Tendon in Ankle causes, symptoms, diagnosis and treatment

Tendon is a tissue that connects with a muscle to bone. Two peroneal tendons are found in the outer side of your lower foot and leg. These help to keep the foot stable when you walk or run. One tendon in the ankle attaches to the outer part of the foot, and the other runs under the foot which attaches near the inside of the arch. The major function is to maintain the stability of the foot and ankle and provide protection from sprains.

Ankle tendon can be injured suddenly, or slowly it depends on the injury. If the tendon completely tear it called rupture and of partial tearing happens, it is known as strain, tendonitis on the ankle. Here we are discussing the ankle disorders which occur due to tendon issues. Let’s see the causes and symptoms of ankle tendon injuries.

Causes and Symptoms of Tendons in Ankle Injuries

Peroneal tendon injuries can be acute and chronic, and acute injuries that occur suddenly and chronic develop over time. It mostly occurs in sportspersons who always involve in repetitive ankle motion. Moreover, people with higher arches are also at higher risk of developing peroneal tendon injuries. In these injuries’ teas, subluxation and tendonitis are included.

Tendonitis is known as the inflammation of the ankle tendons, which happen due to repetitive use of tendon or overuse of the tendon, which also called an ankle sprain.

Tearing: Tearing is also occurred due to repetitive activity or trauma. It leads to a change in the shape of the foot.

Symptoms of Tendonitis and tearing

  • Pain
  • Swelling
  • Feeling of warmness on touch the skin
  • Weakness
  • Instability of the foot and ankle

Degenerative tears: it is called tendinosis, which happens due to the overuse of the tendon. Due to overstretching, it becomes thin and eventually frays.

The higher arches develop the risk of degenerative tears.

Subluxation: In subluxation, peroneal tendons slip from their normal position. In this condition, a person born with a variation in the shape of the bone or muscle. In subluxation, your experience ankle sprain, damage of tissue that stabilizes the tendons.

Symptoms of Degenerative tear or Subluxation

  • Sporadic pain outside the ankle
  • The weakness of the ankle
  • Instability of the ankle
  • Increase in the height of the arch
  • Snapping feeling


Tendon ankle injury gets worse without proper treatment. In tendon injury, the surgeon will examine the foot and analyze the pain, instability, warmth, swelling, and weakness on the outer of the ankle. X-rays and other advanced imaging tests are done to evaluate the injury. Moreover, the surgeon will also look for the signs of an ankle sprain and other injuries that associate with a peroneal tendon injury. For proper treatment, diagnosis is important to find out the exact problem.

How to Treat tendon ankle injuries?

If you are recovering from injuries, then first need to change the sports activity like if you do run, then replace it with swimming. Moreover, some stretching and strengthening exercises are recommended to heal you—your physician advises you to use an elastic bandage and crutches that help you to walk without pain. By adopting self-caring treatment, you get better within a few weeks, but it also depends on the injuries. Some chronic injuries take months to heal, but make sure you follow all the healthcare provider’s instructions.

Nonsurgical Treatment

The following nonsurgical treatment is recommended

Immobilization: A splint is used to keep the foot and ankle for moving and allow the injury to heal.

Medications:  Some anti-inflammatory drugs are recommended to help to relieve pain and inflammation.

Physical Therapy: some therapies are recommended, such as icing, warm up the place, or ultrasound therapy to reduce the swelling and pain. These strengthen the muscles and improve motion and balance.

Bracing: Braces are used during some activities due to repetitive ankle motion and mostly when a person doesn’t want to get surgery.

When Is Surgery Needed?

Surgery is needed in some cases, like surgery repair the tendon or tendons. After surgery, physical therapy is recommended, which important part of rehabilitation.

Following tendons, fractures demand the surgical treatment and these surgical procedures are followed such as

  • Rebuild the bones, joints, tendons, and ligaments in your ankle.
  • Debridement treatment in which damaged tissues in the ankle are removed
  • Lengthening the calf muscles so that pressure could be reduced on your Achilles tendon.
  • Arthrodesis: fusion of the bones in the ankle so that it can be more stable.
  • Arthroplasty Treatment: in this, the replacement is done of the ankle joint.

How much time surgery takes for heal up?

You must be careful about the tendon in ankle disorders. These are treatable, but some are long term s it depends on the severity of the injury. Usually, you hear about ankle sprains, which are common and surgery within six weeks. In tendon fracture, surgery is not needed, but if surgery gets worse, then there is no option except surgery. The surgery takes weeks or months, and after that, physical therapy is necessary as long as for 12 months. Physical therapy gives the strength to the surgery and provides mobility and stability. In Surgery, some complications could happen like nerve damage or infection, and the most common issue is severe pain.

Final thoughts

After reading this article, you can identify your tendon ankle problems. Never ignore these problems because it can create severe conditions, and you are not able to walk, run, etc. Therefore, you must be careful, and if you feel any pain in the tendon, first try self-care techniques. However, if you feel more difficulty, then consult with a doctor.


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