(Tendonopathy, Peroneal; Peroneal Tendonitis; Tendonitis, Peroneal; Peroneal; Peroneal Tendon Injury)
DefinitionTendonopathy is an injury to the tendon. It can cause pain, swelling, and limited movement. The injury can include:
- Tendonitis—inflammation of the tendon
- Tendonosis—tiny tears in the tendon tissue with no significant inflammation
CausesPeroneal tendonopathy often occurs as a result of:
- Repetitive overuse injuries which may occur from regular activities
- Trauma to the ankle such as a sudden twisting of the ankle or foot
- A sprained ankle that turned inward
- Overstretching the foot
Risk FactorsFactors that increase your risk of peroneal tendonopathy include:
- High arched foot
- Previous ankle sprain or injury
- Weak ankles
SymptomsSymptoms include pain, tenderness or swelling along the bottom of the foot or side of the ankle. You may also experience weakening or instability in the foot or ankle.
DiagnosisYou will be asked about your symptoms and medical history. A physical exam will be done.Images may be needed of the foot and ankle. These may be taken with:
- MRI scan
TreatmentTalk with your doctor about the best plan for you. Treatment options include the following:
ImmobilizationA cast, splint, or brace may be needed to keep the foot and ankle from moving and allow the tendon to heal. You may also be asked to wear special shoes or inserts.
MedicationsPrescription or over-the-counter medication may be advised for pain. Corticosteroid injections may be needed if treatment is not effective.
Physical TherapyA physical therapist will assess the foot and ankle. Ice or heat therapy and ultrasound may be done to help relieve tension. Other physical therapy methods include ice, heat, or ultrasound to reduce pain and swelling.An exercise program will be created to help recovery and to strengthen the muscles.
SurgerySurgery may be needed in some cases. It can help to repair the tendon or adjust support structures of your foot.
PreventionTo help reduce your chance of getting peroneal tendonopathy, take the following steps:
- Avoid activities and sports that repeatedly stress the ankle.
- Do not put yourself at risk for trauma to the ankle.
- Build strong muscles to support your joints.
- Gradually increase the frequency and intensity of exercise.
- Learn proper technique for sports and exercise.
American Orthopaedic Foot and Ankle Society
OrthoInfo—American Academy of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
ACR Appropriateness Criteria chronic ankle pain. AHRQ National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=43870. Accessed March 9, 2015.
Heckman D, Reddy M, Pedowitz D, et al. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am. 2008; 90:404-418.
Peroneal tendon injuries. American College of Food and Ankle Surgeons website. Available at: http://www.foothealthfacts.org/footankleinfo/peroneal-tendon.htm. Updated December 18, 2009. Accessed May 6, 2013.
4/24/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Wise JN, Weissman BN, et al. American College of Radiology (ACR) Appropriateness Criteria for chronic foot pain. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/ChronicFootPain.pdf. Updated 2013. Accessed March 9, 2015.
- Reviewer: Teresa Briedwell, PT, DPT, OCS
- Review Date: 03/2015
- Update Date: 04/29/2014
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