Orthopedist Questions Orthopedist

How long does it take to heal peroneal tendonitis?

I am a 39 year old female. I want to know how long does it take to heal peroneal tendonitis?

6 Answers

This is a bit of a tough question to answer directly.
It depends on what treatment you have had thus far, what your symptoms are and how your symptoms are affecting your activity.

In general most doctors will recommend initial treatment with an ASO brace (easily purchased online).
In addition to the brace you should also pursue physical therapy. This shouldn't require more than a few visits with a physical therapist. They should be able to provide you with the appropriate exercise instructions and equipment (theraband, BAPS board, etc.).
If you have a higher arch foot you may also want to consider a lateralizing heel wedge (again found online) to put in your shoe. This will take some of the tension off of the tendons.
After 8-10 weeks if the pain still persists then your doctor should consider an ultrasound guided steroid injection in to the peroneal tendon sheath. Recent research has shown this can be effective at relieving the pain and is very safe.

With continued symptoms despite all of these treatments that is significantly impacting quality of life, or keeping you from doing necessary or desired activity then your doctor will likely get an MRI to see if you have tendon tearing or other problems with the tendons. If so, reconstructive surgery may be indicated.
If the cause is overuse or an injury, expect 6 weeks of activity modification as well as stretching exercises and anti-inflammatory meds such as advil or aleve. If your tendonitis is associated with foot misalignment, an arch support will help speed the healing. If overweight, weight loss would be helpful.
Longer than you want me to tell you. For just about any tendon to heal, and not get re-injured again quickly, it takes 6-8 weeks. During that time, the tendon needs to be immobilized in a cast or brace. When you return to play, begin slowly gradually increasing duration and intensity of the activity.
Hope it helps!

Dr. Bose
It usually takes about 6-12 weeks for symptoms (pain) to go away with physical therapy and bracing. If you partially tear the tendon, the tendon will usually not heal completely even though the symptom improves.
Usually 6 weeks.

Peroneal tendinitis without a tear (confirmed on MRI) can respond to conservative treatment of Physical therapy, ice, activity modification, and anti-inflammatory medication. Depending on the amount of inflammation, it takes sometimes 6 weeks to 3 months to get better. Sometimes might need injection if failed PT.