Peroneal Tendonitis Treatment 2024 [Peroneus Brevis & Longus Pain!]
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- čas přidán 13. 04. 2020
- 🦶Peroneal tendonitis is the #1 cause of outer ankle tendon pain.🦶 We go over how to fix your peroneus longus and peroneus brevis with our peroneal tendonitis treatment guide!
Peroneal tendon pain is relieved with the right shoes, the right orthotics and the best peroneal tendonitis brace options! We go over peroneal tendonitis massage and stretching options, good support and pain control!
The top 4 causes of peroneal tendon pain are: peroneal tendonitis, peroneal tendinosis, peroneal tendon tear and a subluxing peronea tendon.
The peroneus brevis tendon is also known as the fibularis brevis, the peroneus longus tendon is also known as the fibularis longus tendon.
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This is opinion only:
For the viewer or reader: Do not consider this video as a substitute for professional medical advice, diagnosis or treatment. We strongly urge you to contact your own physician with any questions you may have regarding your medical condition. If you are having an emergency, call 911 immediately or see your physician. Do not allow this information to let you disregard your professionals medical advice or delay seeking based on information from this content. Do not rely on information provided by this general education video.
Healthcare practitioners: The content here is for education purposes only. The authors have done their best to provide the most up to date evidence-based information, but this content should definitely not be considered any type of medical standard. It does not reflect individual practices in other geographic areas.
This is strictly for medical education purposes only, it is not intended for diagnosis or treatment. The information in these videos is the opinion of the author only and is not an official opinion of any organizations that the authors may be a part of. The authors or speakers are not associated with any of the above products.
This information is the opinion of Foot and Ankle Web Services LLC, this is not the opinion of the APMA, MPMA, ACFAS, ABFAS, ASPS nor any association that anyone present in the videos he may be a part of. Do not take any of this opinion as fact, this is for entertainment only. See your personal practitioner for specific advice.
Tom Biernacki is a Doctor of Podiatric Medicine with a degree title of DPM. He does not speak for any licensing college or provider of this degree. This is all opinion for entertainment and by watching this you agree to the above.
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Let us know which peroneal tendon hurts YOU the MOST!
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Hey thanks for the video, I'm a basketball player and found out today after an ultra sound I've partially teared my peroneal longus at the bottom of my ankle How long till I'm at 100%
I had surgery yrs ago and it never hurt. Years later stress fractured my fibula it healed my leg has hurt every since. I have had an MRI and still have fluid. It hurt to get pedicures and always feels tender. The more walking I do the more further up my leg the pain goes. Eventually it feels like walking on a sprang ankle.
Had a tri malleolus with open reduction surgical repair for a broken ankle in 2015. Im 66 and not terribly active, but it seems that my ankle perineal tendonitis on the injured ankle side is getting more painful, and as I take daily walks, i find more frequently walking in the neighborhood is painful because of the uneven surface with neighborhood driveways. working in my garden sloped areas also cause pain for days or weeks. Im wearing good sneakers, and orthotics, which I am ruining at a frustrating rate because sneakers and garden mud! Also going to the bathroom at night is difficult, really hard to get up and lace up sneakers to walk to the toilet in the night. I hobble there with a painful ankle and I know that isnt good. What can I do??
My MRI results came back with a longitudinal tear of the longus tendon as well as a tear in the spring tendon. Does this require surgery?
Thank You for the great explanation. The very best on CZcams. I am recovering from this and it is getting much better.I’m very lucky to have a great doctor in Minnesota. I love your channel. Thanks again for the great description.
For years I had been trying to figure out what is the reason for this pain. You are bang on. This is exactly whats happening to me. Please put a detailed video on the cure
Absolutely, we will get an update coming soon!
I’ve got similar symptoms. Got wear on the bottom of my shoes where I’m having symptoms too.
You are the BEST Foot doctor.
This was so incredibly helpful thank you
This was extremely helpful, I have ballet students that are dealing with this tendinitis. It has to do with bad training /movement patterns, using extreme external rotation from the feet rather then hips, coupled with weak core and rotators. I will implement these suggestions and again, thank you.
Thanks for sharing,
Your precious advice saved me
Thanks
Geez! What a great video. So well done and covered everything. I got custom orthotics and think I was fitted wrong.....I actually believe they caused my problem.
You helped me to finally diagnose the problem and now i am on the road to recovery!
Wow! What an incredible video! You are so knowledgeable and very precise in your description of these muscles, tendons,possible injuries and ways to fix and help heal the problem. I tried watching other videos and none of them covered half the things you did. Alot of them only mainly covered the Peroneus Brevis. You covered it all! My problem is definitely the Peroneus Longus. I'm very sore there and it's hard to walk especially after sitting for some time. I'm a truck driver for beer and beverage company and work very long hours 12-14hr days. I know there's many things that you mentioned that could be contributing to my pain. I'm one of those supposed tough guys or lol dumb guys that put off seeing a doctor until the absolute last second. I'm self diagnosing or guessing. I think the problems started happening a few months after this Corona Virus started. I've always been a very active guy and even after work still go to the gym and find time to take the kids for walks or hikes. Well, since pandemic gym and hikes stopped not nearly as active as I used to be, I put on some weight,working way more hours since we're really short on drivers,probably wearing worn shoes with not very good arch support, I have high arches by the way and believe I started to develop plantar fasciitus in my left foot about 3 weeks ago. I've been taking Ibuprofen for pain and icing my foot which has helped but with these longer hours working faster, harder and feeling a bit out of shape I feel like it's getting worse. Now, for the past 3 days I've been feeling lots of pain in the Peroneus Longus on both legs but especially my left leg. Wondering if my plantar fasciitus is contributing to my pain along with all the other things I'm doing wrong. Well, thanks to your video I am going to buy the massage stick, buy better shoes, buy a good pair of insoles probably the Powerstep Pinnacle Maxx, buy the Powerlix Ankle brace compression support sleeve and try to lose some weight! Hopefully doing all that plus stretching, icing and Ibuprofen hopefully I can get better and avoid seeing the doctor. Again, thank you so much for this incredible video. You don't know how thankful I am and how appreciative I am for what you've done for me here. Thank you and wish me good luck!
Wow great input, we hope you continue to improve and have less pain!
Hey Tom, This video is amazing. I am very active and all the pain you mentioned in this video related to me. You are so generous and selfless by sharing all these information with us. I appreciate what you are doing from the bottom of my heart. 🦋🌹🦋
Wow that really means a lot. You are such a great force of positivity and it's my absolute pleasure to help!
I hope you are staying safe!
Could not find a better video now im hoping to the store. Ty
Great fabulous fantastic. Thank you for the detail and time spend doing this vid 😊
Thanks for watching we appreciate you!
What a great informative video!
I'm so glad that I finally found out the reason of the pain that I've been dealing with for years 😭 Great explanation! Tysm!
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Nice job!
This was perfect. Thank you!!
Wow thank you so much for you amazing feedback and help growing our channel. Great fans like you are really what keeps us working hard and motivated to make better videos!
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Muchas gracias
Wow, The video is really helpful! Thank you and greetings from germany👐🏿
This is a great video
Thank you!! I was trying to make an appointment hopefully soon to a podiatrist for my right peroneal foot pain today! This video was soo informational and useful!
Hope you feel better soon!
Michigan Foot Doctors thank you!! I just ordered the orthotics and the ankle socks you recommended!! 😭👏🏼😬
This video is great. You're the man!
Thank you, you're the man!
This video is so good. It really explains the problem /s very well. And the recommendations are superb. Thank you very much.
You are a great fan, and we appreciate you Kanti!
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Thank you for this. Been researching my injury and this is EXACTLY what it is. Been dealing with this for 6+ months and finally seeing a podiatrist. Need to heal before a big hiking trip in the fall.
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I get pain as I sleep and wake up limping and the outside of my lower leg is so painful I cannot let my leg up on my other leg to get my socks on or shoes tied. So anyway I start walking and it is very painful, but after about a half mile or so the pain starts to go away and after about an hour I can walk normally without any limping. No bruise, no swelling, I am very careful not to twist my foot as that would make pain. It has been about 5 days and finally less pain in the morning. But the pain is extremely bad if I don’t walk, walking around makes it feel better. I think I searched for answers or days before coming across videos like this. This video was very helpful. Keep up the good work
This was such a clear and helpful explanation. Was able to see clearly where my pain and discomfort is coming from and find immediate solutions/treatments. Thank you!
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bro, what was your treatment? because i also have this pain for months now
Extremely happy with the fun and knowledgeable of the peroneus.!!
Will like to know what are the first signs of getting better?
Just ordered an ankle brace. Hope this is the solution. Might save me a lot of pain.
At 2:10 on the video, that muscle that bulges to the right of the area you are talking about -- outside of the two areas you mention -- that is where my pain is. Going on 4 years.
Dead lifts and kettlebell swings have taken their toll. I dont have pain when walking but when i bend over i can feel pain in Peroneus Brevis. Its tender to touch. Going to try massage as you suggested.
I fell last year. 3 drs later I found my dream Podiatrist. He’s with New Age Ankle and Foot surgery. I’ve been suffering for a year with pain and one day I was in for my other foot and I explain what was going on. Well 1 week later I was in a mri machine, 4 ruptured ligaments/tendons. Peroneal tendon snapped talk about pain. Achilles tendinitis and I can barley walk.. but I graduated college hardly able to walk. Surgery next week.
I don't get ankle pain but I get longus pain on both sides. I use orthotics. thanks for this detailed explanation. will try longus massage.
I broke my 5th metatarsal a few months ago and I’m starting to walk again but now I have this pain and I can’t walk properly. I hope this will help! Thank you
Great video and information. More information than my doctor gave me. Heading back for another peroneal tendon repair surgery. I had one 10 years ago, I guess I trashed that repair with working on my feet all day. I wear good shoes and have had orthotics in my shoes for years. I have chronic brevis tendonitis in the left foot. In the evening when I'm relaxing that tendon likes to spasm for no reason, its really painful . The doctor is thinking of removing the bad and previous repaired tendon and replacing it with a cadaver tendon.
We appreciate you watching and contributing Joseph, we wish you the best of luck!
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HI there, thanks for the video. I was wondering if training and being more barefoot, working on "short foot" exercises to increase plantar fascial resilience and self myofascial release everyday to get those compacted, not mobile structures moving a bit better could work before hand? I mean insoles or footwear with "arch support" wouldn't fix the cause but the symptoms. Thanks for your input.
Mine only hurts along the 5th metatarsal area. Would this be the same injury just pain in a different spot? I don't see any information in regards to muscles/tendons in that area. All I can find is fractures which my doctor says I do not have.
Best tutotial video! Period! Thank you!
Fernando, we appreciate you watching and contributing!
Thank you for your support.
Let us know if we can cover any future topics for you.
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I had a tear, was in a boot per my orthopedic surgeon’s order, went to physical therapy, and no one ever mentioned orthopedic inserts as a tool to help - guess what I’ll be looking into! Thanks!
Would a weakness in one or both of these tendons account for frequent spasms in the outer calf? (I have very weak ankles and a history of severe plantar pain)
Do you recommend the use of a methylprednisolone pack to reduce inflammation with this condition?
Hello, I've experienced a slight pain on the lateral side of my ankle since a few months , a little bit under the area of the peronal tendons . It feels ok while walking but standing still makes me feel discomfort. This happened after I did a lateral jump in stairs. I didn't twist my ankle or anything, but I could feel that little pain right at the reception and it didn't go away since.
Any idea where that could come from? Could it be from the peroneals or instrinsic muscles? Best regards
Excellent video and great explanation. I am a runner suffering from reoccurring tendinosis at the Insertion of the Peroneus Longus for the last 2 years which commenced after a long trail run. I have tried complete rest (twice) for months at a time, physio, magnetotherapy, strengthening, massages, frying the area with needles, changing shoe types and running techniques but unfortunately, the dull throbbing burning pain keeps coming back at the insertion, especially after or during hills and when sensitive it is even sore to the touch. Any additional advice relating to relieving pressure or pain at the insertion would be appreciated! Thanks again for the great videos and great explanations
Same. Looking forward to reply.
The Pin Muscle Group. Peroneus Brevis can pull tuberosity of fifth metatarsal away in a foot rolling event. The fibula side of the ankle joint.
What's your opinion on boots with vibrant sole with adaptive lugs
Also using a power step orthotic
Is that a good combo?
Curious, can this also present as tingling, itching, throbbing on the outside/slightly underneath area of the foot that is outlined here? I used to hike 10 miles a day on weekends. Over time, I began noticing an itch, then burning sensation, then redness... Goes away over time if I don't hike or hike less than a mile. Would love to know your thoughts. Are there any other videos you have for this in terms of PT or best practices? No insurance. I did order the orthotics you recommended. :( Thanks!
I have really high arches also when i lie down and extend my leg in the air while im lying down and put my foot in dorsiflexion i feel tingling throughout my calves and my feet.
Thank you doctor for your stretching today
Thank you doctor for your movement today
Amazing thank you so much! 😊🙏
Have a merry Christmas 🎄🎁 and happy new year 🙏
Just got over this so painful hope get back in gym soon but worried workout and have sit back
Thank goodness for this video. This is the BEST video I've found so far. I'm 7 weeks into my recovery from a rolled ankle. My mri report states this type of tendonitis in my ankle. I'm 2 weeks in with physical therapy. I'm back to being bruised up again on this tendon in my ankle due to the physical therapy. My therapist also told me I have high arches. And 4 years ago I developed Extensor tendonitis in the same foot. My right foot can't catch a break. I desperately need to know how to avoid any more tendonitis in my foot. Can you suggest any other videos for me?
Wow, thank you so much for your amazing feedback and help to grow our channel. Great fans like you are really what keeps us working hard and motivated to make better videos. We hope you can find some relief!
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i tore my MCL a few weeks ago and for a long time my calf was also sore preventing me to do rehab practices, my physio started massaging my calf where i said it hurts and it started popping at certain parts. i did my own research and saw that it was this tendon being spoke of in the video. So my question is, Why does it pop when massaging and also why has not physio nor doctor even noticed this problem after I've told them multiple times my calf is the actual problem with my leg
Longus and i'm stumped on what to do :( hoping this helps : )any updates or new products ? thank you
I have tightness and pain in both Peroneal muscles when I start to walk or exercise. Once my legs are warmed up it goes away. But before it’s warmed up it’s super painful and tight. Had this problem since I was in grade school. Help!!
Can I play cricket or tracking nd other sports after this surgery?
Do you have a video on the peroneus tertius tendon? I think that is the one I injured!
Hi Doc, after 4 years of low body issues/pains and after seeing everyone from Chiropractor to DO, maybe you can help shedding some light. I feel this whole peroneual pain especially while driving. I cannot figure out a neutral way to push the gas petal to avoid this pain. Please help me, what can I study and research on to avoid this pain while driving.
I have Chronic Venous Insufficiency and have to wear compression socks everyday. I wear 20-30 mg knee-hi compression hose. Can the Compression Ankle Brace be worn OVER my other compression socks? I don't want to do anything that would harm my CVI condition. I see that the Compression Ankle Brace you recommend is also 20-30 mg. Since my everyday compressions are already 20-30 would adding the Ankle Brace Compression be harmful, or even very difficult and painful to wear? Are my everyday compression hose enough by themselves to treat the tendontitis? Need your advice! I'm confused and not sure what to do. Thanks!
So with a shallow peroneal tendon groove, I’m getting subluxation without the popping, because there’s nothing for it to pop over? This is maybe why an ultrasound didn’t catch it? I’d really love to see an animation or one of your plastic models (no cadavers if at all possible) of the peroneal tendons going through their range of motion. I’m not clear on what I really am okay and not okay to do. My Dr just said no tip toes (so I guess ballet is out) and no running or jumping, ever again. But even just walking at a pace quick enough to work up a sweat triggers the pain. Having this pain for nearly 20 years now has caused so much weight gain because I can’t do anything anymore. I was in great shape when it started, so it’s another really irritating part of this. Thoughts? And do you have any additional visuals on how the peroneal tendons move? Thanks!
i’ve got indents on both legs right where the brevis and longis connect, no pain around the ankle but pain right where the indents are. It hurts when push down on the indents but not when i’m resting. When I wake up i also have pain in the bottom of my foot where you described the tendon inserting. i’ve had this pain for about a year now but is starting to get worse and worse, especially after any sort of sports practice. ( its more like an aching pain after running) The indent really shows when i go down and out with my foot and it seems to a activate most of the pain. I wear orthotics and tried strengthening my ankles but nothing is seeming to help. Wanted your professional opinion.
Mine is on the inside part of the ankle,i got it after getting tackled when im playing football/soccer,it was mild pain and everytime i tried to moved my ankle upward and downward i can feel it like some cracked sensation and also when the weather is cold it feels like stung and it travelled to my knee. Went to doctor already but doesn't make any differents. Need some advice. Thanks!
I had to hobble off the rugby pitch at practice tonight because of this. I was confused because I could still walk, but depending on position of my foot it would force me to limp. Definitely in the Brevis region so thank you for insole suggestion and I should probably pick up that roller too...
Thanks for the great response!
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My pain resulted from an ankle sprain a year ago. The pain is right where the brevis attaches to the fifth metatarsal. It ranges from from being sore to feeling like an ice pick is being driven into the site… so pain from 2-6 on a average. It’s especially painfully if I’ve been sitting and laying in bed and then get up.
I’m fit, at appropriate weight etc. I cannot wear any shoe with an arch so orthotics and braces are out. I’ve got a road cycling shoe that I’ve cut out the area around the cuboid and that’s tolerable riding my trainer. Oddly enough riding my MTB with flat pedals and shoes with no arch support causes the least pain.
My foot surgeon (works with our Olympic Training Center has recommended dry needling and possibly platelet replacement protocol. He believes that surgery is a last resort and has a low success rate. It has taken three months to get a PT appointment so this stuff better work. I’ve lost too much riding and at 58 I’m not getting any younger.
I’m dealing with this right now. I was compensating for gout in my right foot. When I started feeling the awkwardness on my left foot I thought it might have been gout also. But this feels more like an injury than gout. This article explains exactly what I’m dealing with in my left foot. I have been walking with my foot not setting completely on the ground and walking with my left leg kicked out for a couple of months now. This peroneous longus and peroneous brevis tendonitis sucks almost as much as gout.
How many months it took you to recover completely?
@@saimonkarki7518 I was like that for about 4 months. I haven't had a flare-up since.
Now I know I tore it. My tendon hurt for months before I felt something tear while playing basketball. It doesn’t hurt anymore but ankle just feels loose. Thank you. Very educational. Will go to a doctor
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Really helpful!! Many thanks 😊.
Thanks for watching!
Like a month ago or so, i accidentally twisted my ankle, felt a crack but not sure what cracked, after that, the pain from the bony area of my (left) ankle radiated to below my knee (on the left side of the leg), not sure how to describe this precisely (because my English too), but the pain hasn't gone away. But precisely around the area described in this video.
I didn't twist it too hard but why's it so painful still.
Longus for me! This is in my non dominant foot that just doesn’t seem to be keeping up and developing strength as fast as my dominant foot and leg. After my runs my entire left leg is inflamed and all my veins are pumped up it’s so weird. #4 subluxation yes that happens. I am running a marathon next month and then I am joining the military special warfare training for 2 years so I am trying to make sure I understand how to treat this
My pain is kind of hard to pin point, it hurts on the side radiates to the ankle but I also feel pain on the side of knee and when I stay down on a squat position sitting down when I stand up it hurts on the side of knee , weird. I am a cyclist and it doesnt hurt while riding but next day is sore a d pain radiates from knee down to outside of ankle. Thanks
I definitely have peroneal subluxation but I don’t have lateral instability, just pain. Can I get away with conservative treatment?
For me the pain occurs on both legs, only on the peroneal brevis. I don’t have any pain on my ankle or foot.
But it really only hurts after I run or sprint.
It never hurts while running or sprinting.
Any ideas?
My tendon get popped up when i twist in certain angle from my bone back what should i buy
Hello doctor, i sprsined my ankle last year wi5h grade 2. I can walk without pain but my ankle is bothering me with pain during rest and sometimes dur to tightness there is limitation in doresflextion …I did physiotherapy since 6 months.. i feel pain in bone and down to ankle balls? What do you suggest me to do? Do i have peroneal tendenities?
can peroneal tendonitis or ankle ligament injury cause popping or clicking in ankle? I got an MRI and I was told that my retinaculum doesn't appear to be injured and no subluxation.
I have anterior tibialis pain in front of shins coming up to insertion at knee. Don’t know what to do about it.
So i have pain on the outside from a run. When I dont run it doesnt pain but when I start running it hurts. Therefore i think its a tear. I dont have the ability to see a podiatrist. If it is a tear can I do slow gentle jogs to strengthen it? Will it aaalways hurt at that point?
Does it indicate anything if i feel pain around longus ONLY when bending my leg? I have no problem at all standing or walking but sitting on knees or any other activity that requires such bending is very painful :(((
Great video, any advice/suggestion for suspected custom orthotic causing peroneal tendinopathy? Is the device too controlling? Causing too much supination (I don't believe it is though) or would I benefit from additional lateral wedging/cuboid notch addition? Thanks
Its hard to say without evaluation, it could be many things and you can be tight or off balance in many areas. Generally we start with evaluating symmetry and starting with softer less aggressive insoles and generally move to more and more correction to assess what a patient can handle.
Hi did your tendinopathy clear up? My physio believes mine is currently caused by orthotics offsetting my foot and putting strain on the peroneals. Corrections to orthotics have not yielded results yet. Considering lateral wedging too
Insoles cause my problems. Also what other body part are you in a brace for life? This is not a long term solution. You even said you muscles work less in an insole. That’s a good thing? Goal should be to strengthen the foot and get away from things that weaken the foot.
Is it common for teens to have it when they’re growing?
Good video and explanation of this problem. Thanks! Love the massage stick!
It might have been good to spend a little time on the PARTICULAR biomechanics involved in many cases of peroneal tendonitis- the foot and heel motion caused by oversupination. Not all problems are caused by "stiff calves" (it would be great if they were). If you over-supinate (under-pronate) your foot is rolling outward as you step and you're pulling on your peroneal tendons repeatedly. Correct me if I'm wrong here.
Two of the products you recommend are consequently probably USELESS for many cases of peroneal tendonitis- (those caused by oversupination)- they certainly did nothing for mine. The Powerstep Pinnacle inserts are fine all-purpose inserts but they do nothing for you if your peroneal tendon problem is caused by oversupination. You need something to elevate the outside (lateral) edge of the heel and foot- and the Powerstep inserts don't do that. You will need a lateral wedge insert of some kind.
Likewise, the pull-on Powerlix ankle brace is certainly easy to use, and might help for other causes of ankle or foot pain, but it does nothing for me. A truely adjustable brace (I use the Tri-Lok) is a pain to use but it actually DOES help peroneal tendonitis.
Peroneal tendonitis is a particular problem that needs particular remedies- not just all-purpose inserts or braces.
You are absolutely right and if an evaluation was performed in person there would be very specific evaluation and treatment. This is a very general video and is absolutely not a diagnosis nor advice for any single person. There are so many variables that making specific videos impossible. For example what if there is hip or knee arthritis, or a tight hamstring, or a slipped disc, or a nerve injury, or a truck driving pressing the leg against the door 16hrs a day. There are many causes for sure.
Thanks for the great input, very appreciated!
That being said these are basic devices whose only goal is to limit extreme ranges of motion. The effect can vary depending on the cause. For example if I hit someone in the peroneal tendon with a hammer a brace may actually put more pressure on it causing more pain for sure. A medical boot may cause more pain as well!
I’m suffering terribly at the moment with this. I’ve been slamming NSAIDS, and now on oral steroid, but this is just a terrible pain and in such a critical place that even walking normally hurts, so I limp. With that, my back, SI joint, and calf on the affected side are sore as well. It’s been 2 weeks since I believe I injured it, (jogging followed by jump rope) and just doesn’t seem to be letting up in any significant way. I saw an ortho 2 days ago who put me in a long boot (which makes me walk lopsided and makes my back/hip worse), and prescribed me Valterin cream. So far, I don’t see much light at the end of the tunnel. My xrays were negative for fx. I’m not sure exactly which or if both are affected, but I sure could use some advice or encouragement. Such a bummer bc now I can’t run or even power walk - biking luckily doesn’t hurt.
I just read your post from 2 years ago did you get better?
Hello. You have Amazing información. I have several damage in both feet. on my left leg l have an split tear of the peroneus Braves. Also plantar fasciitis and a partial tear of tibiospring at the calcanea attachment. Also mild tenosynovitis of the posterior tibial tendon. That is just my left foot. Right foot l have plantar fasciitis and still waiting for results of my MRI. l am a mail carrier and walked for 8 to 10 hours plus for 6 or more days without day off.
We really hope that you feel better and thanks for watching our video!
We're sorry to hear about your problem and we really hope you feel better soon! Just remember to see your podiatrist in person if you are not feeling better in the future!
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Hi, for people with Peroneal issues and also have high archess and with 3-5 degree supination, how do you feel lateral heel/foot wedges, or laterally posting custom orthotics help? Thanks
Excellent question. I have been wondering the same. Hope someone can tell us.
Thank you for explaining there peroneus stuff. I began to fight my Corona overweight and found out that long evening walks were my thing. I guess my leg and foot were thinking: "hey what are you doing here?! Stop!" :) I now do excersizes and found myself some decent running shoes :)
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What is the tenderness to touch on my peroneal brevis?
I snapped my peroneal tendon 1 year back because I did not rest during the inflammation phase. Is there any way to get it back to normal without surgery? I have waited 1 year for it to heal by itself but it hasn't. It has destroyed my life as I can't engage in sport. I can run around 4-5 km without pain and then it becomes sore.
Please help doc!
I don't know but my foot hurts everytime I twist it for like 7 years now. It's really bugging me.
Can we do cycling with this condition?
What does it mean if you massage the area and it starts to swell?
is this the same ting as a peroneal strain?
Great information here, thank you! I've been suffering with Peroneal Tendonitis for a year now. I got some New Balance 993 shoes and the Powerstep Pinnacle Maxx that you recommended. But the Maxx seems to cause more pressure on the outside of my foot and under my foot where the peroneal tendon attaches. After a few hours I feel a lot of pain outside and under my foot. Why is that? Is it because the Pinnacle Maxx has a heel post which tilts the foot outward? Wouldn't that be bad for Peroneal Tendonitis and make it worse? Also, is the arch support you show as an example of a great insert at [6:45] in your video, available over the counter or is it a custom orthotic? If available otc, what is the name? Thanks very much!
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Powerstep orthotics work great.
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@@DrTomBiernacki I'd be glad to leave a great review, but I'm not sure you read my question asking something very specific about the Powerstep Pinnacle MAXX Insole and the pain it causes for my Peroneal Tendonitis. Powerstep makes MANY insoles and I am not sure which is the right one to use for lateral foot pain associated with Peroneal Tendonitis. They also make a Pinnacle Low Arch insole. I wonder if that would be better for my Peroneal pain, since my arch collapses when I stand. Thanks for your help.
Thanks for great explanation, my Q
1. What will be happen if not repair peroneal tendon tear?
2. Is it necessary to correct valgus calcaneal while repair tendon tear?
3. How long will take for recovery and back to normal activities after doing above surgery?
My age is 50 years old, male.
If i had pain from the ankle towards peroneal longus, could it also be caused by tendonitis? 🤔 last time i used kinesio tape for ankle stability and the pain on my peroneal longus is gone. But then when i took it off, it started to feel painful again. Thanks for the video by the way, it’s really helpful for me, who hasn’t get the right diagnosis for my problem.
Hope you feel better soon!
@DrTomBiernacki When I run or do certain crossfit exercises my feet start to ache on the outside. However, if I lift them up and shake them out for a few seconds the pain mostly subsides until I begin again and it slowly starts to build. Would this be peroneal tendonitis or would it be cuboid syndrome?
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Probably tight/sore/stiff glutes/hamstring/calf leading to overpronation and overload. Usually, just pressure overload.
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I have pain in the 5th metatarsal right where it inserts I noticed if I rub and massage the area it releaves a good bit of the discomfort would the treatments listed in this video help that location
We would love to help you with your foot and ankle problem, but a complex problem like this really does require in depth evaluation and imaging to make a proper diagnosis. We wish we could do more for you!
We would be doing you a disservice with general advice for such an important issue. Your podiatrist or primary care doctor can likely help much more than we can in this instance.
Thank you for watching and being a fan! We are working every day to help people with better education and information.
Wow i have pain there too! Please let me know if you've found something that helps
i have had pain in that longus area for years
Hope it feels better soon!
I have been dealing with peroneal tendonitis for years. I had a split tear undiagnosed for over a year after an ankle injury (mri picked it up) I had lateral stabilization surgery in December and the tendons looked okay though. Pain still hasn’t gone away and now my 5th metatarsal is killing me. I have done pt, injections and even PRP and nothing is working. So frustrated after 4 years and keep switching doctors until I get an answer.
How are you now??? I have found no relief from any treatment protocol and not one podiatrist or ortho who can help me. Don't know what to do next.
A few days ago. I was playing tennis and my ankle made a snapping sound on the outter left side. I can see the tendon rubbing the top of the bone
What if I keep having sore tenants after walking in barefoot shoes for like 10 mins? I do get ankle sprains and I do have high arches. It’s why I moved to barefoot shoes to begin with.
But this burn… literally sitting on a bench at a park mid exercise right now, researching why the heck it burns so bad!
DMSO is brilliant for this. Pity its never prescribed anymore... only for race horses apparently.
Omg thank you , I’ve been out of shape for so long that , walking for extended periods of time really hurts. And it’s because of the inflammation in the brevis. But I’m wondering if because i have an anterior pelvic tilt. Is that causing the issue?
MorningStar, we really hope that you feel better and thanks for watching our video! We're sorry to hear about your problem and we really hope you feel better soon! It is not likely that pelvic tilt has any connection with inflammation. However, it is impossible to know without in person examination. Just remember to see your podiatrist in person if you are not feeling better to make sure there is nothing more serious going on!
If in the Michigan area consider coming to see us! www.michiganfootdoctors.com/
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What if the pain is way up on the peroneus longus?