Peroneal tendonitis is an inflammation of the peroneal tendons, which run along the outer side of the lower leg and are essential for stabilising the ankle and foot. These tendons help with foot movements such as turning the foot outward and pointing the toes down.
Overuse: Repetitive strain from activities like running, particularly on uneven surfaces, can lead to tendonitis.
Abnormal Foot Mechanics: Issues like excessive foot rolling outward (supination) or high arches can put extra stress on the tendons.
Poor Footwear: Shoes that lack adequate support or cushioning can contribute to tendonitis.
Previous Injuries: Prior ankle injuries or sprains can weaken the tendons, making them more prone to inflammation.
Sudden Activity Increase: Rapidly increasing physical activity or intensity without proper conditioning can cause tendonitis.
Muscle Imbalances: Weakness or imbalances in the calf or lower leg muscles can affect tendon function.
Have questions? We are here to help!
Pain: Tenderness and pain along the outer ankle and foot, which may worsen with activity.
Swelling: Mild to moderate swelling around the tendons.
Stiffness: Increased stiffness, especially after rest.
Movement Pain: Discomfort during activities involving ankle movement, such as walking or running.
Tenderness: Sensitivity along the tendons.
Treatment and Management of Peroneal Tendonitis
Rest and Activity Modification
Lower limb stretching and strengthening exercises
Well-cushioned, supportive footwear
Custom Foot Orthotics: To provide support, cushioning, and redistribution of pressure.
Extracorporeal Shockwave Therapy (ESWT): This non-invasive procedure uses shockwaves to stimulate healing, reduce surrounding inflammation and pain in chronic cases.
Surgery: May be considered if conservative treatments fail.