Treatments for tendinitis of the peroneal tendon

    Auteur: Podiatre Montreal

    Tendinitis is a fairly common disease that can affect many tendons such as the Achilles tendon, the posterior tibial tendon, but also the peroneal tendon which will therefore lead to tendinitis of the lateral peroneals. Peroneal tendinitis is an inflammation of the peroneal tendons which are located behind the lateral malleolus of the ankle. Generally, people suffering from lateral peroneal tendonitis are sportsmen who run more often or people affected by static foot disorders. Peroneal tendinitis is the most common form of tendinitis treated by chiropodists and other health professionals since the foot is a motor element of our body that very rarely rests.

    To go into a little more detail, there are two peroneal tendons located on the outside of the calf and continuing on the outer side of the ankle while passing behind the ankle bone. As this tendon is essential to support the foot, it will be subject to very high tension and pressure, even more so when the person suffers from flat feet or hollow feet, and may therefore cause tendinitis on the side of the foot and more precisely on the peroneal tendons. If you therefore suffer from pain along your lateral peroneal muscles or simply foot pain, it is advisable to go quickly to a health professional such as a Podiatrist who will be able to make a precise diagnosis and propose the appropriate treatment.

    If you think you have peroneal tendinitis, make an appointment right away to come and see us in our clinic in Montreal. We are experts in the efficient and rapid treatment of peroneal tendon injuries.

    Prevention and symptoms of peroneal tendon tendinitis

    Tendinitis is therefore an inflammation of the tendon, it can affect several areas of the body as previously explained: the wrist, elbow, shoulder, ankle, knee or even the heel called talalgia. Several causes will be at the origin of the lateral peroneal syndrome, but be careful not to confuse a tendinitis with a tendinopathy which will be translated by a tendon pain, but which can be caused by a tendinosis for example.

    Do you suffer from acute pain outside the ankle or simply have pain in your ankle? Think about tendinitis of the lateral peroneals. You don’t know if you suffer from this pathology? Have you consulted the many forums on lateral peroneal tendinitis? We help you to see more clearly below. The symptoms of peroneal tendinitis will lead to heel pain, ankle pain, pain under the foot, but also a muscular imbalance mainly when walking or exercising. You will also be affected by a swelling under the external malleolus of the foot and therefore of your ankle extending to the outer part of the foot and in the most serious cases a tear of the tendon.

    When you are an athlete or when you put a lot of stress on the static position, it is important to prevent peroneal tendinitis. To do this, it is essential to always warm up before each sporting activity, to practice strengthening exercises, but also to stretch after each effort to give better elasticity to your tendons. But be careful that the stretching must be done in a precise manner: no cold stretching and above all stop when pain is felt. Another important point, hydration before and after a physical effort while respecting the minimum dose of one and a half liters per day, drinking water is essential to avoid tendinitis. But also the wearing of adapted shoes! Indeed the state of your shoes whether it is in the practice of a sporting activity like running, hiking or in your daily life is essential!

    Consequences and problems of tendinitis of the peroneal tendon

    The consequences of foot or ankle tendinitis can be numerous and cause malleolus pain, metatarsalgia (pain in the forefoot located at the metatarsal heads), inability to flex the ankle or even walk properly. It is easy to recognize a tendinitis of the peroneals, you just have to invert your foot by bringing your plantar face inward. If you feel a sharp pain, it is because you are facing a case of tendinitis.

    There are several causes of ankle tendinitis, such as peroneal tendinitis from running, or wearing shoes that are too worn over time, or repeated poor ankle positioning. But other more serious factors can lead to this pathology such as a sprain of the ankle not properly treated, acute torsion, supination of the foot or ankle distortion.

    Tendinitis should not be taken lightly, as it can lead to much more serious consequences and greater risk of injury such as chronic tendinosis, risk of tendon rupture, numbness of the foot muscles or even in the most severe cases paralysis. It is therefore important to consult a health care professional when foot pain begins to occur.


    We can usually make this diagnosis very easily by evaluating the medical file. Sometimes we will perform a diagnostic ultrasound in our clinic or use an MRI scan to determine the extent of tendon damage.

    Initial treatment

    Treatment depends on when the symptoms first appeared and the amount of force lost in the tendon, if any. Initial treatment may include :

    • anti-inflammatory drugs
    • orthotics
    • physiotherapy
    • soft restraint
    • the rest

    How to treat peroneal tendon tendinitis

    Tendinitis of the lateral peroneal muscles is a pathology that will in all cases require adequate initial treatment to relieve the pain quickly. But then, how can tendinitis be treated? In the first instance you can try natural remedies such as applying cold to the area, forced rest of the affected area, re-education exercises through static stretching, and then if the pain is still felt, move on to more aggressive orthotic treatment accompanied by anti-inflammatory medication. Wearing an orthosis for peroneal tendinitis or wearing an ankle brace can reduce the tension in the peroneal tendons felt during peroneal tendinitis or Achilles tendinitis. The orthosis will be more hollow at the heel and will fit your arch perfectly. In this case, you will need to go to a health professional such as a Podiatrist to confirm the exact diagnosis and refer you to a prosthetist orthotist in order to have a custom-made orthosis made for you.

    In the most resistant cases, we strongly advise you to make an appointment in a specialized clinic such as the one of our doctor, where professionals will receive you and treat your symptoms as soon as possible. In some cases, surgery may be necessary to clean the area where the tendon is inflamed and repair possible tears.

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      Podiatre Montréal
      1826 Sherbrooke O,
      Montreal, QC H3H 1E4