Peroneal tendonitis is not a common problem that occurs on the lateral side of the ankle, usually starting with an ache above and/or below the lateral malleolus. It seems to occur in those with low supination resistance. This mean that the peroneal muscles are having to work much harder to resist that force that is easy to supinated. Combine that with some sports activity, then there is a high risk for peroneal tendonitis. This means that the treatment for peroneal tendonitis is to use some sort of lateral foot wedging to reduce the force that the peroneal muscle need to contract. There is a paranoia among some clinicians about the lateral wedging pronating the foot more and creating more problems, but those that use this do not see this problem. Peroneal tendon problems can be difficult to manage.

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