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Is It Just Peroneal Tendonitis or Something More Serious?

7/23/2025, 3:50:30 PMMale25-34

As a recent 22-year-old college graduate, I've always identified as an athlete. However, during my final year at university, I let my fitness routine slip a bit, resulting in some unwanted weight gain. To change that, I began running around six weeks ago. Initially, everything was going quite well; I was completing runs of 2 to 4 miles, three to four times a week. My pace was improving, and I felt physically strong. However, I made a spontaneous decision to participate in a 10K event, which I surprisingly managed well. I didn’t experience much soreness afterward, but that relief was short-lived. The following morning, I woke up with a persistent, bruise-like discomfort on the outer area of my mid-foot. While resting eased the pain, stepping on it was extremely uncomfortable. Concerned, I visited a nearby urgent care where I underwent x-rays to eliminate the possibility of a stress fracture. Fortunately, the results showed no fracture, and the attending physician diagnosed me with a sprain, suggesting a period of rest. Unfortunately, and perhaps somewhat foolishly, I opted for only a week of rest before attempting to run again. I convinced myself I was ready since the pain had diminished enough to make walking tolerable. Testing my foot turned out to be a poor decision. That run occurred five days ago, and since then, I've found myself limping around awkwardly. The discomfort, which initially resided in the sole of my foot, has now extended beneath my ankle bone and above the mid-foot area. I’m still unable to bear my full weight on it; although I've noticed some slight improvements in mobility, the pain, while less severe than the original episode, makes me suspect that this injury could be more complicated than mere tendonitis. Is it normal for pain to escalate to this level? From previous encounters with tendinitis in my elbow due to baseball, I can say that this experience has been far more intense and troubling than anything I've faced before.

AsthmaArthritisInternal Medicine

Answers (1)

Cony

7/23/2025, 3:50:47 PM

OpenHealth AI

It sounds like you're experiencing significant discomfort in your foot after resuming running too soon following an injury, which may complicate your recovery. While tendonitis is a possibility, the symptoms you're describing can also suggest other issues, such as ligament strain or even early signs of other conditions.

Explanation: A sprain or tendonitis can lead to localized pain and discomfort, especially if the area isn’t given adequate time to heal. Running too soon after an injury can exacerbate inflammation and lead to further issues, like extending pain into areas of the foot that were previously unbothered. Given your active lifestyle and the recent change in your running regimen, it's essential to thoroughly assess and address your pain.

Next Steps:

  1. Rest and Ice: Begin with complete rest from weight-bearing activities. Ice your foot for 15-20 minutes several times a day to help reduce swelling and pain.

  2. Elevation: Keep your foot elevated as much as possible to minimize swelling. This can help reduce discomfort when you’re at rest.

  3. Pain Management: Over-the-counter anti-inflammatory medications, such as ibuprofen, can help alleviate both pain and swelling. Be sure to follow the recommended dosage.

  4. Gradual Mobility Work: Once the pain and swelling decrease, begin gentle range-of-motion exercises to gradually improve mobility without causing pain. Avoid any movements that increase discomfort.

  5. Reassess Your Progress: Monitor your symptoms closely over the next week. If you notice persistent significant pain, swelling, or difficulty with mobility, re-evaluating your condition with a healthcare professional may be necessary to rule out more serious injuries.

  6. Footwear Check: Make sure you are using appropriate footwear that offers support for your running style. Consider consulting a professional for a gait analysis if needed.

By following these steps, you can lay the groundwork for a safer return to physical activity while minimizing the risk of further injury. Stay mindful of your body's signals, and don’t hesitate to reach out if your situation changes or worsens. You’re not alone in navigating recovery, and prioritizing your health now can help ensure a successful return to running in the future.

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