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What is peroneal tendinitis?

It is irritation or injury of the two peroneal tendons, which run behind the outer ankle bone and help stabilize the ankle and turn the foot outward. It ranges from overuse inflammation to tears or tendons slipping out of place.

Why does it develop?

From repetitive activities such as running on slopes or sports with many direction changes, after ankle sprains, in people with high arches or an inward-tilted heel, and with chronic ankle instability.

What symptoms does it cause?

Pain and swelling behind and below the outer ankle bone that worsens with activity, a feeling of instability and, in some cases, a snapping sensation when the tendons slip. It is often mistaken for a sprain that will not heal.

How is it treated?

With relative rest, ice, a brace or boot for a while if pain is significant, physical therapy with progressive strengthening and balance exercises, and insoles for a high arch. With tears, tendon dislocation or pain lasting months, surgery can repair the tendons and correct the cause.

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