Ankle pain and injuries can be tricky to treat and recover from and often even a slightly sprained ankle can get the best of us. Pain behind the ankle bone can mean an injury to the peroneal tendon.

The two peroneal tendons stabilize the foot and ankle and protect them from sprains. They run side-by-side just behind the outer ankle bone. This injury can happen to most any adult, but is more common in people who have a high arch. The two most common types of peroneal tendon injuries are tendonitis and tendon tears.

Tendonitis is an inflammation of one or both of the tendons, usually caused by activities involving repetitive use of the tendon or trauma. Symptoms of tendonitis include: pain, swelling, and warmth to the touch.

A torn peroneal tendon can be an acute tear, occurring suddenly, or a degenerative tear, occurring over a long period of time–often years.

Because peroneal tendon injuries are sometimes misdiagnosed and may worsen without proper treatment, evaluation by a podiatrist is important. Treatment depends on the type of injury, but may include:

• Immobilization with a cast or splint to allow the injury to heal.
• Oral anti-inflammatory medicine.
• Compressive ankle bracing with temporary immobilization.
• Physical therapy exercises to add strength and improve range of motion and balance.
• Surgery, if other treatment options are not sufficient.

If you experience any of these ankle pain symptoms, either chronically or sporadically, make an appointment at one of our clinics.

–Dr. Frank, 541-385-7129