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Post by oldbill on Jul 21, 2020 5:36:29 GMT -8
Anyone suffer from peroneal tendonitis (pain on outside of midfoot, near 5th metatarsal)?
Recovering from plantar fasciitis since January, but this has persisted for a few weeks now. Possibly related to PF (which is much improved), but makes wearing my boots for long periods tough. High arch inserts help.
Not so much pain that I'm running to a doctor yet and (while self-diagnosed) prognosis seems good.
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BigLoad
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Post by BigLoad on Jul 23, 2020 9:45:22 GMT -8
It's not unusual for distance runners to get neuritis in that area.
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Post by oldbill on Jul 25, 2020 5:50:44 GMT -8
Thanks, that does appear to be the case, along with athletes who do sudden changes of direction. I may have developed it doing high intensity interval training. My preferred method of staying in shape, but might not have warmed up properly. Stopped HIIT due to plantar fasciitis 6 months ago. That's gotten better, but then this! My Wind River trip is 4 weeks off. So, training and esp. hiking is problematic. It appears, like any tendon injury, it will take time. Lots of calf stretches, arch (have high arches which predisposes me to the injury) and lateral wedges. Definitely stiff, broad base hiking shoes/boots. References for anyone that may encounter this: www.physio-pedia.com/Peroneal_Tendinopathyrunnersconnect.net/peroneal-tendinitis-tendonitis/www.footankle.com/other-foot-problems/pain-outside-foot/ |
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Post by oldbill on Jul 5, 2021 12:53:34 GMT -8
Almost a year later...thought an update was in order.
2020 trip went well so I didn't bother having it checked out. But, it returns, sometimes swelling enough that normally comfortable boots and shoes become painful. FWIW, the plantar fasciitis also returned. First occasion so bad I had to take my shoe off to be able to drive, then was limping for over 3 wks. This while being fairly diligent about stretching, wearing night sock brace, using good arch inserts, no plyometrics etc...
Finally caved in 10 wks prior to another major trip and went to a respected podiatrist. Just a first visit and didn't seem overly concerned as I'd gotten swelling down. Said a 1.5 yr of recurring issues is indeed too long. MRI is next step.
As typical, these things tend to take a while to deconvolute and find an appropriate therapy.
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rebeccad
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Post by rebeccad on Jul 5, 2021 18:55:26 GMT -8
Hey, oldbill, glad you did the update, because that brought the articles to my attention. I seem to have developed just that tendonitis in response, I think, to either my chronic PF or the pain from my badly function big toe, or both. I'll be trying some of the therapies. |
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Post by oldbill on Jul 6, 2021 14:55:18 GMT -8
I wish you faster recovery than myself. There certainly isn't a single protocol that fits every case. Rehabilitation so it doesn't recur is certainly key after the pain subsides. A good PT would be very useful. Unfortunately, to get to PT insurance requires that I first go to a podiatrist. I've found many are very skilled surgeons and do the basics related to pain relief, orthotics, etc very well. But in depth biomechanics/gait analysis seems to be the realm of PTs. Some additional sites you might find useful: MultiBrief: Peroneal tendinopathy: Everything you need to know (multibriefs.com)Peroneal Tendonitis Treatment and Prevention | Precision MovementI have high arches and have nearly always used quality high arch supports (certainly for hiking). Apparently, that's a risk factor for PT. Also, high arch supports transfer forces to the outside of the foot and may contribute to peroneal tendinopathies. Tried a PT-specific insert, but then my PF flared up again, so I stopped using it. Peroneal Tendonitis - FootEducation |
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