Running is a great way to stay active and healthy. However, when managing peroneal tendonitis, running can cause pain and frustration to your feet and lower leg. While inflammation of the peroneal tendons is less common than other running injuries, it should be taken seriously to ensure a healthy recovery. Keep reading to learn ways to relieve peroneal tendonitis while running.
Now that you understand what might be causing foot and ankle pain, it’s important to take steps to prevent injury or further aggravation.
Overuse is a common cause for peroneal tendon pain. A general great rule of thumb to increase running volume while training is to increase no more than 10% of your mileage or intensity per week. This gives your body time to adapt and build endurance sustainably. The exact percentage for each runner, particularly for distance runners, will vary but it’s a great place to start.
There are two primary forms for running: barefoot running or traditional heel strike running. Barefoot running involves striking the ground with your mid-foot instead of the heel. When done correctly, it reduces impact in your lower leg and spine and optimizes muscle coordination. The caveat is that without proper muscle strength and conditioning, this can lead to strain of the intrinsic foot and ankle muscles and requires a slow gradual start.
Follow these general guidelines:
Generally, lower cadences and strides are easier to manage for reduced impact and proper coordination. Although with increased endurance and strength, you may find a cadence somewhere around 175 steps per minute to be ideal. Tune into what cadence, stride length, and stride width helps you feel most powerful with the least amount of strain.
Without an understanding of human anatomy and biomechanics, it can get overwhelming to assess your own running form. Try some of these basics and if you’re not seeing the results consider physical therapy. A podiatrist or physical therapist can help you determine your exact weak points to address for running form and coach you properly correcting them.
High-quality footwear can help manage issues with foot or ankle instability. They can also provide support and reduce impact on arches and the metatarsal area. You can buy shoes with built-in heel and arch support specific for your foot alignment and needs. Often, when you go to a store that specializes in running shoes you can get advice on the best shoes for your feet.
If you just need a little more support in your current shoes, you might consider custom or prefabricated orthotics. Just as with shoes, there are many different styles of orthotics to meet your running needs, with prefabricated versions being significantly cheaper than custom options. Generally, look for an option that provides your heel pronation support and feels good on your arch.
Change your running shoes regularly. If there are signs of wear or you’ve run more than 500 miles in your shoes, then it’s probably time for a new pair.
The impact that our lower body endures with high-level activities like running can be hard on the body with muscle weaknesses, imbalances or poor form present. Losing weight is a great strategy for reducing strain in all of your joints, stress fractures, or injuries and improving your overall hea
Muscle stiffness can lead to poor running form and limited tissue extensibility; putting the ankle tendons at risk of injury. Take the time to stretch and warm up prior to running to boost circulation and prime your body for running.
Proper cool down is just as important as your warm up. Take time to stretch after you run and try massaging your legs, calves, outside of the ankles and feet to break down any built up lactic acid.you may
The peroneal muscles are responsible for ankle eversion and are essential for stability of the outside of the foot and ankle stability with weight-bearing activity. Peroneal tendonitis in runners is most often caused by a sudden increase in running speed or distance. Other higher impact activities like jumping can also have similar effects. Additionally, injuries like an ankle sprain can also cause direct or aggravating imbalances in the foot and ankle bone that affect your ability to run.
This depends on your symptoms. Try these modifications to help minimize pain.
If symptoms persist or worsen with modification, you should stop running and seek help from a physical therapist to recover properly.
It’s all about tuning into your body to find the right balance. If you try to do too much too soon, it can lead to longer recovery times. Yet, too much rest can quickly lead to loss of hard-earned endurance and strength. Try incorporating stretches and other exercises that are safe and beneficial to the peroneal tendon to help build strength and resilience.
If you’re feeling unsure of where to start, talk to your doctor or physical therapist for personalized recommendations that will maximize your return to running.
While you can find quick and short term relief from painful symptoms with simple home treatment like ice, medications, and gentle exercise, you’ll need to address any underlying issues that have caused your peroneal tendonitis for sustainable long term relief.
If the original causes are not formally addressed, you will be left in a cycle of frustrating pain and injury that you can’t seem to get rid of. A formal assessment of your lower body function and coordination with running can help determine the best options for a long term recovery
When returning to running, following these tips and paying attention to your symptoms is crucial. As you heal, you can sustainably increase your running mileage and intensity. With proper care and time you will be on track to reach your ultimate running goals.
If you experience an exacerbation of symptoms with running that affects your quality of life or just can’t seem to get any relief, get in touch with your podiatrist or physical therapist for further recommendations.
Sources:Peroneal Tendonitis Products