Peroneal Tendonitis Affecting The Peroneal Tendon

peroneal tendinopathy is an rare problem with the tendons on the outside of the ankle joint. The condition almost always occurs in athletes where the stresses on those structures are therefore much higher. There are two peroneal muscles on the outside of the lower limb whose tendons pass across the outside of the ankle joint with one tendon attaching on the lateral side of the foot at the bottom of the fifth metatarsal. The other tendon goes under the foot to connect to an region near the middle of the arch of the foot. The peroneal muscles have many different actions, however a primary one is to counteract the rearfoot rolling outwards and ending up with a ankle sprain. Since they work hard at that task, the strain on the tendons might be too much for the tendon to take and they end up having a peroneal tendinopathy.

Usually the problem starts off with pain either above or just beneath the lateral ankle bone with or without some mild swelling. In some the swelling develops later. With ongoing exercise the symptoms gets more chronic and progressively worse. A typical finding in those with peroneal tendonitis is a lower supination resistance. This means that it is easy for the rearfoot to supinate or roll outwards. This may cause the peroneal tendons to be really active, so if you then combine it with higher level of athletic activity, then the tendon is at higher risk for an overuse injury.

The management of peroneal tendinopathy in most cases begins with lowering the stress by lowering physical activity levels as well as the use of footwear wedging or foot orthoses to pronate or tip the foot inwards so the muscle does not have to work as hard. Ice and anti-inflammatory drugs could also help lessen the pain and swelling. Over the medium to longer term increasing stress by the way of exercise should be put on the tendon in order that it can get accustomed to the strains placed on it. In a few situations, surgery is advised.






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