Peroneal Tendon Surgery

Introduction

Peroneal tendon surgery is a treatment for injuries or tears in the tendons along the outside of your ankle. These tendons help move and stabilize your foot. Sometimes, injuries do not heal with rest or therapy. In these cases, peroneal tendon repair or ankle tendon surgery may be needed. If you want to know about foot and ankle recovery after this surgery, you are in the right place. This guide will explain what to expect, how to recover, and ways to prevent future problems.

What Is Peroneal Tendon Surgery?

Peroneal tendon surgery is a procedure to fix damaged tendons on the outer side of your ankle. These tendons connect muscles in your lower leg to your foot. They help you walk, run, and keep your balance. If the tendons are torn, swollen, or unstable, surgery may be needed to repair or clean them. Sometimes, doctors may also remove damaged tissue or fix the tendon’s position.

When Is Peroneal Tendon Surgery Needed?

Not every tendon injury needs surgery. However, doctors may suggest surgery if:

Pain does not improve with rest or therapy

The tendon is torn or split

The tendon slips out of place often

There is ongoing swelling or weakness

You cannot walk or move your ankle well

For many people, surgery is the last step after trying other treatments first.

Symptoms Leading to Surgery

Many people notice symptoms before needing peroneal tendon surgery. For example, you may feel:

Pain or swelling on the outside of your ankle

A popping or snapping feeling

Weakness or trouble moving your foot

Instability when walking or running

Repeated ankle sprains

If these symptoms last for weeks, it is important to see a doctor.

Diagnosis and Evaluation

Doctors use several steps to diagnose peroneal tendon problems. First, they will ask about your symptoms and check your ankle. Next, they may order tests such as:

X-rays to rule out bone injuries

MRI scans to see soft tissue damage

Ultrasound to watch the tendons move

After these tests, your doctor will decide if surgery is the best option.

The Surgical Procedure: What Happens?

During peroneal tendon surgery, you will receive anesthesia to keep you comfortable. The surgeon will make a small cut near your ankle. Then, they will:

Remove damaged tissue or repair tears

Stitch the tendon if it is split

Fix the tendon’s position if it is out of place

Sometimes, use tissue from another part of your body

Most surgeries take one to two hours. After surgery, your ankle will be wrapped or placed in a cast.

Recovery Timeline and Tips

Recovery from peroneal tendon surgery takes time. However, most people can return to normal activities with care. Here is a general timeline:

First 2 weeks: Rest and keep your foot raised. Use crutches to avoid putting weight on your ankle.

Weeks 3-6: You may wear a boot or cast. Gentle movement may begin with your doctor’s advice.

Weeks 6-12: Physical therapy starts. You will work on strength and balance.

After 3 months: Many people return to walking and light activities.

For a smooth recovery, follow these tips:

Keep your foot raised to reduce swelling

Take pain medicine as directed

Attend all follow-up visits

Do physical therapy exercises

Wear supportive shoes when cleared by your doctor

Recovery time may vary based on your health and the type of surgery.

Risks and Possible Complications

Like any surgery, peroneal tendon repair has some risks. Most people recover well, but possible problems include:

Infection at the surgery site

Stiffness or weakness in the ankle

Nerve injury causing numbness

Blood clots

Tendon re-injury

However, following your doctor’s advice can lower these risks.

Prevention and Long-Term Care

After surgery, you can take steps to protect your ankle and prevent future injuries. For example:

Warm up before exercise

Wear shoes that support your feet

Strengthen your ankle muscles with regular exercises

Rest if you feel pain or swelling

Avoid uneven surfaces when possible

With good care, you can lower your risk of new tendon problems.

Frequently Asked Questions (FAQ)

How long does recovery take? Most people recover in three to six months, but it can vary.

Will I need physical therapy? Yes, therapy helps restore strength and movement.

Can I walk after surgery? You will need crutches at first. Walking starts when your doctor says it is safe.

Is the surgery painful? Some pain is normal, but medicine can help manage it.

What if I live in a rural area? Plan for travel to a hospital with orthopedic care. Follow-up visits may be needed.

Conclusion

Peroneal tendon surgery can help you return to normal activities and reduce pain. However, recovery takes time and care. Always follow your doctor’s advice and attend all follow-up visits. If you have symptoms or questions about ankle tendon surgery, consult an orthopedic specialist for personalized advice on peroneal tendon surgery and recovery.