Peroneal Tendonitis Physiotherapy

Peroneal Tendonitis Treatment

First, peroneal tendonitis is treatable with very simple methods. Ice, rest, and a walking boot can help. You can reduce the inflammation and pain with anti-inflammatory medication like ibuprofen.

GTN patches are also a good option to relieve the pain. Also, the physiotherapy of strengthening the peroneal muscles, calf muscles, small muscles of foot and other limbs plays an important role. Thirdly, orthotics to support flat or high-arched feet can reduce the forces on the peroneal tendons.

If you have more serious cases of peroneal tendonitis than others, injecting can help. The possibility of tendon rupture is why cortisone injections may not be recommended. A cortisone injection can be helpful in extreme cases where the situation isn’t improving. We may recommend PRP injections to treat peroneal tendon issues in some instances, especially when there is peroneal tendon tear.

The only time we consider surgery is when simple procedures fail. Optional options include tendonesis (where the tendon becomes normal) and peroneal tendons repair. The surgeon might need to modify the shape of the heel in order to decrease the pressure on the tendon. Generally, patients take up to 4 months to recover after surgery.

How is Peroneal Tendonitis treated?

The treatment for peroneal tendonitis may include the following:

Apply ice packs 10-15 minutes each, 3-4 times per day. Typically, for the first 48-hours or until swelling has subsided

Your foot

anti-inflammatory painkillers such as Advil or Aleve to reduce pain and swelling

avoiding activities that cause pain or put stress on your foot

low-impact activities like swimming or biking after your body has been healed by Physiotherapy

Non-steroidal Anti-Inflammatory Drugs (NSAIDs), prescribed or not, including ibuprofen and naproxen

A short-leg cast or range of motion boot to immobilize the foot and allow the tendon(s) to heal, though this can cause the muscles in the leg and foot to become weak, and thus is often paired with physiotherapy

Surgery

Peroneal Tendonitis Physiotherapy

Kent Chiro-Med Wellness Clinic

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