Peroneal Tendonitis

[bpangie]

Over the past year or so I think I've started to develop Peroneal tendonitis in my right leg. When the pain first onset it wasn't a consistent pain but a sharp sort of twinge in the back of my ankle for a couple of strides, and then it would dissipate. Gradually the twinges became more frequent when I was wearing my shoes, but I noticed that I didn't get the pain when I was doing my barefoot runs. Consequently I phased out my shoes and went on a barefoot/huarache kick. Unfortunately, the pain in my ankle has seemed to come back - to the point that cornering hard hurts and the pain/stiffness is enough for me to say I need to take a break. I've also pulled the calf muscle a couple of times and have a significant knot that I'm in the process of working out.

When I try to squat flat footed, my R foot has trouble keeping the heel on the ground for as long as the L foot. The way I have fixed that is by turning my R knee inwards which I assume is putting undue stress on the lower calf.

My PT has given me some hip exercises and a few everter exercises to do. Is there anything else I should be doing? I should also mention that my big toe went numb about three weeks ago after a long run of 17 miles. I've chalked this up to the knot in my calf, and my PT seemed to agree. Any thoughts on that?

Thanks,

Ben

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[nmarman]

The biggest cause for peroneal tendonitis is over pronation of the foot.
Barefoot running often helps with this so consequently made the pain disappear.
Unfortunately you have made adaptation to the tissue previously. which you are now suffering from.

The numb toe was no dout tarsal tunnel syndrome and is a sign things are very now chronic.

The tight calf is also a sign of secondary compensation.

These changes along with the amount of torsion you are now puting through your knee due to change in squatting form is scary.

If you like training go see a physio therapist or shock wave therapist and get a pair of decent orthotics at the very least.
Bite the bullet and see someone or risk heavy disabling injury developing.

Good luck

Dr. Niall Marshall-Manifold
www.londonfootpainclinic.co.uk

[nmarman]

The biggest cause for peroneal tendonitis is over pronation of the foot.
Barefoot running often helps with this so consequently made the pain disappear.
Unfortunately you have made adaptation to the tissue previously. which you are now suffering from.

The numb toe was no dout tarsal tunnel syndrome and is a sign things are very now chronic.

The tight calf is also a sign of secondary compensation.

These changes along with the amount of torsion you are now puting through your knee due to change in squatting form is scary.

If you like training go see a physio therapist or shock wave therapist and get a pair of decent orthotics at the very least.
Bite the bullet and see someone or risk heavy disabling injury developing.

In the mean time ice and rest will help.

Good luck

Dr. Niall Marshall-Manifold
www.londonfootpainclinic.co.uk

[bpangie]

Ooph. Rather drastic that last bit there. I've seen a physio and am doing some hip exercises and core stuff. Still running about 30 miles a week and things are feeling pretty good. Still some tenderness, but...

After watching film of myself I've seen that I don't actually pronate with my bum ankle, but supinate a little bit. The toe numbness comes and goes but has mostly been going so that's good.

The problem is my knee pitches in and gives my gait some cross-over. If I keep my knee straight up and down, my toes tend to point outwards a bit. Think that's something that will fix with further strengthening of the hips?

Thanks.

[nmarman]

In the running video it is highly likely that you super nation landing is a compensation for a over pronating foot after heel strike phase on landing.

In other words because the foot rolls inwards (droped arch) you have developed a running gait to compensated for the tarsal tunnel aggravation.

Your style will not have stayed the same but would have changed sub consciously to remove pain (known as antalgia )

Hence the style you see on gait analysis is not the cause but the secondary effect.

The hip rotation won't be fixed unless you look at you foundation landing point of the repetative stress caused by running.

Did the gait analysis included a pressure anaylisis?

The knee coming across is synominous with drop arch and is know as valgus deformation gait.