The peroneal tendons run on the outside of the ankle just behind the bone called the fibula. The first is called the Peroneus Brevis (PB). The term “brevis” implies short. It is called this because it has a shorter muscle and starts lower in the leg. The Peroneus Longus (PL) takes its name because it has a longer course. It starts higher on the leg and runs all the way underneath the foot to insert or connect on the first metatarsal on the other side. Both tendons, however, share the major job of everting or turning the ankle to the outside.
The peroneal tendons are susceptible to injury at certain specific points in its course where it has a tenuous blood supply.These sites are
✔ Thickening & tenderness along PL & PB.
✔ Pain at with heel rise
✔ Near normal strength unless frank rupture)
✔ Prominent Peroneal Tubercle
✔ Sural nerve dysesthesia
There may be a few causes for lateral foot & ankle pain. So it is important to exclude these conditions before arriving at a diagnosis of peroneal tendinitis. These are-
One of its major limitations is that it is operator dependent.
Conservative Modalities Are Usually Successful In Treating Peroneal Tendinitis.
Usually in refractory cases of peroneal tendinitis.