Peroneal Tendinopathy

What is peroneal tendinopathy?

The peroneal tendons run along the outside of the lower leg and wraps behind the lateral malleolus (bony protuberance on the outside of the ankle). As described in the ‘Achilles’ section ‘tendinopathy’ is often linked to a change in load or irritation to 1 or more of these tendons leading to the onset of pain.

How does peroneal tendinopathy present?

It is common in runners and dancers and often occurs as a secondary condition to ankle stability or post-surgery due to a change in foot biomechanics and muscle strength. The pain presents around the outside of the ankle and can track up the outside of the lower leg. It will most often develop gradually and cause a dull ache or burning sensation. Pain will worsen following periods of increased activity.

How Is It treated?

Physical therapy is essential in its management to work on strength and stability around the ankle. Footwear must also be assessed as well as movement patterns or technique and training programmes. Taping, soft tissue massage and load management will be effective in the short term but to reduce the risk of re-occurrence the  original cause must be highlighted.

What You Need To Know
  • Causes pain down the outside of the foot and ankle.
  • Commonly develops following repeated ankle sprains.
  • A change in footwear/ trainers can be an associated cause.
  • Pain is often described as a burning sensation.