

About the condition
Peroneal Tendinopathy
What is Peroneal Tendinopathy? Peroneal tendinopathy is a condition that causes pain, swelling, and stiffness in the peroneal tendons, which run along the outside of the ankle and foot. It is often caused by overuse or repetitive strain on the tendons.
Symptoms
• Pain and swelling along the outside of the ankle and foot.
• Stiffness and tenderness in the affected area.
• Pain that worsens with activity.
• Instability or weakness in the ankle.
Causes
• Overuse or repetitive strain on the peroneal tendons.
• Sudden increase in physical activity.
• Wearing improper footwear.
• High arches or flat feet.
• Previous ankle injuries.
Diagnosis A podiatrist will diagnose peroneal tendinopathy based on your medical history and a physical examination of your foot and ankle. Imaging tests such as ultrasound or MRI may be used to assess the severity of the condition.
Treatment
• Relative rest: Avoid activities that put stress on the peroneal tendons.
• Strengthening: Perform exercises to strengthen the peroneal tendons and calf muscles.
• Footwear: Wear supportive shoes with good arch support and cushioning.
• Orthotics: Use custom orthotic devices to support your feet. Stabilising the lateral column, and reducing daily stress to the peroneal tendon whilst healing takes place. They may reduce the risk of reinjury.
• Medication: Take over-the-counter pain relievers such as ibuprofen or paracetamol.
• Physical Therapy: A physical therapist can provide exercises and treatments to help alleviate pain.
• Injections: Corticosteroid injections may be used to reduce inflammation.
• Surgery: In severe cases, surgery may be necessary to repair the damaged tendons.
Prevention
• Maintain a healthy weight.
• Wear supportive footwear.
• Avoid walking barefoot on hard surfaces.
• Stretch your calf muscles regularly.
• Gradually increase the intensity of your physical activities.