Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Peroneal Tendinopathy
What is peroneal tendinopathy?
Peroneal tendinopathy is a condition where the peroneal tendons become inflamed or irritated as they pass behind the bony prominence on the outside of the ankle. Physiotherapy is highly effective in treating this condition, helping to reduce pain, restore tendon strength, and improve ankle stability.
How does peroneal tendinopathy happen?
Peroneal tendinopathy is typically caused by overuse of the peroneal tendons. These tendons run behind the bony bump on the outside of the ankle, transmitting force from the peroneal muscles to the foot. Repetitive use of these muscles places stress on the tendons, which can lead to microscopic tears. In response, the body triggers an inflammatory healing process, resulting in tendinopathy.
What are the symptoms of peroneal tendinopathy?
Peroneal tendinopathy usually develops gradually, causing pain along the peroneal tendons as they wrap around the bony bump on the outside of the ankle. In the early stages, the tendons may feel tight or sore only after exercise, with symptoms often easing when walking around or applying heat. Because these initial symptoms settle quickly, they are often ignored. However, if activity continues without treatment, the condition can progress — pain may last longer during exercise and eventually become constant, significantly interfering with performance.
- Gradual onset of pain on the outside of the ankle
- Tightness or soreness in the tendons after exercise
- Pain that eases with gentle walking or heat application
- Increasing pain that lasts longer into activity
- Discomfort that begins earlier during exercise sessions
- Persistent pain present throughout activity
- Ongoing pain that interferes with daily tasks or sports performance
What should I do if I have peroneal tendinopathy?
Peroneal tendinopathy will not usually resolve on its own without treatment. If you suspect you have this condition, it is important to book an assessment with a physiotherapist as soon as possible. While waiting for your appointment, you can help manage symptoms by applying ice to the peroneal tendons — using crushed ice or a bag of frozen peas wrapped in a damp towel — for 15–20 minutes every couple of hours.
What shouldn’t I do if I have peroneal tendinopathy?
If you suspect peroneal tendinopathy, it is important not to ignore the problem. While pain may temporarily ease during exercise, the activity itself could be causing further damage to the tendons. Continuing without treatment may worsen the injury and significantly prolong your recovery.
Physiotherapy treatment for peroneal tendinopathy.
Initially, your physiotherapist will diagnose your problem. Following the initial assessment, your physiotherapist will be able to devise an appropriate treatment plan. This plan will usually focus on reducing pain and inflammation in the early stages, followed by exercises to restore flexibility, strength, and stability to the ankle. A gradual return to normal activity or sport will then be guided to ensure full recovery and prevent recurrence.
- A period of rest from aggravating activities
- Ice therapy to reduce pain and inflammation
- Soft tissue massage around the ankle
- Stretching exercises to improve flexibility
- Strengthening exercises for the peroneal muscles and surrounding stabilisers
- Balance and proprioceptive training to reduce reinjury risk
- Gradual return-to-sport or activity under guidance
Could there be any long-term effects from peroneal tendinopathy?
Peroneal tendinopathy does not usually cause long-term effects if it is correctly diagnosed and appropriately treated. However, if left untreated or managed incorrectly, it can result in persistent pain on the outside of the ankle and may lead to a prolonged period away from normal activity and sport.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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