Peroneal tendon problems

Last evidence check and revision April 2010

Simple analgesics or NSAIDs may be used for pain and synovitis. Physical modalities such as ice, ultrasound or interferential therapy may be used to settle acute symptoms. An ankle brace may be useful in the acute situation or occasionally pallliatively. Patients with flexible cavus deformities and a longus tear may benefit from orthotics.

There have been no reports, other than anecdotal, of the outcome or usefulness of non-surgical treatment. Escalas et al (1980) reported recurrent instability in 28/38 patients treated in cast for retinacular injuries. We would generally try non-surgical treatment for patients without overt instability, but would generally advise the correction of SPR instability as primary treatment.