Peroneal Tenosynovitis and The TayCo Brace

July 21, 2020 | By: Nate Lazenga

Ankle Sprains

Ankle sprains are one of the most common forms of injuries. Traditionally, moderate to severe (Grade 2 or 3) were often treated with a cumbersome walking boot to immobilize the ankle while it heals. According to an AAOS published study, the walking boot has been linked to many proximal injuries due to its weight and limb length discrepancy from the rocker bottom.

The TayCo External Ankle Brace provides ankle immobilization for the first stage of recovery in a lightweight device that works with the patient’s own footwear, eliminating the limb discrepancy. The brace then converts to dorsiflexion/planter flexion free motion while providing inversion/eversion support to evolve with the patient’s recovery. The TayCo Brace empowers mobility for people recovering from injury.

If not treated properly, an ankle sprain can lead to lasting pain and complications. A 42-year-old weekend athlete came in to see Dr. Gauland after suffering from chronic lateral ankle pain, for 6 months after a lateral ankle sprain. She had tried using over-the-counter insoles and a “figure-8” ankle brace, but nothing seemed to help. Dr. Gauland used the TayCo External Ankle Brace to return the patient back to normal mobility while recovering from her ankle injury.

Peroneal Tenosynovitis Treatment Protocol

  • Day 1: Patient placed in Fixed Acute TayCo External Ankle Brace.
  • Day 7: Patient able to walk on treadmill with TayCo External Ankle Brace.
  • Day 14: Patient reports no pain while ambulating in the TayCo External Ankle Brace, minimal pain without the Brace. Fixed TayCo External Ankle Brace converted to ROM to allow full dorsiflexion and plantarflexion.
  • Day 28: Patient reports no pain or discomfort, with or without the TayCo External Ankle Brace. Patient transitioned into custom molded orthoses.

Download the Treatment Protocol


The use of the Acute TayCo External Ankle Brace allowed this patient to be immediately weight-bearing and active. It protected any further damage to the ankle complex, including the peroneal tendons. It also allowed the ATFL to heal in anatomical alignment and to prevent future tenosynovitis and its sequelae. Patient was also able to return to normal daily activities much sooner than standard protocols and prevented the need for an MRI and possible surgical intervention. Relative to competitive products, the TayCo External Ankle Brace provided superior stability and the ability to convert from Fixed to ROM.


Dr. Christopher Gauland  – Eastern Carolina Foot and Ankle

Christopher J. Gauland, DPM earned his medical degree from the Temple School of Podiatric Medicine in Philadelphia. His post-graduate training included completing surgical residency training at the Midwest Medical Center in Indianapolis, Indiana, the Midwestern Regional Medical Center/Cancer Treatment Centers of America in Zion, Illinois, and Limb Salvage training at the Diabetic Foot Center of Lake County, Illinois. He lectures across the country and internationally on topics regarding foot and ankle infection, wounds, foot and ankle trauma and limb salvage.