Peroneal tendinopathy

Overload of the tendons on the outer side of the ankle.

Overview

Peroneal tendinopathy is irritation of the tendons running behind the outer ankle bone, causing outer-ankle pain with activity. It is common after ankle sprains and responds to load management and strengthening.

Symptoms

  • Pain behind and below the outer ankle bone
  • Pain with activity and pushing off
  • Swelling along the tendons
  • A sense of ankle instability in some cases

Causes

  • Previous ankle sprains
  • Sudden increases in load
  • Foot and ankle mechanics

Treatment

  • Load management and graded strengthening
  • Balance and control work
  • Footwear and orthoses where helpful
  • Activity modification