The peroneal tendon travels behind the bony prominence on the outer ankle. Recurrent slipping or dislocation simply means that the tendon is rubbing against the bone, thus resulting to inflammation.
The injury is prevalent among individuals who have unstable ankles or those who suffered from repeated ankle sprains. One contributing factor is having tight peroneal muscles particularly if there is tension in the muscle belly.
What are the indications?
- Pain and tenderness on the outside of the ankle in which the tendon moves behind the lateral malleolus
- Swelling and bruising over the exterior of the ankle
- Pain is produced if the soles of the feet are turned outwards and upwards
Pain and tenderness on the outside of the ankle in which the tendon moves behind the lateral malleolus.
Management of peroneal tendon dislocation
The PRICE method (protection, rest, ice, compression, elevation) is one of the treatment measures for peroneal tendon dislocation. The individual should take a break from activity to allow the swelling and inflammation to settle. If activity is continued, the healing could not start and the injury might become chronic and harder to treat.
An ice pack must be applied for 10 minutes every hour initially during the first 24-48 hours. You should provide compression using a bandage or taping technique for support as well as relieving the strain off the tendon. Elevating the affected foot can also help reduce the swelling.
When the initial swelling, pain and inflammation has settled, the individual should start gentle stretching exercises. Stretching exercises specifically for the calf and peroneal muscles are vital.
What happens if I seek medical care?
A therapist can accurately diagnose the injury and provide advice on treatment. Electrotherapy such as laser treatment or ultrasound are beneficial in alleviating the pain and swelling.
Sports massage for the calf and peroneal muscles aims on reducing the tension as well as help stretch the muscles. For severe cases, the doctor might require a plaster cast for 3-4 weeks to fully immobilize the ankle, particularly if the injury is a recent one. Surgery might also be an option for a severe cases of peroneal tendon dislocation especially if the tissue holding the tendon in place requires repair.
Quick Note / Disclaimer
The material posted on this page on peroneal tendon dislocation is for learning and educational purposes only. To learn to recognize and manage dislocations, register for a first aid and CPR course with Toronto First Aid.