Orthopedics: Conditions

Peroneal Tendon Injury

The two peroneal tendons run behind the outer ankle bone and are responsible for moving the foot outwards, as well as stabilizing the foot and ankle and protecting them from sprains. However, tendonitis, tears and dislocation can occur in the tendons.

Peroneal Tendon Injury Symptoms

People having peroneal tendinosis typically have either tried a new exercise or have markedly increased their activities. Characteristic activities include marathon running or others which require repetitive use of the ankle. Patients will usually present with pain right around the back of the ankle. There is usually no history of a specific injury. Improper training or rapid increases in training and poor shoe wear can lead to peroneal tendinosis.

Peroneal Tendon Injury Treatments

  • Immobilization
  • Medication
  • Physical therapy
  • Bracing
  • Surgery

Surgical treatment for a peroneal tendon injury is indicated if the pain does not get better with rest. If there is a tear, meaning a split that runs along the length of the tendons, one could consider cleaning it out and repairing the tendon. Sometimes, making the groove in the back of the bone of the fibula deeper allows the tendons more space and can help as well.

Recovery After Peroneal Tendon Injury Treatment

Patients usually recover fully. However, this can take considerable time. You must be patient to allow the tendon to heal before going back to activity. If surgery is needed, recovery can be substantial. Commonly, patients will not be allowed to put their foot down with weight for about six weeks.