From the Guidelines
A Strassburg sock is not recommended for peroneal tendonitis. The Strassburg sock is designed primarily for plantar fasciitis and Achilles tendonitis, as it maintains the foot in a dorsiflexed position overnight to prevent morning pain. For peroneal tendonitis, which affects the tendons on the outside of the ankle, more appropriate treatments include:
- Rest
- Ice
- Compression with an ankle brace or athletic tape
- Elevation
- Anti-inflammatory medications like ibuprofen (400-800mg three times daily with food) or naproxen (220-440mg twice daily with food)
- Physical therapy exercises focusing on ankle strengthening and stability The use of orthotics and braces, such as ankle braces, can be beneficial in correcting biomechanical problems and providing support to the tendons 1. However, the Strassburg sock does not provide the necessary lateral support for peroneal tendonitis, as the peroneal tendons run behind the lateral malleolus (outer ankle bone) and down to the foot, requiring lateral rather than dorsiflexion support. Consider using a supportive ankle brace during the day and avoiding activities that aggravate the condition.
From the Research
Peroneal Tendonitis Treatment
- The provided studies do not specifically mention the use of a Strassburg sock for peroneal tendonitis 2, 3, 4, 5, 6.
- However, the studies discuss various treatment options for peroneal tendonitis, including nonoperative and surgical approaches 2, 3, 5, 6.
- Nonoperative treatment options mentioned in the studies include immobilization, physical therapy, and orthotics 3, 4, 5.
- Surgical treatment is considered for patients who do not respond to nonoperative treatments after a certain period 2, 3, 6.
Strassburg Sock Usage
- There is no direct evidence in the provided studies to support or refute the use of a Strassburg sock for peroneal tendonitis 2, 3, 4, 5, 6.
- The Strassburg sock is typically used for plantar fasciitis, and its effectiveness for peroneal tendonitis is not mentioned in the studies 2, 3, 4, 5, 6.