Peroneal tendonitis

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09-03-2008, 07:59 PM
hopey

Peroneal injury?

I posted a while back regarding a tight tendon running from the outside of my leg from just below my knee down to my ankle, I've had it now in both legs and it's kept me out for 6 months with each leg.

Yesterday while doing the Half Tour this pain came back in my right leg again, and it felt like the tendon was going to pop out of my leg, today I can hardly walk on it and the whole band like thing is solid and i can hardly touch it. I think it could be the Peroneal? or something in that area.

Any advice please? I've just coming back from 6 months and I'm now worried that it's the same injury thats come back.

Thanks
10-03-2008, 05:24 PM
Chugger

Re: Peroneal injury?

Peroneal tendonitis??
I have had it and I can say that I still probably get a few niggles from it but I do my exercises EVERY DAY........and it stays in the back ground.

"Eccentric loading" is the phrase.....I think there may be a thread that discussed this in relation to achilles problems??

My lovely physiotherapist showed me how to do some heel lowerings off the edge of the step (NOT raisings!) along with daily stretches and (so far) they work!! (3 years later??).
If you need more than that, I could explain what I do.....ask me if you can cope with the drearyness!

GOOD LUCK!
10-03-2008, 06:24 PM
hopey

Re: Peroneal injury?

It seems to hurt more when I stand on my toes? Could this be the same thing?
10-03-2008, 11:30 PM
NotOnUrHelly

Re: Peroneal injury?

Adrian,

I really hope you get to the bottom of all of this mess, 6 months is a lot of frustration. Im raging after 2 months, keep your chin up.

Jamie
10-03-2008, 11:35 PM
dominion

Re: Peroneal injury?

That's twice today that I've read the word peroneal,

TENS Machine

Rumaging around the other day for a quick fix to my latest ailment I cam across the above. The Q & A mentions peroneal. Don't ask me for advice or blame me if it doesn't work! Lloyds Pharmacy also have something similar for £15.
02-09-2010, 07:49 AM
lowden

Peroneal tendinitis....

Hi, pain has just started on my right foot underneath and right of my arch. It's swollen and hurts whilst walking. I'm pretty sure it's the peroneal tendon. Anyone had anything similar? Also anyone got any good treatment tips other than RICE. How long should I keep off it? Any advice would be greatly appreciated. Ta
02-09-2010, 08:35 AM
IainR

Re: Peroneal tendinitis....

Quote:

Originally Posted by lowden

Hi, pain has just started on my right foot underneath and right of my arch. It's swollen and hurts whilst walking. I'm pretty sure it's the peroneal tendon. Anyone had anything similar? Also anyone got any good treatment tips other than RICE. How long should I keep off it? Any advice would be greatly appreciated. Ta

Just got this. Been told mine is related to poor mobility in the ankle and lower leg muscles, also possible collapsing of arches. Been told to stretch lots and buy those superfeet insoles or whatever they are called.

Just replacing my road shoes to a more supportive shoe and lots of stretching has already reduced the pain considerably.

Been told to keep running because until I sort out my flexibility it will just keep coming back, even after rest
02-09-2010, 09:33 AM
Grouse

Re: Peroneal tendinitis....

I know what you need: a long, cold, boggy night run in the Peak District. Early March maybe. Do you the power of good.
02-09-2010, 01:41 PM
lowden

Re: Peroneal tendinitis....

Cheers Iain just what I wanted to hear that, especially as I've got a number of races coming up very soon. Grouse what your basically saying is to just crack on with it which is also what I want to hear. Laters
02-09-2010, 04:04 PM
Grouse

Re: Peroneal tendinitis....

I meant Iain, but good luck with it :)
19-10-2010, 11:25 AM
Running Monkey

Re: Peroneal tendinitis....

Quote:

Originally Posted by IainR

Just got this. Been told mine is related to poor mobility in the ankle and lower leg muscles, also possible collapsing of arches. Been told to stretch lots and buy those superfeet insoles or whatever they are called.

Just replacing my road shoes to a more supportive shoe and lots of stretching has already reduced the pain considerably.

Been told to keep running because until I sort out my flexibility it will just keep coming back, even after rest

Just saw this thread and thought I'd share my experience with this problem - which is lots. I developed this early in 2008 and although I hate to say it, it's something that really doesn't go away and you have to manage - at least that's my situation. For me, it was definitely poor mobility in the lower leg, specifically the peroneus longus, that caused the problem. It got so tight I got micro tears in the connective tissue between the muscle and the tendon itself, the result being that my whole achilles area got really swollen and in fact crepitus set in .... this had me going to physio at the local hospital and took ages to settle down.

I think when people talk about peroneal tendinitis and peroneal tendonitis they mean the same thing. The peroneal tendon is very extensive and if you have problems, you'll feel it referring everywhere, under your metatarsals, ankle, the lot. It's mean. It does respond very well to deep sports massage, but you have to be careful, particularly in the area around the retiniculum - the "strap" that holds the whole caboodle to the lateral side of your foot. Blood supply here is terrible, so a regime of combined heat/ice helps a great deal. I used to get up 15 minutes earlier, nuke my heat bag and then sit eating my breakfast with foot up, alternating heat/ice. Ibuprofen gel (10% stuff like Ibulieve) also helps.

I was very fortunate as my missus was training to be a sports massage therapist at the time this developed, so she's become a bit of an expert on peroneal tendon treatment. I hasten to add she's qualified now, but I still have to have regular maintenance. For instance, I biked on Saturday and ran 13 miles on Sunday .... that bloody muscle siezed up again and if she hadn't worked it, I bet it would have reappeared.

So I hope this helps. BTW, rolling a golf ball under you foot also helps relieve the pressure. PM me if you need to hear any more ..... hope it clears up quickly for you.

Martyn
30-03-2011, 04:45 PM
lowden

Peroneal injury??

The lateral part of my ankle under my actual ankle feels extremely bruised and sore to touch. After a run it swells up for a short period of time. I have seen a physio who said I could do some 5 milers and work through the pain. I ran midgley moor on Saturday and ever since the pain has got worse as has the swelling. Usual routine of RICE but I was wandering if anyone knew of anything else I can do + recovery time? I have also developed pain around my ankle joint line??? Any help and advice would be greatly accepted. Ta
30-03-2011, 04:59 PM
Mike T

Re: Peroneal injury??

Do you mean below the bump - malleolus - on the outer side of your ankle? Did you go over on it at any time? If yes to both it could be a ligament injury.
30-03-2011, 05:43 PM
lowden

Re: Peroneal injury??

Hi Mike yes below the bump to the back of the malleous and around that area. I thought it was my Achilles but that was ruled out due to motion etc. I went over on it three weeks ago tool two off but it's still hurting!!!
30-03-2011, 06:29 PM
Mike T

Re: Peroneal injury??

http://emedicine.medscape.com/article/91344-overview - you find some help here.
30-03-2011, 07:38 PM
lowden

Re: Peroneal injury??

Cheers mike loads of stuff on that link. Laters
28-06-2011, 05:20 PM
martmason

Peroneal tendonitis

Has anybody had this, if so how long did it take to get sorted and did you do anything special to help it go/rehab.
Any advice will be warmly accepted.
Cheers
MM.
10-08-2011, 07:16 PM
Martyn P

Re: Peroneal tendonitis

I had this a few years back and have to say it took a while to clear up. First of all, you're sure it's peroneal tendonitis, right? In its initial stages it's easy to confuse with achilles tendonitis, but I'll assume you can feel the discomfort/inflammation up the peroneal muscles, down into the peroneal tendons under the retiniculum (the band of sinew over your ankle bone) and even into your feet, as the tendon has numerous insertion points.

Massage helps a great deal, I'm lucky insomuch as my wife treated me (sports massage therapist), but it also responds well to combined ice/heat treatment - the problem round there is that there is a limited blood supply to carry the crap away and ice/heat aids that. I also found that ibuprofen gel relieved symptoms, but can't say whether it ultimately helped me on the road to recovery.

Three years later I still have the occasional twinge, I keep it at bay by regular massage on the peroneal muscles and calf stretching. Hope this helps.

Martyn
11-08-2011, 01:32 PM
martmason

Re: Peroneal tendonitis

Thanks Martyn, both the hospital and gp diagnosed it as tondonitis but after no signs of recovery after five weeks they looked again and found that I had fractured my fibula!!!! So now in a leg cast and hopefully my tendons are ok.
23-10-2011, 01:02 PM
The-Big-Gray-Man

Peroneal Tendonitis??

Ive not run for about 2 weeks, due to pain on the outside of my lower left leg. My doctor thought at first that I had a stress fracture of my lower Fibula and sent me for an x-ray, which gave me the all clear, but after 2 weeks and still not being able to run on it, I went back to my doctor to say that he thinks it might be Peroneal tendonitis, and gave me a strong anti imflammatory cream. But the pain ive got is not really on the tendon but on the bone, theres a point on the bone where if I press hard enough theres a sharp pain, and its the same pain if I try to run or walk for more than a few yards. What I'am concered about is that Ive got a stress fracture that was not noticed on the x-ray. My doctor said that a stress fracture of the fibula would be noticed on an x-ray, but am not convinced, does anyboby have any thoughts.
23-10-2011, 01:36 PM
Mike T

Re: Peroneal Tendonitis??

According to Noakes X-rays will not show anything abnormal in stress fractures in up to 57% of cases if the X-ray is done within 3 weeks of the onset of symptoms. This sounds like a stress fracture, particularly with the inability to take weight, and the focal tenderness. Ideally you would be seen in your local fracture clinic.
23-10-2011, 03:14 PM
The-Big-Gray-Man

Re: Peroneal Tendonitis??

Yeah but what am I supposed to do Ive been to the doctor and he seemed quite convinced that its not a stress fracture but more to do with tendonitis, anyway am not going to run on it until its healed, whatever it is.
23-10-2011, 05:08 PM
Mike T

Re: Peroneal Tendonitis??

? pop into your local A+E?
23-10-2011, 05:11 PM
Rich1

Re: Peroneal Tendonitis??

A bone scan will generally show up a stress fracture. I though the peroneus tendon was on the side of the foot?
23-10-2011, 08:23 PM
The-Big-Gray-Man

Re: Peroneal Tendonitis??

Quote:

Originally Posted by Rich1

A bone scan will generally show up a stress fracture. I though the peroneus tendon was on the side of the foot?

http://www.kd8itx.com/blog/wp-conten...al-tendons.jpg
Yeah but it also runs behind the fibula.
24-10-2011, 08:10 AM
Rich1

Re: Peroneal Tendonitis??

Thanks, big Gray Man - I learn something new every day!
24-10-2011, 09:26 AM
Andy A

Re: Peroneal Tendonitis??

The tendon of peroneus longus startes about 1/3 to 1/2 way up the tib and inserts into the 1st met and navicular on the planter aspect of the foot. Thereforer is quite long and has several bends. Its main job is to planterflex the 1st ray joint to stop the big toe being pushed upward by ground reaction forces.

Peroneal tenonitis can be occur anywhere along the tendon not just on the side of the foot.
It can be caused by the foot not pronating enough (or supinating to easily) therefore peroneus longus has to work hard to keep the big toe on the ground. Or by over pronating which stretchess the tendon esp if the 1st ray joint is flexible.

http://www.footdoc.ca/www.FootDoc.ca/latleg.jpg
24-10-2011, 10:37 AM
Martyn P

Re: Peroneal Tendonitis??

Quote:

Originally Posted by Andy A

Peroneal tenonitis can be occur anywhere along the tendon not just on the side of the foot

I can endorse this. I had peroneal tendonitis hit me several years ago and at various times I felt it along the whole length of the tendon, including all the insertion points under my foot. It can be very nasty. Funnily enough, as I moved onto off-road running it became much less of an issue.

I have my own personal formula for curing PT, but it's no miracle - basically a combination of massage (lots), ice and heat. I also found anti-inflammatory gel relieved the symptoms well, partic. the 10% stuff.

Martyn
11-11-2011, 11:48 PM
The-Big-Gray-Man

Re: Peroneal Tendonitis??

Quote:

Originally Posted by The-Big-Gray-Man

Ive not run for about 2 weeks, due to pain on the outside of my lower left leg. My doctor thought at first that I had a stress fracture of my lower Fibula and sent me for an x-ray, which gave me the all clear, but after 2 weeks and still not being able to run on it, I went back to my doctor to say that he thinks it might be Peroneal tendonitis, and gave me a strong anti imflammatory cream. But the pain ive got is not really on the tendon but on the bone, theres a point on the bone where if I press hard enough theres a sharp pain, and its the same pain if I try to run or walk for more than a few yards. What I'am concered about is that Ive got a stress fracture that was not noticed on the x-ray. My doctor said that a stress fracture of the fibula would be noticed on an x-ray, but am not convinced, does anyboby have any thoughts.

Went for my first run tonight in five weeks, wasnt sore really at all, no sharp pains at least, so can't be a stress fracture, amazing that ive not lost all that much cardio fitness, a suppose a testament to how fit a was before a stopped.
15-11-2011, 11:08 AM
Mike T

Re: Peroneal Tendonitis??

Quote:

Originally Posted by The-Big-Gray-Man

Went for my first run tonight in five weeks, wasnt sore really at all, no sharp pains at least, so can't be a stress fracture, amazing that ive not lost all that much cardio fitness, a suppose a testament to how fit a was before a stopped.

Sounds good - also sounds like we will never really know what it was - I still have my money on a stress fracture of the shaft of the fibula - 5 weeks of not running would heal most of these. Good luck.