Hi. I was doing a sit in move on my left ankle while bouldering last week and suddenly there was a loud pop in my left ankle and I saw my tendon on the ankle bone and soon after, it went back into the original position. On that day itself, it came out a few times when I tried to stand up. After a week now, the tendon is still moving out of place onto the outside of my ankle bone and relocating again. I was trying to climb with ankle guard for the past week as the pain subsided. Now I have totally stopped climbing and I'm going to see if it heals. I can run now without any pain or dislocation of my peroneal tendon. It only pops out again when I do a sitin move on my left ankle or when my foot is pointed outwards and upwards. When the tendon pops out, there's only a little pain and more of a "shock". I'm very worried about this as I'm afraid i cant climb again. Can someone tell me if my case is minor or severe and if I could recover without any surgeries? Thanks!! I think im going to see a specialist soon...
I did the same thing climbing. Unfortunately it won't likely heal on its own, and the only way for it to without surgery is to get a nonweight bearing cast put on it for 6 weeks and hope it heals. This has a 50% or less success rate. I tried this and it wasn't successful and I ended up having the surgery to fix it. I recommend just going straight to surgery because it is actually likely to fix the problem.
By Brad Caldwell From Deep in the Jocassee Gorges Feb 18, 2013
Sounds like you may have ruptured the pulley for the tendon and it won't stay in alignment...especially if you heard an audible pop. The pop indicates something tore and afterwards the tendon won't stay in place, just makes me think its a "pulley" and not the tendon itself. I use the term pulley loosely for the structure that keeps the tendon in place and aligned correctly. These sorts of things generally don't fix themselves easily and surgery may be needed to fix or create a new pulley to keep it in place. If you continue experiencing it moves as it is, over the bone and back, you could do damage to the tendon and chronic inflammation/discomfort is an almost guarantee. See a specialist and hope for the best.
Friend had this happen to him. Happened in the summer but he climbed until winter then got surgery. He had something before the boot but now has the boot on for several weeks. If I talk to him I'll get better details for you. Best of luck to you
Ohh... Okay thanks for your advices! Can you share about how it feels like after the surgery and how long before you can climb again?
Depending on the exact procedure they perform the level of pain is moderate. I ended up having to have them enlarge the groove the tendons run through which required cutting the bone, shifting it, and then screwing it back on in addition to repairing the retinaculum. I was in a nonweightbearing cast for 6 weeks, then a walking boot for another 4 before then PT began. Started climbing in the walking boot after 3 months but wasn't back to normal strength in the ankle for ~6 months.