Peroneal Tendinopathy



Peroneal tendinopathy causes are:

  • Overuse of the foot and ankle
  • Trauma
  • Stretching the foot or ankle past its limit

Risk Factors

Peroneal tendinopathy is more common in people who do sports that use repetitive ankle motions, such as running. Other things that may raise the risk are:

  • Poor training techniques, such as adding training mileage too quickly
  • Having a high arched foot
  • A prior ankle injury
  • Weak ankles



Problems may be:

  • Pain and swelling on the bottom of the foot or outside of the ankle
  • An ankle that feels weak or unstable
  • A snapping feeling around the ankle bone

These problems may cause the arch of the foot to become higher over time.


The doctor will ask about symptoms and past health. Questions will also be asked about the activities that the person does. A physical exam will be done. It will focus on the foot and ankle. This may be enough to suspect the injury.

Pictures of the foot and ankle may be taken to confirm the injury. This can be done with:

  • Ultrasound
  • MRI scan



The goal of treatment is to ease pain, improve motion, and stop or slow the problem from getting worse. This may be done with:

  • Ice, rest, and medicine to ease pain and swelling
  • Exercises to stretch and strengthen the muscles around the foot and ankle
  • An ankle support or brace to keep the foot and ankle from moving

Some people may need surgery to repair the tendon when other methods do not help.


The risk of peroneal tendinopathy may be lowered by:

  • Adding training mileage slowly
  • Using the right techniques when playing sports
  • Doing exercises to stretch and strengthen the muscles around the foot and ankle
  • Wearing proper sports shoes

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Edits to original content made by Denver Health.