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What is a Peroneal Tendinopathy?

 
You have currently been training for a full marathon. In preparation for you marathon in a few months time you have been increasing your training regime more rapidly. After your most recent 10km training session at a higher intensity you have started to experience a dull pain around the back and outside of your ankle. Upon presenting to your local physio and after reviewing your symptoms it appears that you have a Peroneal Tendinopathy.
 
So what exactly is a Peroneal Tendinopathy?
 
 
Typically it has been found that individuals which undertake repetitive activities such as runners, dancers and basketball players results in an overuse injury. Irritation occurs to the Peroneal tendons (Peroneus Longus and Brevis) as a result of repeated movements at the ankle joint over a prolonged period of time. Both your Peroneus Longus and Brevis muscles assist in moving your foot in an upward and downward direction, moving the foot outwards and assisting in stabilising and balancing the foot and ankle.
 
 
Other factors, which predispose an individual to Peroneal injuries, include improper training, increase in training load, foot footwear choices and poor foot biomechanics.
 
Common symptoms one may experience includes:
-Pain around the back/ outside of the ankle joint during activity
-Swelling and tenderness behind the ankle bone
-Pain when pushing off the ball of your foot
-Pain while stretching the foot in both an upwards and downwards direction
 
The majority of Peroneal Tendinopathies tend to heal without the need for surgery. Since Tendinopathies occur as a result of overuse rest is often the best form of treatment though will often need to be used in conjunction with other forms of conservative treatments.