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Todd Borenstein MD

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Peroneal Tendon Injury

What is a peroneal tendon injury?

The peroneal tendons are strong bands of connective tissue that run on the outside of the foot and ankle. These tendons support the foot and give the ankle stability. They can become inflamed, torn, or dislocated when they are injured.

What causes a peroneal tendon injury?

The peroneal tendons may be injured from either repetitive strain during normal activities or as a result a sudden stress to the tendon.

What are the symptoms of a peroneal tendon injury?

Symptoms of peroneal tendon injury include pain, tenderness and swelling. There may be popping or grinding on the outside of the ankle with motion.

How is a peroneal tendon injury diagnosed?

Peroneal tendon injuries are diagnosed with a thorough medical history and physical examination. X-rays of the foot and MRI may be ordered to assess the bones and tendons.

How is a peroneal tendon injury treated?

Nonsurgical treatment

Peroneal tendon injuries can be treated successfully with physical therapy to strengthen and stretch the tendons, steroid injections, immobilization with a walking boot or ankle brace, ice, anti-inflammatory medications, rest, and activity modifications.

Surgical treatment

Surgery may be necessary in severe cases and when conservative treatment fails to provide relief. Surgery includes removing inflamed tissue around the tendon, repairing torn tendons, and reconstructing the ligaments that secure the tendons in place.