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Peroneal Tendinosis

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Northerner

Northerner

Admin (Retired)
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Type 1
That's what has stopped me running for 8 weeks now :(

https://www.aofas.org/footcaremd/conditions/ailments-of-the-ankle/Pages/Peroneal-Tendonitis.aspx

I can walk OK, but with some pain - feels like a bit of an ankle sprain, and particularly when on uneven ground - more stress on the tendons. Running is out of the question and apparently this can take many weeks or months of rest to heal :( Blimey, I healed quicker when I broke my femur! 😱 Thankfully, I can still use the rowing machine OK, so able to get some good aerobic exercise in, but really missing my running. I've had 'overuse' injuries in the past, but nothing like this, and it wasn't even as though I had particularly 'overused' it!
 
Curiously I have something similar, though not sounding anywhere as bad. Mine eases after about a mile into a run, (or less with a proper warm up!) but makes stairs a bit of a issue the following day, together with the first 2/.3steps after sitting a while.

I had a half marathon coming up and the physio said I was good to keep going providing I did lots of voltarol and stretches. A couple of weeks in and I don't think it has got worse, but then again it hasn't got better. the half was OK apart from the classic fail of leaving my mid race snacks in baggage (so no surpise that my pace deteriorated from 8m onwards - D'Oh!)

As I would be exceptionally disgruntled without my running I am going to keep trusting him, but if it gets worse, then I might have to get a second opinion looking at that link.

Hope it eases soon Northy
 
Ouch, I get tendonitis a lot, it comes as part of the EDS package. With peroneal tendonitis there can be a footwear connection, I suffered for 18 months with it and it turned out to be the arch support in the trainers I was wearing (just for walking there was no possibility of running the tendon was so inflamed). I have a high natural arch but it collapses on contact with the floor this is known as a flexible flat foot and should not be treated with arch support because that causes the foot to counterbalance onto the ankle bone side causing overuse of the long peroneal, and extremely painful tendonitis. Conversely I believe if you have a normal foot and the arch falls, lack of arch support can cause the same basic problem because the foot is trying to counterbalance an over pronation. The point of that incredibly boring story is check your footwear with a specialist, either a pod person (podiatrist to everyone else) or one of those fancy trainer shops that measure your gait on those fancy machines. That could be the simplest and quickest resolution to the problem. I subsequently developed an angry plantar fascia as a rebound injury but I expect thats just my very special feet and wouldn't happen to someone without the hypermobility issue (easily fixed by wearing a shoe with a heel....you'd look great in heels 😱). On a serious note though you need to find the root of the tendon annoyance because if continually annoyed it can thicken, my Achilles is thickened which is why I can no longer run unless I fancy a nasty rip :( had me one of them wasn't fun at all.

Also did you know diabetes causes ligament laxity, that's the connection with Charcot foot apparently (although it's much more complex than just stretchy ligaments). I learned more about this recently from a scary lady with a foot analysis machine (she's a qualified medical just very scary). The connection relates to high blood sugar, but sustained slightly elevated blood sugar can also be a factor. I'm not prone to high blood sugar but my over extension capabilities have increased by 5% putting me back to the level of flexibility I had when 21, which is 3 times more stretchy than a normal, and 2 times the tensile strength. So there's a positive from diabetes :D...give me another two years and I'll basically be a big elastic band able to hire myself out as a trampoline.

Do you have the ankle strapped? If not it might be a good idea, the compression helps the fluid move from the tendon (well it does if you have my joints, I've realised I don't know if non EDS folk have the same inflammatory reaction coz I've never been one). I'll shut up now because I appear to have the verbals today!
 
Complicated! Hope it's not too painful. What caused it do you think? Do you need better trainers?
 
I see one of the things they're trying is platelet therapy, perhaps you could get Khskel to donate you some of his spare ones?
 
Thanks guys 🙂 @KookyCat - the problem is due to a running overuse injury, plain and simple. I was 4.5 miles into a 5 mile run when I started to feel something. As I thought it was just the top of my shoe rubbing against my heel bone, I carried on, determined (stubborn!) to do the full 5 miles I had planned, which probably didn't help. I've had similar problems before (32 years since my first marathon!), but they are usually fine after a couple of days rest, so this is very unusual for me :( I do get more injuries since breaking my femur as my gait was altered slightly by the operation (leg must be heavier too, with all that scaffolding in it! 😱), but usually only minor and I always have rest days in between runs. Just one of those things. My running shoes are the same brand/model that I have been using for 20+ years and the ones I had on were relatively new, so not unduly worn. Slapping ibuprofen gel on it and trying to walk properly so as not to favour it too much. It feels like a combination of a badly-bruised ankle and minor sprain. It was really bad for about 3 days after first happening, then started to feel better - then it's like it has just got stuck :(
 
I'd get someone to take a wee look at it. Actually I'd strap it up tightly and see if that helps it ease off, then if not I'd get em to look (only because id be there every week if I didn't try all the usuals first). I had to wear a fibre boot cast on one of mine for 3 months once to get it sorted, pain in the backside but worth it to avoid thickening. I'll stop lecturing now 🙂
 
Ooh no, that doesn't sound good at all :(. No suggestions from me I'm afraid, just hope it heals before you go totally stir crazy! I have found that adding strength workouts to my routine have helped to banish a lot of little niggles that I've had in the past.
 
Northerner said:
That's what has stopped me running for 8 weeks now :(

https://www.aofas.org/footcaremd/conditions/ailments-of-the-ankle/Pages/Peroneal-Tendonitis.aspx

I can walk OK, but with some pain - feels like a bit of an ankle sprain, and particularly when on uneven ground - more stress on the tendons. Running is out of the question and apparently this can take many weeks or months of rest to heal :( Blimey, I healed quicker when I broke my femur! 😱 Thankfully, I can still use the rowing machine OK, so able to get some good aerobic exercise in, but really missing my running. I've had 'overuse' injuries in the past, but nothing like this, and it wasn't even as though I had particularly 'overused' it!
Click to expand...
Typical hen the weather is getting better too, hope it gets better Northy
 
Thanks everyone 🙂 It's been feeling slightly less sore for the past few days, so hopefully finally on the mend. I'm going to find it hard going out for a run again though, for fear of setting the whole thing off again - a bit like I was when going running for the first time after my broken femur, that was scary 😱
 
Well, I took the plunge last Sunday and did a very tentative run around the block (0.54 miles!). Things seemd to be OK, but I gave it a couple of days just to make sure and managed a bit further yesterday - 1.15 miles! 🙂 The ankle still feels a little fragile, but doesn't actually seem to have been made any worse by the run so will try for a bit further tomorrow or Saturday 🙂
 
Great news @Northerner 🙂. Hope things continue to improve!
 
Fingers crossed things continue to improve for you. Im glad to say it seems that my foot is on the mend.
 
Went out for another run this morning. Still taking it carefully, ankle a little sore but as last time didn't appear to get any worse 🙂 2.57 miles at 10:03/mile pace 🙂
 
Northerner said:
Went out for another run this morning. Still taking it carefully, ankle a little sore but as last time didn't appear to get any worse 🙂 2.57 miles at 10:03/mile pace 🙂
Click to expand...
Well done Northy. It does your head good to get out 🙂
 
Another run this morning, slightly further, slightly faster 🙂 2.81 miles at 9:47/mile. Ankle just felt a bit stiff, but otherwise no problems 🙂
 
Northerner said:
Another run this morning, slightly further, slightly faster 🙂 2.81 miles at 9:47/mile. Ankle just felt a bit stiff, but otherwise no problems 🙂
Click to expand...

Well done Alan. Keep it going. 🙂
 
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