Peroneal Tendinitis

Symptoms and signs

Common in runners or after repeated inversion injuries
Pain/swelling around the lateral malleolus, probably from a non-resolving sprain or overuse.
May see the tendons 'subluxing' behind the lateral malleolus.
Symptoms increase with activity and improve with rest.
May complain of instability.

Primary Care management

In the acute stage: protection, rest, ice, compression and elevation Gentle mobilisation as able
Analgesia & NSAIDs as appropriate
If tendon not subluxing: conservative management

Primary Care diagnostics

If not settling arrange Radiographs. Ankle AP standing, and lateral views

Who to refer

If unable to weight bear - Urgent referral
Chronic pain and instability may need further imaging - Routine referral
Tendon subluxing - Routine referral

How to refer

SCI Gateway/Orthopaedics/ Foot & Ankle Service. Referrals will be vetted by AHP and directed to most appropriate healthcare professional.

Information to include when referring:

Duration and any cause of symptoms
Indicate site/spread of pain and if pain constant or intermittent, and/or waking at night
Indicate ROM/functional loss, effect on work/hobbies/sport
Include treatment to date
X-ray results if applicable