The peroneal tendons, located on the outer side of the ankle, consist of the peroneus longus and peroneus brevis tendons. These tendons play a crucial role in stabilizing the foot and ankle during movement.
Peroneal tendinopathy results from overuse, repetitive stress, or injury to the peroneal tendons. Activities involving excessive ankle inversion, such as running, hiking, or sports with lateral movements, can contribute to the development of this condition.
Common symptoms of peroneal tendinopathy include pain, swelling, and tenderness along the outer side of the ankle. Pain may worsen during activities that involve ankle inversion or when standing on the affected foot.
Diagnosing peroneal tendinopathy involves a thorough physical examination, assessing pain levels, range of motion, and strength. Imaging studies like ultrasound or MRI may be utilized to confirm the diagnosis and assess the extent of tendon damage.
1. Conservative Measures: Initial treatment often includes rest, ice, compression, and elevation (R.I.C.E.), along with anti-inflammatory medications. Physical therapy focuses on strengthening exercises, stretching, and improving ankle stability.
2. Orthopedic Interventions: In some cases, orthopedic interventions such as corticosteroid injections may be considered to alleviate pain and inflammation.
3. Surgical Options: Severe cases or persistent symptoms may require surgical intervention to repair or reconstruct the damaged peroneal tendons.
Rehabilitation for peroneal tendinopathy involves a phased approach, starting with pain management and gradually progressing to strengthening and proprioception exercises. Physical therapy plays a crucial role in restoring ankle function and preventing long-term complications.
