I have split tears to both the peroneal tendons. tried boot for 6 weeks now cast and non weight bearing 4 weeks - still hurts. whats next?

Peroneal tears: Unfortunately, not all tendons respond to "conservative" management--boots, no weight bearing, etc. And even more important, not all tendons follow our preferred treatment time and involvement. Only a careful evaluation by an orthopedic foot surgeon can determine what is the next "best" step, including surgery.

Re evaluation: The fact that it still hurts does not necessarily mean it is not healing, but it is concerning. T Reevaluation is appropriate, surgery may be needed.