Peroneal tendinopathy is an inflammation of one or both tendons that travel down the lower leg and along the outside of the ankle. The tendons affected are peroneus longus and peroneus brevis.
Signs and symptoms
Peroneal tendinopathy presents with pain and occasionally swelling on the outside and towards the back of the ankle. Pain may be experienced during or after activity or immediately following rest. Untreated peroneal tendinopathy may worsen over a period of weeks or months. Pain may also be felt on palpation of the affected tendon(s).
What are the causes of peroneal tendinopathy?
Common causes include:
- Overuse, particularly in runners, dancers, basketballers and netballers.
- Pes cavus foot type (high arch) – as the foot rolls outwards the peroneal tendons are over stretched.
- Tight gastrocnemius (calf) muscles.
- Running or walking on slopes.
Podiatry treatment for peroneal tendinopathy
Your podiatrist will perform a full biomechanical and gait assessment. Treatment may then consist of a combination of the following:
- Footwear recommendation and referral.
- Orthotic prescription to improve poor foot mechanics.
- Dry Needling to alleviate soft tissue adhesions.
Referral for physiotherapy or deep tissue sports massage.