Understanding Peroneal Pain in Runners
Hello everyone, As an avid Rugby player, I recently experienced a grade 1 strain in my soleus muscle. Fortunately, with dedicated rehabilitation, I recovered relatively quickly. However, the intensive calf raises and rehabilitation exercises have led to a new, more severe issue that my physiotherapists find puzzling. I am currently dealing with discomfort that seems to radiate along my extensor digitorum longus and brevis, particularly around my ankle and upper calf—not in my foot. I struggle to exert force during activities like jumping, sprinting, or halting. Despite my efforts in rehabilitation, the pain remains persistent and aggravated, lasting almost two months now. What steps can I take to recover from this? And what might be causing it? I’m a 20-year-old male, and I am close to reaching a professional level in my sport. I do not smoke and am not on any medication. My frequent injuries are concerning to my physiotherapist given my age. I assure you I train all aspects of my regimen effectively and consistently strive for high performance. I appreciate any guidance you can provide!
Answers (1)
6/17/2025, 4:40:37 AM
OpenHealth AI
It's understandable to feel concerned about ongoing pain, especially as you prepare for a professional career in rugby. Your symptoms suggest that you might be experiencing peroneal tendon discomfort or strain, which can occur due to overuse or compensatory mechanisms following previous injuries, such as your soleus strain. Here’s a structured approach to help address your issue:
Main Points:
- The pain you’re experiencing could stem from overuse of the peroneal muscles or possible tendon involvement.
- Focus on specific recovery strategies to manage your pain and prevent further injury.
Explanation:
Pain along the extensor digitorum longus and brevis, particularly around your ankle and calf, might indicate strain or irritation of the muscles and tendons that control movement in that area. Since you recently rehabilitated from a muscle strain, it’s possible that during your recovery, you may have altered your movement patterns or overexerted other muscles, leading to this new discomfort. This area is commonly involved in activities like jumping and sprinting, which can exacerbate the condition.
Next Steps:
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Rest and Modify Activities: Consider taking a break from high-impact activities that aggravate your symptoms, such as jumping and sprinting. Engage in low-impact activities like swimming or cycling as alternatives during your recovery.
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Gentle Stretching and Strengthening: Introduce gentle stretching for your calves and peroneal muscles. You can also focus on strengthening exercises that do not cause pain. Aim for isometric holds for the affected muscles without straining them.
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Ice and Compression: Use ice therapy on the affected area for 15-20 minutes several times a day to help reduce inflammation. Compression wraps can also provide support but ensure they are not too tight.
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Seek Physiotherapy Adjustments: If your physiotherapist is not finding relief, consider discussing adjustments to your rehabilitation plan. Perhaps new techniques or specific modalities like ultrasound or kinesiology taping can provide added benefits.
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Gradual Return to Activity: Once the pain starts to decrease, reintroduce activities gradually. Focus on minimizing high-impact stressors and progressively build intensity as tolerated.
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Monitor and Document Symptoms: Keep a journal of your pain levels and any activities that worsen or improve your symptoms. This can help you track your progress and identify patterns.
Remember, healing takes time, and being mindful of your body’s signals is essential. Adjustments might be needed along the way, so keeping an open dialogue with your physiotherapist is crucial. You're committed to your sport, and taking these steps can help you recover effectively.
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