Peroneal Tendon Pain Treatment Process

TREATMENT PROCESS

This is my current treatment process for patients with Peroneal tendonitis or tendon tears, please watch the video for full details. 

• 1st Visit - Evaluate your condition, review x-rays, and perform a walking evaluation to determine the cause of your condition. Start working to reduce inflammation, reduce tightness, and reduce stress through your Peroneal tendons. 
• 2nd Visit - Will evaluate the initial treatments and if indicated perform an ultrasound examination to evaluate the thickness of the Peroneal tendons to help guide further treatments.  
• Shockwave and Amnio Injection - Most of my patients benefit from a series of 3-6 sessions of shockwave therapy to improve blood flow and recovery of the Peroneal tendon. After these sessions, patients go through a course of 6 weeks of physical therapy. At times to help speed up the healing an Amniotic injection is beneficial. 
• Orthotics - Orthotics are useful to stabilize the heel position, help with posture, and reduce excess movement of the foot which can increase stress in the area of the tendon. 
• Physical Therapy - After these sessions of shockwave patients go through a course of 6 weeks of physical therapy. 

• Daily Rituals: Towel stretch before getting out of bed (30-second stretch 3 times), foam rolling (10 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose (if not doing shockwave), stable shoes and rigid insert, Oofos sandals in the house, and avoid going barefoot. 

• Cortisone Injection - At times cortisone is indicated in the peroneal tendon. 
• Walking Boot - At times a walking boot can be used to rest the injured tendon.
• Brace - At times I recommend an off-loading brace to reduce pressure on the injured tendon and move the pressure to the lower leg region. 

RESOURCES 

• Shockwave (EPAT) - Information about shockwave therapy.

• Orthotics -  Explanation of how and why orthotics help foot pain.

• Icing and Contrast Bath Instructions - Here is information on how to ice your foot. 

• Oofos - Recovery sandals to wear at home for more support.

• Shoe Recommendations - Here is my shoe recommendation.

• Foam Rolling Exercises - Instructional video for foam rolling. 
• Aerospring Brace - This is a carbon fiber brace that can offload the plantar fascia. 

PRODUCTS 

Here are some of the best recommendations I have found on Amazon to start treatment before you come in to the office.