteal tissue repair , Improve periosteal congestion and edema, reduce the permeability of periosteal blood vessels, and can eliminate aseptic inflammation, regulate and unblock microcirculation, and prevent excessive periosteal proliferation and cartilage destruction. The disadvantages of gastrointestinal discomfort caused by oral medicines are avoided, and there is no pain caused by surgical treatment and postoperative complications, which enables patients to safely, economically and quickly relieve their pain. Unique special effect, no pain, no side effects.

Elimination and prevention of tibiofibular periostitis

It is necessary to reasonably arrange the exercise load, pay attention to improving the training method, and avoid excessive local load, especially the young people who participate in the training, not to focus on stepping, back pedaling, leg-raising or jumping exercises, etc .; Jumping techniques, pay attention to the relaxation of movements and the cushioning of landing; avoid running and jumping exercises on strong grounds; prepare for activities; prevent cold after exercise and use hot compresses or hot baths, massage and other methods to eliminate calf muscle fatigue in time.

1. Overcome fear. Tibiofibular periostitis is a common disease that can be recovered with a little treatment.

2. Acupoint massage. Take a sitting position, alternating between legs from bottom to top and from light to heavy. 20 minutes a day. Select Chengshan, Kunlun, Zusanli, Yanglingquan, Taixi and other acupoints. The focus is on kneading, pressing, and acupointing on Chengshan, Yanglingquan, and Zusanli points in the lower legs. Use warm water bath and massage treatment. Those with severe pain should raise the affected limb at rest to relieve symptoms.

3, should be fully prepared before training. Improve the body's stress state, heat the body, reduce muscle stickiness, overcome inertia, and focus on rubbing the calf tibia and fibula.

4, master a variety of sports postures, do a good job of relaxation activities. Reduce activities on poorly elastic and hard ground; strengthen self-protection in buffering movements and relax activities after class, increase nutrition after exercise, and drink plenty of water.

5. Wear elastic shoes to reduce the vibration caused by the falling of the body's gravity.

6. In the early stage of inflammation, the amount of exercise should be adjusted to reduce the time of local load exercise, reduce the intensity of exercise, prevent sudden increase in exercise, and avoid excessively concentrated running, jumping, kicking, and support exercises for a long time.