#603 5 choices with split tear in the peroneus brevis tendon - DOC

#603 5 choices with split tear in the peroneus brevis tendon

Today on the Doc on the Run podcast, we’re talking about the 5 choices runners have when there is a split or tear in the peroneus brevis tendon.

 

 

Today I was talking with a runner who has been diagnosed with a longitudinal split of the peroneus brevis tendon.

The concern with this kind of tear in the peroneal tendon is that if you can’t get it to calm down, it can only get worse.

Continually moving, irritating and producing inflammation in and around injured peroneal tendons just causes them to get weaker over time.

Many surgeons are quick to offer surgery to correct the problem.

This runner wanted to know the details of all the different treatment options when a runner gets diagnosed with a longitudinal split of the peroneus brevis tendon.

  1. Do nothing
  •  hope and pray method
  1. Fracture walking boot
  2. Don’t move it at all
  •  Immobilize it, don’t step on it, see if it improves
  •  Treat it like a cast
  1. Biologic Injection
  •  PRP injection
  •  Amniotic Fluid Injection
  •  Dry Needling
  1. Surgery to repair the tendon
  • Don’t ever forget that it is your foot.

It’s not my decision and it’s not even your doctor’s decision. It is your decision on how you’re going to treat it.

Generally speaking, the least most restrictive treatment is best…as long as it will help. But if you’re not improving may need to consider something that is more invasive or more inconvenient.

Just make sure that you choose the best treatment for you, given your particular running goals.