Peroneal strain?

[bob78h]

Hi,

I had a similar problem just over 12 months ago. I am a forefoot runner and would experience the same symptoms. The most confusing was definatly the pain when compressing the peroneii, initally the pain would spread along the nerve, settle and when compression was released the pain would return. I tried neural mobs, stretching, strengthning of soleus/gastroc etc to no effect.

However I did find that basic core stability with glute med and max strengthening completely erradicated the symptoms... Not 100% sure why this happened but i did find initially my symptoms were agrovated running on uneven terrains. Possibly eccess tibial rotation put the peroneal tendon on a stretch compressing the nerve underneath?

Either way, i personally found strengthening myofasicial slings, particularily the longitudinal sling seemed to erradicate my problems... Your patient runs accross mixed terrains... maybe their hip control?

chris400, could you let me know the healing time and what exactly you did to speed healing? I'm also a forefoot runner, and I have the same symptom, pain when pressing on the peroneus initially, going away as pressure is kept and then returning when released. The pain is in the body of the peroneus longus muscle it seems, not in the tendon by the ankle as is most common. It seems to have been brought on by running too many hard workouts in the same direction around a small indoor track. Its been three weeks of deep tissue massage, foam rolling, icing, and minimal running but the pain won't go away.

[chris400]

I had the pain for around a month with no improvement before i started general core stabilising exercises which then improved around 2 weeks later. I was doing transabs activation with legextensions, bridging w alternate leg extensions on a swiss ball, side plank w feet on a foam roller etc.. Generally targetted TA, Glute max, glute med. I found once my core control improved the pain disappeared (literally in one session had disappeared). Alot of the exercises i was doing can be found here:

Core stability exercises

But at the same time I was recieving treatment and did communicate everything I was doing with the person treating me which I recommend you also do as every injury is unique, what worked for me may not work for you. Hope this helps.