500523 Health Library | Health and Wellness | Wellmont Health System
  • Peroneal Tendinopathy

    (Tendinopathy, Peroneal; Peroneal Tendonitis; Tendonitis, Peroneal; Peroneal; Peroneal Tendon Injury)


    Tendinopathy is an injury to the tendon. It can cause pain, swelling, and limited movement. The injury can include:
    • Tendonitis—inflammation of the tendon
    • Tendinosis—tiny tears in the tendon tissue with no significant inflammation
    The peroneal tendons run along the outside of the ankle bone. Treatment depends on the severity of the injury.


    Peroneal tendinopathy 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 Factors

    Factors that increase your risk of peroneal tendinopathy include:


    Symptoms 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.


    Your doctor will ask about your symptoms and medical history. A physical exam will be done.
    Your doctor may also need images of the foot and ankle. These may be taken with:
    Your doctor may also inject a medicine in local structures. This can help your doctor confirm what structures are causing the problem.


    Talk with your doctor about the best plan for you. Treatment options include the following:


    A cast, splint, or brace may be needed. They will help keep your foot and ankle from moving to let the tendon rest. You may also be asked to wear special shoes or inserts.


    To help manage pain, your doctor may recommend:
    • Over-the-counter pain relievers, such as acetaminophen or non-steroidal anti-inflammatory medication (NSAIDs)
    • Prescription pain relievers
    • Corticosteroid injections

    Physical Therapy

    Physical therapy excercises will help to regain strength and range of motion within the foot and ankle. Other physical therapy methods include ice, heat, or ultrasound to reduce pain and swelling.


    Surgery may be needed in some cases. It can help to repair the tendon or adjust support structures of your foot.


    To help reduce your chance of getting peroneal tendinopathy, take the following steps:
    • Avoiding 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 increasing the frequency and intensity of exercise.
    • Learn proper technique for sports and exercise.


    American Academy of Orthopaedic Surgeons http://orthoinfo.org

    American Orthopaedic Foot & Ankle Society http://aofas.org


    Canadian Orthopaedic Association http://coa-aco.org

    Canadian Orthopaedic Foundation http://canorth.org


    ACR Appropriateness Criteria chronic ankle pain. AHRQ National Guideline Clearinghouse website. Available at: http://www.guideline.gov/content.aspx?id=15735 . Accessed May 6, 2013.

    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.

    Peroneal tendinopathy. EBSCO Dynamed website. Available at: http://www.ebscohost.com/dynamed/what.php . Accessed May 6, 2013.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.