What is Peroneal Tendonitis?

Are you familiar with the discomfort and pain experienced on the outer side of the foot, particularly when engaging in physical activities? This might be an indication of Peroneal Tendonitis, a condition affecting the peroneal tendons which are crucial for stabilizing the foot and ankle during motion and movement.

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Peroneal tendonitis, a form of peroneal tendon injury, is a condition that causes pain and tenderness in the peroneal tendons located on the outer side of the lower leg. These tendons play a crucial role in stabilising the foot and ankle, especially during weight-bearing activities like walking, running, or other physical exercises.


  • Sudden acute injury to the tendons
  • Increased load such as running
  • Improper footwear
  • Biomechanics issues such as high arch or flat feet
  • Trauma or injury
  • Hypermobility
  • Overuse or repetitive stress


  • Clinical Examination: Your podiatrist will perform a thorough examination of the affected foot, looking for signs of swelling, tenderness, or abnormalities in the tendon. They will also gather information about your medical history, including any previous injuries, activities that may have contributed to the condition, and your current symptoms.
  • Imaging Tests: In some cases, imaging studies such as X-rays or an MRI may be ordered to get a detailed view of the affected area and rule out other potential causes.
  • Functional Assessment: The podiatrist may assess your foot's biomechanics and functionality, observing how you walk and move to identify any issues contributing to the tendonitis.

Tips to prevent Peroneal Tendon injuries

  • Wear supportive footwear that provides proper support and cushioning
  • Avoid activities that put excessive stress on your ankles, particularly on uneven surfaces
  • Strengthen your ankle muscles with targeted exercises
  • Stretch your calf muscles regularly

For temporary and immediate relief, you can try these home remedies:

  • Apply ice on the affected areas to help reduce pain and swelling
  • Switching to more supportive footwear can alleviate strain on the peroneal tendon
  • Stretching and strengthening exercises will aid in the overall recovery process

If the pain persists, seeking a podiatric assessment is crucial.

How can Peroneal Tendonitis be managed?

Your podiatrist will conduct a thorough assessment and diagnosis, providing a tailored plan to address the specific issues contributing to the condition.

We provide non-invasive options to manage peroneal tendonitis such as Focal Shockwave Therapy which will help reduce pain and promote healing in the affected tendon and its surrounding areas. Custom foot orthotics may be prescribed to provide additional support and reduce the risk of recurrence.

Early diagnosis and intervention are key to effective management and preventing future complications. If you're experiencing persistent foot pain, consult a podiatrist or a healthcare professional promptly for a comprehensive assessment and personalised care plan.

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Common Symptoms

Sharp pain or soreness on the outside of the foot which may spread to the outside of the ankle
Stiffness and soreness while doing ankle circles
Pain during weight-bearing activities or after activities
Ankle instability

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Related Conditions


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I had gone to Michael Lai in the hope of resolving a peroneal tendon injury and tight calf muscles post an ankle surgery. He was very patient and attentive to my concerns and suggested using custom orthotics to improve my feet alignment and that has worked wonders as it has alleviated my pain and tightness immensely and am on the road to recovery to continue playing sports. Many thanks Michael Lai for the solution and to the receptionists who are very friendly and prompt in handling my appointments!

Vinod Vijayakumar

Our Podiatry Care Strategy

100% non-invasive methods to improve your ankle in 4-8 weeks

An ankle specialist, such as a podiatrist, will be able to perform a thorough foot assessment using diagnostic tools, such as a musculoskeletal diagnostic ultrasound to determine the source of your ankle pain. If surgery is required, your podiatrist will refer you to a trusted foot and ankle doctor for surgical solutions.

A thorough assessment of your ankle

Immobilising the area with splints

Utilising technological therapies

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Michael Lai
Principal Podiatrist

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