Tag Archives: Physiotherapy Treatments Mississauga

Peroneal tendinopathy

Peroneal tendinopathy

Peroneal tendinopathy

Peroneal tendinopathy or peroneal tendonitis is characterized by an aching pain and swelling in the perineal tendons. These are located in the lower, outside portion of the ankle. A tendon is soft-tissue that attaches a muscle to a bone. The muscles involved in this condition are the 2 peroneal muscles in the lower leg, called the peroneus longus and the peroneus brevis.


​There are two peroneal tendons that run along the back of the fibula. The first is called the peroneus brevis. The term “brevis” implies short.  It is called this because it has a shorter muscle and starts lower in the leg. It then runs down around the back of the bone called the fibula on the outside of the leg and connects to the side of the foot.  The peroneus longus takes its name because it has a longer course. It starts higher on the leg and runs all the way underneath the foot to connect on the other side of the foot. Both tendons, however, share the major job of turning the ankle to the outside. The tendons are held in a groove behind the back of the fibula bone.

Causes of Peroneal Tendonitis

  • A sudden increase in weight bearing activities, particularly walking, running or jumping
  • Inadequate or unsupportive footwear
  • Muscle imbalances of the lower limb
    Poor lower limb biomechanics
  • Incomplete rehabilitation following an acute ankle injury, such as an ankle sprain

Symptoms of Peroneal Tendinopathy

  • Gradual worsening pain over the outside of the ankle
  • Pain during and/or after weight bearing activities
    Pain with turning the foot in and/or out
  • Instability around the ankle when weight bearing


A full examination from a physiotherapist can be all thats needed to diagnose peroneal tendonitis
Patients with this condition usually experience pain behind the outside ankle during activities putting stress on the perineal tendons. Pain can also be noticed following these activities or following a rest period. This may be noticed especially upon waking in the morning. There may be swelling when the injury first happens. There will also be pain when testing resisted foot movements.  Stretches into various positions of the foot inversion, and resisted movements can cause pain behind the outside ankle.
Diagnosis may be confirmed with an MRI scan or ultrasound investigation
a diagnostic Ultrasound may be used for detecting all types of peroneal injuries.

What else could it be?:

Symptoms of peroneal tendinopathy mimic various other conditions of the ankle joint. So, before diagnosing peroneal tendinopathy we should rule out other possible injuries by doing the following tests:
Ankle Sprain: ligament testing by the Physiotherapist
Ankle fractures: special tests by the Physiotherapist
Os trigonum syndrome: MRI, physiotherapy testing
Chronical lateral ankle pain with other cause: MRI
Longitudinal peroneal tendon tear: MRI
Peroneal subluxation: ultrasonography, CT, MRI or peroneal tenography
Flexor Hallucis longus tendon injury

Physiotherapy rehabilitation

Treatment for peroneal tendonitis includes a program of stretching, strengthening, mobilisation and manipulation. It also includes proprioceptive exercises, icing, ankle bracing or k-taping during contact sports. If symptoms are severe, a cast or ROM boot immobilization may be worn for 10-20 days. After symptoms resolve, you will begin a progressive rehabilitation programme along with a gradual increase to full activity.

The use of a biomechanical ankle platform (BAPS), deep tissue friction massage, ultrasound electric stimulation can also be included in the physiotherapy
Also, shock wave therapy (ESWT), acupuncture is used to treat tendinopathy. But there is only limited evidence from studies for these treatments.
There is evidence for using manual therapy, specifically the lateral calcaneal glide.

If you have any further queries please call PhysioNow. Our experienced physiotherapists would be happy to help you. Call Today to get started 289-724-0448.!

Recovery Tips: Total Knee Replacement

Recovery Tips: Total Knee ReplacmentRecovery tips: Total Knee Replacement

Getting a new metallic knee and a big surgery can be very overwhelming. It is particularly hard right after the surgery! Here you will find some Recovery Tips: Total Knee Replacement.
These can help with faster recovery.


During the first few days following the surgery, you are at risk of developing a clot in your calf. This is because as you are not moving much due to pain or from the effect of anesthesia. Simple foot/ankle exercises will prevent pooling of blood around your calf leading to a possible clot.
Registered Physiotherapists Mississauga can help to manage your pain and swelling right after the surgery.

Other Recovery tips: Total Knee Replacement

Many surgeons recommend providing compression to the area using a compression stocking. They also recommend using ice around your knee joint. Its usually done with your leg elevated so that gravity can further help to drain the swelling around your knee.

As part of your home exercises, pumping your ankle up and down is advised. It is also recommended to avoid keeping your knee in a position such as prolonged sitting with your feet dangling in the air. This can cause your knee to swell more.

Registered Physiotherapists Mississauga might use electrical stimulation(IFC) to further help with draining of the fluid in your knee joint. Electrical stimulation helps to stimulate muscle contraction around your knee joint which helps to drain the fluid from your knee joint.

Yes, there are many ways to control the swelling around your knee joint and Registered Physiotherapists Mississauga at all of our PhysioNow locations can assist in your road to recovery following Total Knee Replacement.

Exercise remains the key way to achieve a faster recovery following total knee replacement. Registered Physiotherapists Mississauga will provide an exercise program for your knee so that there is less stiffness setting in around your knee. Also, exercise will prevent your muscles from shrinking or weakening following surgery.

Recovery Tips: Total Knee Replacment

physiotherapy: knee pain

A Knee slider board can be helpful to keep the knee moving through the full range in a more comfortable way. PhysioNow has knee slider boards available for rent after your knee surgery. Please call PhysioNow today to reserve a board for after your surgery.

Final Recovery Tips: Total Knee Replacement

Changes to your home that may be helpful:
Use of a hand rail in the shower or bath
Use of a raised toilet seat with arms
Make your home clutter free- remove loose rugs/carpets/cords
Use of a Shower chair in your bath tub
Use of a Reacher to grab objects
Secure hand rails at stairs