Peroneal Tendon Injuries: What To Know and What to Do

Peroneal tendon injuries are a common cause of outer ankle pain and can significantly impact mobility and daily activities. Whether due to overuse, sudden injury, or underlying structural issues, proper diagnosis and treatment are essential for a full recovery.

What Is Peroneal Tendonitis?

Peroneal tendonitis is inflammation of the peroneal tendons, which run along the outer ankle and help stabilize the foot. These tendons play a crucial role in balance, walking, and preventing ankle sprains. When they become irritated or overworked, pain and swelling can develop, making movement uncomfortable.

What Causes Peroneal Tendonitis?

Several factors can contribute to peroneal tendonitis, including:

• Overuse injuries – Common in runners, athletes, and those who engage in repetitive ankle motions.
• Poor footwear – Wearing unsupportive shoes can put excessive strain on the tendons.
• Ankle instability – Previous ankle sprains or chronic instability increase the risk of tendon irritation.
• High arches – Individuals with high foot arches place more stress on the peroneal tendons.
• Sudden increase in activity – Jumping into intense exercise without proper conditioning can overload the tendons.

Understanding Peroneal Tendon Injuries

Peroneal tendon injuries are not limited to tendonitis. Other conditions affecting these tendons include:

• Tendon tears – Partial or complete ruptures due to sudden trauma or long-term wear and tear.
• Tendon dislocation (subluxation) – When the tendons slip out of their normal position, often following an ankle injury.
• Degeneration (tendinosis) – Long-term weakening of the tendon fibers, leading to chronic pain and instability.

Management and Treatment

Treatment for peroneal tendon injuries focuses on reducing pain, improving stability, and preventing further damage. Common approaches include:

• Rest and activity modification – Avoiding activities that aggravate the condition.
• Bracing or taping – Providing support to stabilize the ankle.
• Physical therapy – Strengthening exercises to restore function and prevent recurrence.
• Orthotics – Custom shoe inserts to correct foot alignment and reduce stress on the tendons.
• Anti-inflammatory medications – To manage pain and swelling.
• Surgical intervention – In severe cases, surgery may be necessary to repair torn tendons or stabilize the ankle.

Expert Care for Peroneal Tendon Injuries at Southwest Foot and Ankle Center

If you’re experiencing persistent outer ankle pain, swelling, or instability, professional treatment is key to recovery. At Southwest Foot and Ankle Center, we specialize in chronic foot and ankle conditions, offering personalized treatment plans to help patients regain mobility and comfort. Contact Southwest Foot and Ankle Center today to schedule an appointment and take the first step toward pain relief!