What is Peroneal Tendinopathy?
Peroneal tendinopathy is a condition characterized by pain and dysfunction in the peroneal tendons, which are located on the outer side of the lower leg and ankle. This condition is often caused by overuse, repetitive ankle movements, or improper foot mechanics, leading to inflammation and degeneration of the tendons. Symptoms typically include pain, swelling, and weakness along the outer ankle, which may worsen during activities that involve ankle motion or weight-bearing.
Physical Therapy for Peroneal Tendinopathy
Physical therapy is a cornerstone in the management of peroneal tendinopathy, aiming to alleviate pain, restore normal tendon function, and prevent recurrence. The initial phase of rehabilitation often involves rest and reducing load on the affected tendons, combined with modalities such as ice, ultrasound, or electrical stimulation to manage pain and inflammation. Gentle range-of-motion exercises are introduced to maintain ankle mobility and prevent stiffness.
As the condition improves, the focus shifts to strengthening exercises for the peroneal muscles and other muscles supporting the ankle to enhance stability and reduce strain on the tendons. Eccentric strengthening exercises are particularly beneficial in promoting tendon healing and resilience. Additionally, balance and proprioception exercises are incorporated to improve ankle function and prevent future injuries. A physical therapist may also address any biomechanical issues, such as foot pronation or improper gait, that may contribute to the development of peroneal tendinopathy. With a comprehensive physical therapy program, individuals with peroneal tendinopathy can achieve significant relief from symptoms and return to their normal activities.