Peroneal tendinopathy
Peroneal tendinopathy occurs when there is damage to the tendons which run around the outer ankle bone and turn upwards and outwards at the ankle.
These tendons run around the outer ankle bone, and turn the foot upwards and outwards at the ankle.
They can be damaged at the time of a bad ankle sprain and also more slowly, particularly in patients with a very high arch to their foot.
Pain, swelling and giving-way or ankle instability are the usual complaints. X-rays are normal, and because of this many patients are told there is nothing wrong with the ankle. Once the diagnosis has been confirmed with a scan then targeted physiotherapy is helpful. If peroneal tendinopathy is severe and the tendons are split or very thickened, then surgery produces good results.
These operations for peroneal tendinopathy are major undertakings and recovery starts with three months in a plaster cast. A further nine months of physiotherapy and strengthening follows.
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