Peroneal tendiniitis (strain)

The peroneal muscles run from the outside of the shin and attach to the outside border of the foot.  The muscles pull up the outside border of the foot (eversion) and point the foot (plantar flex).  These muscles can get very tight in runners. The condition may occur due to trauma – either a direct impact or an inversion sprain (going over on ankle where foot rolls inwards).

Symptoms

  • Pain and swelling around the outside of the ankle and outside border of the foot
  • Pain aggravated by running and walking
  • Pain aggravated when foot rolled inwards
  • Subluxing tendon – tendon may snap over lateral malleolus when foot is dorsiflexed and everted (bought up towards shin and rolled inwards)
  • Swelling and small bruise below lateral malleolus

What you can do

  • Rest
  • Ice therapy
  • Stretch muscle

What we can do

  • Special test to confirm diagnosis
  • Friction deep tissue massage to area of pain to accelerate healing
  • Massage to reduce tension in peroneal muscles
  • Improve foot mechanics
  • Improve mechanics of leg and hip to reduce stress on peroneal muscle

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