Peroneal muscle is located on the posterior aspect of the lower leg. The tendon to this muscle runs behind the lateral malleolus (or the bony prominence on the outer aspect of the ankle). Peroneal tendonitis is a condition which results in the inflammation of this tendon which can lead to pain and disabled movement.
Common Causes Of Peroneal Tendonitis
The anatomical placement of the peroneal tendon increases the risk of tendonitis due to friction or overuse. Here are some common causes associated with peroneal tendonitis,
- Runners, especially those who climb on slopes have an excessive eversion (or rollout of the foot). This makes them more susceptible to developing tendonitis. This is attributed to the overstretching of the tendon and rising friction with the bone.
- Overuse of the calf muscles, especially among basket ball players or dancers, can lead to muscle tightness. Muscle tightness leads to increased tension on the peroneal tendon, which increases risk of friction.
- Inward twisting of the foot while walking or running can also create a pull on the peroneal tendon resulting in pain.
Peroneal Tendonitis Symptoms
Some of the common symptoms associated with peroneal tendonitis include,
- Pain and tenderness at the outer aspect of the ankle. The pain is typically aggravated on movement and better on rest. Recurrent injury to the peroneal tendon can trigger pain and burning.
- Swelling or edema with redness and heat are common around the ankle.
- Inability to walk straight or limping gait are the common manifestations of the tendonitis.
Home Remedies For Peroneal Tendonitis
Some of the simple home based treatments for peroneal tendonitis include the following,
- Rest is essential to hasten the process of healing. Rest allows the tendon to naturally recover from the injury. Keeping the foot elevated can help in the natural drainage and reduce the intensity of the edema.
- Tying a bandage or a strap around the ankle joint will help in supporting the ankle during movement and also prevent edema. This in turn will help in reducing pain.
- Local application of ice packs helps to reverse inflammation. Ice pack application reduces swelling around the ankle joint and also reduces pain.
- Homeopathic drugs like Bryonia, Arnica and Rhus Tox are effective to hasten the healing process. These drugs not only deal with inflammation but also reduce pain and tenderness.
- Turmeric is considered to be the best natural option to over the counter NSAIDs. Consume equal parts of turmeric with raw honey about thrice a day, either directly or add them to a glass of milk. This will help alleviate pain significantly.
- Some experts recommend deep tissue massage. Deep tissue massage of the calf muscles helps in improving circulation of blood to the tendon. Massaging with essential oils like clove or cardamom will further contribute towards alleviating the pain and tenderness.
- Simple ankle exercises can also be helpful. These ankle exercises are aimed towards improving the joint mobility and strengthening the surrounding muscles. This in turn will help reduce the pain and reduce the frequency of occurrence of tendonitis in future.
In case the simple home based techniques don’t work, it is critical to consult your physician immediately. It is likely that the tendonitis may be associated with a fracture or an internal injury.