Peroneal tendinitis is a condition that involves the muscles on the outside of your leg, called the peroneal muscles. These muscles are also referred to as fibularis longus and fibularis brevis. Tendinitis is a condition where the tendons of these muscle become inflamed. This can cause a painful outer leg, calf and ankle.
Causes of peroneal tendinitis
Peroneal tendonitis is an overuse injury with runners who run along slopes or sand often developing it. This is because running along slopes can cause the foot to roll outwards, which stretches the tendon and causes friction between the bone and the tendon. This continued rubbing of the tendon and ankle bone, called the lateral malleolus, can occur in silence until running ends and the inflammation is given time to build up. In chronic cases we call this peroneal tendinopathy or peroneal tendinosis in some sources. These are technically all a little different but for our purposes when will group them into the same categories.
Symptoms of peroneal tendinitis
The most common symptoms of peroneal tendonitis is pain and swelling on the outside of the ankle. Pain may or may not be felt with pressure to the side of the ankle, but on muscle testing of these muscles a weak and painful responses is usually positive.
Treatments of peroneal tendinitis
Chiropractic and physiotherapy treatments for peroneal tendonitis start with rest, unloading and modifying behaviour. This is to allow the inflammation and injury to heal. This means limited physical activity and no activity if pain if felt or to a plan you chiropractor and physiotherapist come up with. There is evidence that rehabilitation exercises may go into a little pain when treating peroneal tendon injuries however this must be managed by a chiropractor or physiotherapist with sound knowledge and experience in this area. At Sydney Spine & Sports Centre (S3C) our Balmain and Dee Why chiropractors and physiotherapists have advanced clinical training in tendon injuries and their treatment and rehabilitation.
Simple treatments such as applying a cold pack to the area in pain is also recommended straight after an injury is sustained. Typically the recommendations would be to apply the pack every hour for 10 minutes until symptoms improve.Following this heat therapy is showing beneficial effective in the research and should be started, in response to acute injury. To relieve symptoms of pain and inflammation, anti-inflammatory medication may be taken under the advice of your general practitioner. If one of our Balmain or Dee Why chiropractors or physiotherapist think you need extra advice on medications we will send you to one of the general practitioners we typically work with.
Following the acute phase of peroneal tendinitis current tendon guidelines recommended to start a progressive and tailored loading program as this will desensitise the tendon and lead to changes within the tendon and muscular system that reduce pain, improve the tendon’s durability and structural properties and allow the tendon to load better without the risk of injury recurrence.
At Sydney Spine & Sports Centre (S3C) we strive for excellence in all we do, with comprehensive chiropractic and physiotherapy treatments with a personal and individual approach we are passionate about fixing pain and getting you moving again. Give the team a call at the clinic or book directly online.
The chiropractors and physiotherapists at Sydney Spine & Sports Centre (S3C) are passionate about the diagnosis, treatment and management on tendon injuries. For more information, please explore the links below and contact us with any questions or comments. Our Balmain and Dee Why chiropractors and physiotherapists are only too happy to help.
- Knee and leg pain overview
- Medial collateral ligament (MCL) Injury
- Medial meniscus tear
- Anterior cruciate ligament tear
- Iliotibial band syndrome
- Jumpers knee
- Osgood Schlatters disease
- Patellofemoral pain syndrome
- Lateral collateral ligament (LCL) injury
- Shin splints
- Calf pain
- Calf strain
- Achilles tendonitis