RS Podiatry Clinic

Peroneal Tendinopathy

Pain on the outside of your ankle could be a condition known as peroneal Tendinopathy or Peroneal Tenosynovitis. Peroneal tendinopathy refers to a condition characterised by pain and dysfunction of the peroneal tendons, which run along the outside of the lower leg and behind the ankle. These tendons play a role in stabilising the foot and ankle during walking, running, and other weight-bearing activities. Peroneal tendinopathy can be caused by repetitive overuse, acute injuries, improper footwear, or anatomical factors.

As podiatrists we specialise in diagnosing and treating foot and ankle conditions, including peroneal tendinopathy. We can help with:

  1. Diagnosis: Perform a thorough examination of your foot and ankle, assess your symptoms, and review your medical history. We may also utilise imaging techniques such as X-rays, ultrasound, or MRI to confirm the diagnosis.

  2. Treatment plan: Develop an individualised treatment plan based on your specific needs. This plan may include a combination of various approaches, including conservative measures and, in some cases, surgical intervention.

  3. Conservative treatments: Podiatrists often begin with conservative treatments to manage peroneal tendinopathy. These may include:

    • Rest and immobilization: Reducing or avoiding activities that worsen the symptoms and using immobilisation devices like a walking boot or ankle brace can promote healing.

    • Ice and anti-inflammatory medications: Applying ice to the affected area can help reduce pain and inflammation. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be recommended for pain management.

    •  Strength exercises: Guide you through exercises and stretches to improve strength, flexibility, and stability in the foot and ankle.

    • Run3D analysis: Run3D is a specialised gait analysis system that helps assess running mechanics. By analysing your running technique, we can identify any biomechanical abnormalities contributing to the condition and provide recommendations for correcting them.

    • MLS Laser Therapy: MLS (Multiwave Locked System) Laser Therapy is a treatment modality that uses specific wavelengths of light to stimulate tissue healing, reduce pain, and decrease inflammation. We may use MLS Laser Therapy as part of the treatment plan for peroneal tendinopathy.

  4. Orthotic devices: Custom orthotic devices, such as shoe inserts or ankle-foot orthoses, may be prescribed by a podiatrist to provide support, correct abnormal foot mechanics, and reduce stress on the peroneal tendons.

  5. Footwear recommendations: We can evaluate your footwear choices and provide recommendations for appropriate shoes that offer proper support, cushioning, and stability for your foot type and activities.

  6. Surgical intervention: In cases where conservative treatments fail to provide relief, a referral for surgical options may be considered. Surgery may involve repairing or reconstructing the damaged tendons, removing any scar tissue, or addressing any contributing anatomical factors.

It’s important to note that the treatment approach for peroneal tendinopathy may vary depending on the severity of the condition and individual patient factors. A tailored treatment plan is key to help alleviate pain, promote healing, and restore normal foot and ankle function.