Tibiofibular Joint Instability Non-Surgical Treatment
Can proximal tibiofibular joint instability be treated without surgery?
The proximal tibiofibular joint instability without surgery depends on the severity and specific characteristics of the injury. In some cases, especially with acute or less severe chronic cases, non-surgical or conservative approaches may be considered.
For patients who are candidates for non-operative treatment, the focus of care will be on reducing pain, inflammation, while also improving overall stability and function of the proximal tibiofibular joint.
During the initial period after the injury, it is essential to rest the knee and avoid activities that worsen the pain. In acute cases, immobilization in a brace in full extension for 3 weeks is often very effective in allowing the posterior proximal tibiofibular joint ligament tear to scar in sufficiently such that there is no instability.
Oral anti-inflammatory and pain-relieving medications, such as Meloxicam, Naproxen, Advil, or Ibuprofen, may help to manage the pain and reduce inflammation of the knee. Applying ice packs and compression to the knee can also help reduce swelling and inflammation. Remember to use a cloth or towel between the ice pack and your skin to avoid frostbite.
A structured physical therapy program can be beneficial for strengthening the muscles around the knee and improving overall joint stability. A physical therapist can guide you through exercises that focus on the quadriceps, hamstrings, and calf muscles to provide this additional support to the knee. Additionally, proprioceptive training can enhance knee stability. Proprioception is the body’s ability to sense joint position and movement, and improved proprioception can help with knee stability and control during activities. It is important to complete any home exercises that your physical therapist provides to you in order to optimize your recovery.
The goal of an intra-articular injection is to manage pain and inflammation of the tibiofibular joint when arthritis has settled.
At a Glance
Dr. Jorge Chahla
- Triple fellowship-trained sports medicine surgeon
- Performs over 700 surgeries per year
- Assistant professor of orthopedic surgery at Rush University
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