Peroneal Tendon Pain
Peroneal tendon pain typically causes discomfort along the outside of the ankle. Some patients describe a flicking or snapping sensation, while others experience a deep ache that worsens on uneven surfaces, during faster walking, or at the end of the day.
Assessment at The London Ultrasound Clinic
Your appointment includes a hands-on assessment to evaluate ankle stability, tendon function, and foot mechanics. High-resolution ultrasound is then used to visualise the peroneal tendons, helping identify inflammation, partial tears, or subluxation. This allows us to understand the cause of your symptoms clearly and tailor a management plan to your needs.
Conservative Management
Initial management often includes:
- Targeted strengthening exercises for the peroneal tendons and surrounding stabilisers
- Balance and proprioception training to improve ankle stability and reduce strain
- Activity modification to avoid movements that aggravate the tendon
- Advice on supportive footwear and orthotics
- Education and reassurance about the condition and expected recovery
These approaches often reduce pain, improve function, and support long-term tendon health.
Ultrasound-Guided Injection
For persistent pain or inflammation, an ultrasound-guided injection may be offered. Using local anaesthetic and steroid, the medication is delivered precisely around the affected tendon. This helps reduce inflammation, relieve discomfort, and allows rehabilitation exercises to progress safely.
Recovery and Ongoing Care
Following assessment and any injection, a structured programme is provided to restore tendon strength, improve ankle stability, and support long-term function. Many patients notice gradual improvement in pain, mobility, and confidence, enabling a return to walking, running, and sport with greater comfort.