What is it and what are the symptoms?
The peroneal tendons (peroneus longus and peroneus brevis) are located on the outside of the foot and have an important role in stabilising the foot. Peroneal tendinopathy is a condition where one or both peroneal tendons become irritated and inflamed. It occurs from overuse, repetitive stress or ankle instability and results in the following symptoms:
- Pain and swelling on the outside of the ankle
- Feelings of instability
- Pain turning the foot in and out
- Increased pain with walking and running (especially on uneven surfaces), jumping and side to side motions.
Who gets it?
Peroneal tendinopathy can affect anyone, but it is most seen in:
- Athletes in sports which involve repetitive running, jumping or quick changes in direction e.g. runners, soccer players, basketball players, tennis players and dancers.
- People with previous ankle sprains
- People with foot abnormalities such as flat feet or high arches
- People who have suddenly increased their physical activity loads over a short period of time
- Older people
Management Options
- Rest and activity modification to reduce stress on the tendons
- Icing and anti-inflammatory medications
- Footwear modification to provide good arch support
- Taping or bracing to increase ankle stability and reduce strain on tendons.
Physiotherapy for Peroneal Tendinopathy
Physiotherapy for peroneal tendinopathy is about reducing pain, restoring function and increasing the strength of the peroneal tendons. Your physiotherapist will help you devise a plan which will include pain management techniques (icing, massage and taping), tailored strengthening and stretching exercises, as well as advice on a gradual return to regular sport and activites, and a plan to avoid re-injury.
If you need help with peroneal tendinopathy, reach out to our high skilled physiotherapists by clicking the booking link on our website.
