What is Peroneal Tenosynovitis?

Peroneal tenosynovitis is a condition that involves inflammation of the peroneal tendons (longus and brevis) and the synovial sheath that surrounds them. The peroneal tendons are located on the outer part of the lower leg and are responsible for stab

Peroneal tenosynovitis is a condition that involves inflammation of the peroneal tendons (longus and brevis) and the synovial sheath that surrounds them. The peroneal tendons are located on the outer part of the lower leg and are responsible for stabilizing the foot and ankle during walking and other activities.

Causes of peroneal tenosynovitis can include:

  • Overuse or repetitive stress on the tendons, often seen in athletes or individuals who engage in activities that involve repetitive ankle motion.

  • Trauma or injury to the ankle or foot, such as an ankle sprain.

  • Anatomic variations that may predispose someone to developing the condition.

  • Inflammatory conditions like rheumatoid arthritis or gout can also contribute to the inflammation of the peroneal tendons.

Symptoms of peroneal tenosynovitis may include:

  • Pain on the outer part of the ankle or lower leg, which may worsen with activity.

  • Swelling or tenderness along the course of the peroneal tendons.

  • Difficulty with ankle or foot outward movement.

  • A snapping or popping sensation with ankle movement.

Treatment for peroneal tenosynovitis usually involves a combination of conservative measures including:

  • Rest and activity modification to reduce stress on the tendons.

  • Ice utility to reduce inflammation and pain.

  • Strength and mobility exercises to strengthen the muscles around the ankle and improve flexibility.

  • Wearing orthotic devices or supportive footwear to help distribute pressure more evenly and support the foot and ankle.

It's important to consult with a physiotherapist for an accurate diagnosis and appropriate treatment plan if you suspect you have peroneal tenosynovitis or are experiencing symptoms of ankle or foot pain.

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