Tendons are the link between the muscles and the bones. They transmit the force created by the muscle and guarantee full function of the joints. Tendons are more often affected by overuse and micro-injuries but other tendons also can rupture due to an injury.
On the outside of the ankle joint are the two peroneal tendons that help to stabilise the ankle joint. Those tendons may show some wear and tear but often do not cause a lot of pain. When the tendons split, dislocate or develop a lot of inflammation in the surrounding tissue pain becomes more intense and patients need further treatment.
On the inside of the ankle joint, the tibialis posterior tendon is the most commonly affected tendon that can result in pain, weakness and eventually may lead to a flat foot deformity.
Tendon problems may cause pain when starting to be active or after finishing activities and the intensity of pain may vary on a daily basis.
It is important to detect tendon problems early enough to prevent further deterioration which may then need surgical intervention.
