How do you treat peroneal tendonitis

If so, you might have Peroneal Tendonitis. One of the causes of pain on the outside of the ankle and foot is Peroneal Tendonitis. The main function of the peroneal tendons is to stabilize the foot and ankle and protect them from sprains. Runners who run along slopes, which causes rolling out of the foot, are more susceptible to Peroneal Tendonitis.

Peroneal Tendonitis occurs when the tendons become inflamed. This can occur when there is overuse of the tendons, causing them to rub against the bone. The tendon is a band of tissue that attaches muscle to bone. There are two Peroneal Tendons that run on the outside of the lower leg. These tendons provide stability to the ankle and protect it from sprains. Some of the common symptoms include: pain at the back of the ankle, pain that worsens with activity, pain when turning the foot, swelling at the back of the ankle, instability when bearing weight, and an area that is warm to the touch.

Always consult your doctor before starting a new exercise program. Your healthcare provider will be able to determine an appropriate plan of care for your condition. If these exercises cause your pain to get worse or you experience swelling, warmth, or redness, stop immediately. Peroneal tendonitis is a common injury in runners and endurance athletes. With proper rest and conservative management, it often heals without surgery. Stretching may help increase flexibility and maintain range of motion in the foot and ankle.

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This makes the tendons weaker and more prone to tearing. Peroneal tendonitis can either be acute, meaning that it comes on suddenly; or it can be chronic, meaning that it develops over time.

This will often point to overuse, increased activity, or some other cause of peroneal tendonitis. It is important to determine that the pain is in the peroneal tendons and not the fibula, as this could indicate a different problem. A physiotherapist or doctor will use a variety of techniques in a physical exam to look for symptoms, generally by moving the foot and ankle into different positions and applying pressure. An X-ray, ultrasound , or MRI scan might also be used to rule out any breaks, identify abnormal swelling or scar tissue, and to further help with diagnosis.

Because overuse of the tendons often causes peroneal tendonitis, rest is crucial to help them heal. The individual should avoid walking or any other activities that may aggravate the injury until the pain has gone.

The area needs time to recover and, in time, the pain will lessen. Nonsurgical treatments that are common in cases of peroneal tendonitis include:. Surgery is rare when treating peroneal tendonitis, and it is only usually considered as a last resort if nonsurgical methods are not helping to reduce pain. If tissue around the tendons is causing irritation, the surgeon may undertake a procedure called tendon release to remove it. If a tear has occurred because of overuse of the peroneal tendons, the surgeon will also look to perform tendon repair.

People experiencing peroneal tendinitis will usually make a full recovery, but it will take time. It is essential not to rush back to activities too soon. Acute injuries will recover quicker than chronic injuries, but in both cases rehabilitation is crucial. Symptoms of tendonitis include:. Acute tears are caused by repetitive activity or trauma.

Immediate symptoms of acute tears include:. As time goes on, these tears may lead to a change in the shape of the foot in which the arch may become higher. Degenerative tears tendonosis are usually due to overuse and occur over long periods of time, often years.

In degenerative tears, the tendon is like taffy that has been overstretched until it becomes thin and eventually frays. Having high arches also puts you at risk for developing a degenerative tear. The symptoms of degenerative tears may include:.

Subluxation means one or both tendons have slipped out of their normal position. In some cases, subluxation is due to a condition in which a person is born with a variation in the shape of the bone or muscle. In other cases, subluxation occurs following trauma, such as an ankle sprain.

Damage or injury to the tissues that stabilize the tendons retinaculum can lead to chronic tendon subluxation. The symptoms of subluxation may include:. Early treatment of a subluxation is critical since a tendon that continues to sublux move out of position is more likely to tear or rupture.