Peroneal Tendonitis
NHS Tayside RefGuide
Warning
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.
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.