Peroneal Strain & Tendonitis

g5 (8) g26 (88)

The ‘Peroneal Muscles’ are located on the outer aspect of the lower leg and originate from the upper part of the fibula bone. The associated tendons connect the lower part of the muscle to the insertion on the lateral side of the 5th metatarsal of the foot. They primarily control outward (eversion) movements of the foot and ankle. Direct trauma to the tendon or overuse may lead to a peroneal strain or tendonitis.

Causes: The peroneal muscles are an important muscle group associated with gait. A peroneal strain or tendonitis may occur when an excessive amount of force and tension is put on the specific peroneal tendon when controlling the muscle contractions of eversion or the eccentric control of inversion. Such forceful actions may cause an overuse injury with subsequent pain and associated symptoms to the tendon. The injury is common in those who undergo excessive amounts of walking and running particularly on uneven ground and slopes. Overuse of the tendon, especially in sports such as football, rugby and hockey that place excessive repetitive and torsional stress on the tendons are also a common causative factor of peroneal tendonitis. Biomechanical implications (e.g. over-pronation & flat-feet) and poor footwear may also contribute to the onset of the problem.

Symptoms & Diagnosis:  Those who suffer from peroneal tendonitis complain of pain and swelling on the outer side of the foot and ankle. Symptoms are exacerbated with activities such as walking, running and with various sports that exert excessive strain on the tendon.

Management: Early diagnosis and treatment by a skilled physiotherapist is recommended to assist in the management of the problem. Physiotherapy will help alleviate the pain and enhance the healing process to allow a swift return to full function. A biomechanical assessment may be indicated to assist with both the short and long term management of the condition.

Please feel free to contact the Manchester G4 Clinic to speak to a member of the team for any questions that you may have.


Get in touch with our team

For immediate & emergency appointments please contact either our Didsbury or Wilmslow Clinic.
Alternatively you can complete our appointment booking form, or contact us for enquiries below.