peroneal tendonitis advice

Peroneal Tendonitis Advice

Peroneal Tendonitis Advice

Understanding Peroneal Tendonitis

Peroneal tendonitis is a condition characterized by inflammation and irritation of the peroneal tendons located on the outer side of the ankle. These tendons are responsible for stabilizing the foot and ankle during movement. When they become inflamed, it can cause pain and discomfort. offers valuable information on peroneal tendonitis and various treatment options available.

What Is Peroneal Tendonitis?

Peroneal tendonitis is the inflammation of the peroneal tendons, which are located behind the outer ankle bone. These tendons play a crucial role in stabilizing the foot and ankle during activities such as walking, running, and jumping. When the tendons become inflamed, it can cause pain, swelling, and difficulty in moving the ankle.

Symptoms of Peroneal Tendonitis

The symptoms of peroneal tendonitis may vary from person to person, but commonly include:

  • Pain on the outer side of the ankle
  • Swelling and tenderness
  • Difficulty in moving the ankle
  • Weakness in the foot and ankle
  • Clicking or snapping sensation

Causes of Peroneal Tendonitis

Peroneal tendonitis can be caused by various factors, including:

  • Overuse or repetitive activities
  • Improper footwear
  • Weak ankle muscles
  • High-impact sports
  • Ankle instability
  • Abnormal foot structure

Prevention and Self-Care Tips

Wear Proper Footwear

Choosing the right footwear is crucial in preventing peroneal tendonitis. Opt for shoes that provide adequate support and cushioning for your feet. Avoid shoes with narrow toe boxes or high heels, as they can put extra stress on the tendons.

Strengthen Your Ankles

Strengthening exercises can help improve the stability of your ankles and reduce the risk of peroneal tendonitis. Perform exercises that target the muscles around the ankle, such as calf raises and ankle rotations.

Warm Up and Stretch Before Activities

Before engaging in any physical activity, it is essential to warm up your muscles and stretch them properly. This can help prevent injuries, including peroneal tendonitis. Focus on stretching the calf muscles and the muscles on the outer side of the ankle.

Gradually Increase Intensity and Duration

When starting a new exercise or sport, it is important to gradually increase the intensity and duration of your activities. This allows your body to adapt and reduces the risk of overuse injuries, such as peroneal tendonitis.

Avoid Uneven or Unstable Surfaces

Avoid walking or running on uneven or unstable surfaces, as they can increase the risk of ankle sprains and peroneal tendonitis. Stick to flat and even surfaces whenever possible.

Use Orthotic Inserts or Braces

In some cases, using orthotic inserts or braces can provide additional support and stability to the foot and ankle. These devices can help reduce the strain on the peroneal tendons and prevent further irritation.

Rest and Ice to Reduce Inflammation

If you experience pain or inflammation in the peroneal tendons, it is important to rest and apply ice to the affected area. Ice packs can help reduce swelling and alleviate pain. Avoid activities that aggravate the symptoms until the inflammation subsides.

Treatment Options for Peroneal Tendonitis

Physical Therapy

Physical therapy is often recommended for the treatment of peroneal tendonitis. A physical therapist can design a customized exercise program to strengthen the ankle muscles, improve flexibility, and promote healing of the tendons.

Medications for Pain and Inflammation

Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce pain and inflammation associated with peroneal tendonitis. These medications can help provide temporary relief while the tendons heal.

Immobilization with a Brace

In some cases, wearing a brace or splint may be necessary to immobilize the ankle and allow the peroneal tendons to rest and heal. This can help reduce the strain on the tendons and promote recovery.

Corticosteroid Injections

If conservative treatments fail to provide relief, corticosteroid injections may be recommended. These injections can help reduce inflammation and alleviate pain in the peroneal tendons. However, they should be used sparingly due to potential side effects.

Surgery for Severe Cases

In rare cases where conservative treatments fail to relieve symptoms, surgery may be required. Surgical intervention may involve repairing or releasing the damaged peroneal tendons to alleviate pain and restore normal function.

Exercises and Stretches

Ankle Eversion Stretch

To perform the ankle eversion stretch:

  1. Sit on a chair with your feet flat on the floor.
  2. Cross one leg over the other, placing the ankle of the crossed leg on the opposite knee.
  3. Gently pull the toes of the crossed leg towards your body until you feel a stretch on the outer side of the ankle.
  4. Hold the stretch for 30 seconds and repeat on the other side.

Plantar Flexor Stretch

To stretch the plantar flexor muscles:

  1. Stand facing a wall, placing your hands on the wall for support.
  2. Step one foot back, keeping the heel on the ground and the toes pointing forward.
  3. Lean forward, bending the front knee, until you feel a stretch in the calf of the back leg.
  4. Hold the stretch for 30 seconds and switch to the other leg.

Resistance Band Exercises

Resistance band exercises can help strengthen the muscles around the ankle and improve stability. Some exercises you can try include:

  • Ankle dorsiflexion with resistance band
  • Ankle inversion with resistance band
  • Ankle eversion with resistance band

Balance and Proprioception Exercises

Balance and proprioception exercises can help improve ankle stability and reduce the risk of future injuries. Some exercises to consider include:

  • Single-leg stance
  • Bosu ball exercises
  • Balance board exercises

Eccentric Strengthening Exercises

Eccentric strengthening exercises focus on lengthening the muscles while under tension. These exercises can help improve the strength and flexibility of the peroneal tendons. Examples of eccentric exercises include:

  • Eccentric calf raises
  • Eccentric ankle dorsiflexion

When to Seek Medical Attention

If Symptoms Worsen or Persist

If your symptoms worsen or persist despite self-care measures, it is important to seek medical attention. A healthcare professional can evaluate your condition and determine if further treatment is necessary.

If Pain and Swelling Increase

If you notice an increase in pain and swelling in the peroneal tendons, it may indicate a worsening of the condition. Medical advice should be sought to prevent further damage and promote proper healing.

If You Experience Difficulty Walking

Difficulty walking or bearing weight on the affected foot may indicate a severe case of peroneal tendonitis. It is advisable to consult a healthcare professional for a thorough evaluation and appropriate treatment.


Peroneal tendonitis is a condition that can cause pain and discomfort in the ankle.

peroneal tendonitis advice