The tendons of the peroneal longus and peroneal brevis muscles pass around the lateral malleolus and insert into the lateral side of the base of the first metatarsal bone and the lateral side of the base of the fifth metatarsal bone, respectively. These tendons help stabilize the foot and assist eversion of the foot. Inversion of the foot causes these two tendons to stretch. Repeated stretching of these tendons, which may occur in running and jumping, causes irritation, swelling, inflammation, and pain in the tendon.
Dry needling acupuncture is an effective treatment for this injury. Needles can be applied directly into the inflamed, tender, swelling, and painful tendons. The origin and belly of the muscles should be needled along with their insertion. In addition, the treatment is used to balance the entire muscu-loskeletal system. Two treatment sessions per week should be provided.
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