Peroneal sublaxation - anyone cured w/conservative treatment?

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I have peroneal tendon subluxation in both ankles. My podiatrist put me in a cast on the one that is worse for five weeks, and then in physical therapy for four weeks. PT says he can do no more. It is no better - tendons still popping, and I can hardly walk. I went back to the doc, who is now insisting on a month of prescription NSAID - will not listen to my request for surgery.

The thing is, all the journal articles I've read say that conservative treatment is rarely successful, and that surgery IS successful for this. I have been unable to find anyone who has successfully regained ankle function from non-surgical treatment.

I'd love to hear your experiences.

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  • Posted

    Have you had an MRI? Is there a chance you actually have a tear or tendonosis? 

    I would seriously get a second opinion.

    At first my dr. was going to prescribe the boot and PT, but after talking further requested the MRI. Found thru the MRI I had a complete tear in one tendon and a partial tear in the other, plus severe tendonopathy. 

    I had surgery for the tears last week and he discovered one of my tendons was actually completely missing - only a stump remained! He said the MRI can only show so much.

    Definitely get a second opinion.

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    • Posted

      I have an MRI scheduled in two weeks. I'm hoping it will show something conclusive. I know this doctor is NOT the one I'm going to get to do surgery.

      I've just been curious about the "conservative treatment" figures - a lot of podiatrists say 50% will be healed with conservative treatment, but I'm quite sure that's wrong - and there are many journal articles that say things like "high failure rate."

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    • Posted

      Well, I did have a microtear in my left tendon last year (and tendonosis/probably severe tendonopathy, too) and did only the boot for about 8 weeks. It healed the tear. I will be doing PT on that leg, as well, when I start it for my right. Hoping to ward off future issues this way.
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