Peroneal Tendonitis Treatment | Protalus

Peroneal Tendonitis Treatment | Protalus

What is peroneal tendonitis?

When you see a condition that ends in “itis,” this typically refers to inflammation. So peroneal tendonitis is an inflammation of the peroneal tendons, which are located near the ankle, along the outside of the foot, and run up the lower leg. If you cup your hand around your ankle bone on the outer edge of your foot, you’re likely tracing the path of the peroneus longus and peroneus brevis tendons. These tendons help stabilize the foot and ankle, especially during weight-bearing and ankle movements, making them prone to overuse and repetitive stress injuries.

Although anyone can develop peroneal tendonitis, it’s more commonly diagnosed in runners and individuals with high arches, tight calf muscles, or those recovering from an ankle sprain. These risk factors increase strain on the peroneal muscles, leading to irritation or inflammation of the tendon sheath.

peroneal tendonitis

Prevention

To avoid the need for peroneal tendonitis treatment, it’s crucial to wear supportive footwear or shoe insoles that stabilize the arch and correct alignment problems such as overpronation. These measures help relieve pressure on the peroneal tendons. Gradually increasing your physical activity and avoiding sudden spikes in intensity can also prevent peroneal tendinopathy.

Other ways to prevent or reduce your risk include:

  • Stretching the calf muscles and peroneal muscles regularly

  • Strengthening the affected leg and other leg to maintain balance

  • Avoiding uneven surfaces and improper training techniques

     

     

Risks Factors

  • Sudden change in physical activity or exercise routine

  • Unsupportive footwear

  • High-impact or repetitive stress activities like running and jumping

  • High arches or flat feet

  • Poor exercise form

  • Previous ankle injuries or tendon tear

These risk factors increase the likelihood you may develop peroneal tendonitis, especially in chronic cases or when increased pain is ignored.

Symptoms

The symptoms of peroneal tendonitis often overlap with other foot and ankle conditions, making it essential to get a physical exam and assessment by a healthcare provider. Be on the lookout for:

  • Persistent peroneal tendon pain or swelling behind the ankle bone

  • Pain that worsens with running, jumping, or during ankle movements

  • Weakness in the ankle while walking

  • A popping sensation or instability in the affected foot

  • Discomfort on the outside of the foot

  • Pain during range of motion exercises or while stretching the lower leg

Always consult your doctor to confirm the condition. What seems like peroneal tendonitis could actually be a tendon tear, subluxation, or fracture, all of which require different treatment approaches.

recovery boot

Diagnosis

Peroneal tendonitis diagnosed by a medical professional usually involves reviewing your medical history, performing a physical exam, and potentially ordering imaging tests. These steps help differentiate it from other causes of foot pain, including peroneal tendinopathy, tendon tears, or ligament issues.

Treatment

So, how is peroneal tendonitis treated? Once diagnosed, your doctor may recommend a combination of conservative treatments and, in some cases, advanced treatments. The primary goal is pain relief, restoring function, and preventing recurrence. Common ways on how to treat peroneal tendonitis include:

  • Resting the affected leg and avoiding aggravating activities

  • Applying an ice pack to reduce swelling

  • Using a compression bandage or ankle brace to immobilize and support the tendon

  • Taking anti-inflammatory medications for pain relief

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