Peroneal Tendonitis Treatment

The main function of the peroneal tendons is to stabilize the foot and ankle and protect them from inversion sprains. The tendons work to evert or prontate the foot.

Injuries most commonly occur after an ankle sprain. Also, individuals who participate in sports that involve repetitive side to side motion are at a higher risk for peroneal tendonitis. Most commonly seen in tennis, volleyball, hiking, basketball, soccer, zumba class.  In addition, people with higher arches, pes cavus are at risk for developing peroneal tendon injuries.

Subluxation of the peroneal tendons occurs when one or both tendons have slipped out of their normal position behind the fibula. 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. Surgery is typically done to prevent the tendons from subluxing if conservative treatments fail.

Symptoms of Peroneal Tendonitis

A snapping or clicking feeling of the tendon around the ankle bone.
Pain behind the outside ankle bone.
Pain along the lateral part of the leg.
Ankle instability, weakness, and frequent sprains.
Pain at the base of the 5th metatarsal.
Pain at the lateral cuboid bone.

Diagnosis of Peroneal Tendonitis

A detailed history and physical exam with muscle and tendon evaluation is very important.

Imaging studies such as an MRI may be needed to fully evaluate the extent of peroneal tendon injury or tendon tear.

Treatment of Peroneal Tendonitis

Rest, ice, compression, and elevation is the first line of treatment.

A walking boot is helpful after the initial injury. 

Physical therapy should start very quickly after pain and edema subside.

The videos below go over a peroneal tendon strengthening techniques.

An orthotic made with a rearfoot valgus post can sometimes help.

Using a Theraband and an exercise board will help in recovery.

Wearing an ankle brace can help limit symptoms.



Walking Boot


Surgery for Peroneal Tendonitis

If pain continues, surgery is an option.

Dr. Kolodenker performs surgery on injured or torn peroneal tendons.

Peroneal Tendon Surgery should focus on repair of any degenerative tendon or tears within the tendon.

The bad part of the tendon is cut out and the torn areas are sutured together.

Early range of motion is critical. Physical Therapy will speed up recovery.

For a surgical consult, please contact Dr. Gennady Kolodenker, DPM, AACFAS in Orange County Huntington Beach or Irvine, California (949)651-1202



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Last Updated 11-02-2016