Does physiotherapy treat peroneal tendinopathy?

The peroneal tendons run along the outer ankle and help move and steady the foot. Overuse, a change in training, or repeated ankle rolling can irritate them. Pain may appear behind the outer ankle bone or along the outside of the foot, with tenderness or weakness during walking on uneven ground. A physiotherapist can examine ankle movement, calf strength, balance, footwear and activity demands. Treatment often combines temporary load changes with calf and ankle strengthening, balance drills and a gradual return to hills, running or court activity.

Avoid the specific activity that sharply increases outer-ankle pain, but keep comfortable movement if advised. Wear footwear that feels stable and be cautious on uneven ground while balance is reduced. Perform exercises at the prescribed pace; sudden increases in walking, running or jumping can irritate the tendon again. Tell your clinician about ankle rolling, swelling or a snapping sensation. Learn more about [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/).

Seek prompt assessment after a twist or fall if you cannot bear weight, have marked swelling or bruising, or have pain directly over a bone. Urgent care is needed for a cold or numb foot, severe weakness, visible deformity, or rapidly worsening symptoms. Review is also sensible when the ankle repeatedly gives way or pain does not settle with activity modification.

Ask whether the tendon or another ankle structure is involved, which exercises are suitable, and how to increase walking or running safely. Ask when a brace, imaging or specialist assessment would be useful.