Pain to the outside region of the foot and ankle following the course of the peroneal tendons. Usually associated with previous ankle sprain or a person with a high arch.

Symptoms

• Pain to the outside region of the foot and ankle with initial weight bearing activity

• Swelling oftentimes noted to the outside region of the heel bone

• Possible change in the heel position if tearing of the peroneal tendons has occurred related to previous ankle injury

Radiology

• Regular x-ray usually are not of benefit to the diagnosis unless the heel bone position is turned in related to tearing of the peroneus brevis tendon

• MRI will show suspected tearing to both of the peroneal tendons

Treatment

• Shoe with wide base of support with outsole wide to decrease the potential tendency to have the heel bone invert or turn in

• Possible use of over the counter or custom orthotic with additional padding to decrease the tendency of the heel bone invert or turn in

• Ice twice daily

• Non Steroidal anti-inflammatory medications

• Possible use of CAM boot to decrease the stress through the peroneal tendons