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re: OT Runners: help me diagnose a foot ailment

Posted on 1/28/17 at 4:58 pm to
Posted by GEAUXT
Member since Nov 2007
29282 posts
Posted on 1/28/17 at 4:58 pm to
Without hashing out a detailed history and no exam....

It sounds like peroneal tendonitis.

The pain is usually between the lateral malleolus (outside ankle bone) and the base of the 5th metatarsal (which is a bony prominence which can be felt on the outside of the foot) where one of the peroneal tendons inserts.

It's more common in people with high arches, because the peroneal tendons prevent your foot from rolling in, which is more common in cavus feet (high arches).

If you do indeed have higher arches I would recommend a more study shoe like a Brooks beast and a decent otc orthotic like a Spenco to keep the tension off the peroneal tendons
Posted by zatetic
Member since Nov 2015
5677 posts
Posted on 1/28/17 at 5:11 pm to
quote:

If you do indeed have higher arches I would recommend a more study shoe


Have high arches. Started running barefoot. No problems ever again.
Posted by DrewTheEngineer
Baton Rouge (Oak Hills)
Member since Jun 2006
996 posts
Posted on 1/28/17 at 5:17 pm to
quote:

It sounds like peroneal tendonitis.


Gotcha .... but what doesn't make sense is that I will not run for 6 months, but then the pain will come back as soon as I try to start up again, without really even pushing it hard.
Posted by KG6
Member since Aug 2009
10920 posts
Posted on 1/28/17 at 5:25 pm to
I have pain in the same area. But it's not a sharp pain and it rarely ever happens during the run. It's afterwards or the next mroning. And it's just a soreness. Nothing overly painful. But I was concerned about a stress fracture since it wasn't going away.

Went to a sports medicine place and was given anti inflammatory medicine. Told it was likely a "stress reaction", or tendinitis. Took the meds and it was gone nearly instantly, so I pretty sure it's just tendinitis. But it keeps coming back.

I ran in Newtons for several months before it started. Switched to Altras and had a few weeks with no issues, but it's back again. I rub a topical anti inflammatory liquid on it to keep it under control easily, but trying to work on my foot strike to make sure I'm not putting to much stress on that part of my foot. Trying to hit more mid foot than forefoot.
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