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Ankle Pain, Instability & Tendon Disorders

Peroneal Tendinitis, Tendinosis, Tears & Subluxation

Causes, symptoms, and treatment for peroneal tendon problems, with care at 15 clinics across Middle Tennessee.

Part of Ankle Pain, Instability & Tendon Disorders

Understanding peroneal tendon problems and your options.

The peroneal tendons run down the outer side of the ankle. They help keep the ankle steady and turn the foot outward. They can become inflamed, worn, torn, or slip out of place.

Runners and people with high arches or unstable ankles often have these problems. Early care can prevent a small irritation from becoming a tear.

Peroneal Tendinitis, Tendinosis, Tears & Subluxation care

Symptoms

Signs of peroneal tendon problems.

If you notice these signs, an exam can give you clear answers.

  • 01

    Pain and swelling behind the outer ankle bone

  • 02

    A snapping or popping feeling on the outside

  • 03

    Weakness when turning the foot outward

  • 04

    Pain that grows with activity

Why it happens

What can cause peroneal tendon problems.

  • 01

    Repeated stress from running or jumping

  • 02

    Past ankle sprains

  • 03

    A high-arched foot that loads the outer ankle

  • 04

    A sudden twist that pushes the tendon out of place

Diagnosis and care

How we treat peroneal tendon problems.

Step 1 · Diagnosis

We feel along the tendons and test their strength. We may move your ankle to see if the tendon slips. Ultrasound can show the tendon moving, and an MRI shows tears and swelling.

Step 2 · Treatment

Rest, a brace, or a short time in a boot can calm the tendon. Physical therapy builds strength and balance. Orthotics or shoe changes can reduce pressure on the outer ankle. Ice and gentle stretching can also help settle pain.

When a tendon is torn or keeps slipping, surgery can repair it or deepen the groove where it sits. Choices depend on how much of the tendon is hurt.

Recovery

What to expect over time.

Mild irritation may improve in four to twelve weeks. Surgery usually needs a few months of protected healing and therapy.

When to book

Do not wait it out.

See a podiatrist if the outer ankle hurts and swells or you feel a snap. Come in soon after a sprain if the ankle still feels weak.

Call 615-220-8788

FAQ

Your questions answered.

Why does my outer ankle snap?

The tendon may be slipping over the ankle bone. It is worth an exam to check for a tear.

Can peroneal tendon pain be mistaken for a sprain?

Yes, the two can feel much alike. A careful exam and imaging tell them apart.