MD Podiatrist Discusses Peroneal Tendinopathy

“Peroneal tendinopathy is typically caused by overuse and repetitive strain on the tendons along the outside of the ankle,” says podiatrist Dan Michaels, DPM, adding that uneven terrain, downhill hiking, ankle instability, heavy packs, and unsupportive footwear can all increase stress on the tendons. Similar to other moderate foot ailments, treatment for peroneal tendinopathy usually includes rest, icing, supportive footwear, and temporarily lowering mileage. 

However, Dr. Michaels cautions that persistent pain should be evaluated to help prevent worsening inflammation or tendon damage. People prone to this type of tendinopathy should choose stability-oriented hiking shoes with good lateral support, which will help reduce strain on the tendons. Stability training, ankle strengthening, and avoiding sudden increases in mileage are also important.