(Tendinopathy, Peroneal; Peroneal Tendonitis; Tendonitis, Peroneal; Peroneal; Peroneal Tendon Injury)
Pronounced: Per-o-NEE-al ten-din-AH-path-ee
Tendinopathy is an injury to the tendon. It can cause pain, swelling, and limited movement. The injury can include:
The peroneal tendons run along the outside of the ankle bone. Treatment depends on the severity of the injury.
Peroneal tendinopathy often occurs as a result of:
Factors that increase your risk of peroneal tendinopathy include:
Symptoms include pain, tenderness or swelling along the bottom of the foot or side of the ankle. You may also experience weakening or instability in the foot or ankle.
Your doctor will ask about your symptoms and medical history. A physical exam will be done.
Your doctor may also need images of the foot and ankle. These may be taken with:
Your doctor may also inject a medicine in local structures. This can help your doctor confirm what structures are causing the problem.
Talk with your doctor about the best plan for you. Treatment options include the following:
A cast, splint, or brace may be needed. They will help keep your foot and ankle from moving to let the tendon rest. You may also be asked to wear special shoes or inserts.
To help manage pain, your doctor may recommend:
Physical therapy excercises will help to regain strength and range of motion within the foot and ankle. Other physical therapy methods include ice, heat, or ultrasound to reduce pain and swelling.
Surgery may be needed in some cases. It can help to repair the tendon or adjust support structures of your foot.
To help reduce your chance of getting peroneal tendinopathy, take the following steps:
American Academy of Orthopaedic Surgeons
American Orthopaedic Foot & Ankle Society
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
ACR Appropriateness Criteria chronic ankle pain. AHRQ National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=15735 . Accessed May 6, 2013.
Heckman D, Reddy M, Pedowitz D, et al. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am . 2008; 90:404-418.
Peroneal tendon injuries. American College of Food and Ankle Surgeons website. Available at: http://www.foothealthfacts.org/footankleinfo/peroneal-tendon.htm . Updated December 18, 2009. Accessed May 6, 2013.
Peroneal tendinopathy. EBSCO Dynamed website. Available at: http://www.ebscohost.com/dynamed/what.php . Accessed May 6, 2013.
Last reviewed May 2013 by Teresa Briedwell, DPT, OCS; Brian Randall, MD