Acute Peroneal Tendinitis Evaluation with @OrthoEvalPal 

This is exactly what I had this week.... lasted about 2 days and finally got better to where I could walk normally. I iced twice... took some ibuprofen ( not something I like to do) and rolled lightly with a lacrosse ball. I also foam rolled my calved and shins. I was able to do some stationary bike work just to get blood going and do some exercise. Good luck!

Great explanation of the physical exam, for example saying its important to palpate dorsal and plantar aspect of 5th met to rule in or out probable fracture versus likelihood of tendon injury, follow the tendons, etc. Wonderful video.

Awesome video! Love your communication skills :)

Great vid. How would tape it please?

Hey doc! I have a question that is not related to this video but today when I was practicing a dance routine, I felt a pop and severe pain in my heel and sole area. It immediately started swelling and it took forever and took forever to take off my pointe shoe. There is severe swelling and bruising and I cannot bear any weight at all. Any idea what the weather injury is?

Just diagnosed with this. Just started about 2 weeks ago

I'm trying to get back into running. 5am 3 to 4 mile jog. After the jog I experienced discomfort in this extact spot on my right foot. I thought maybe my new shoes were too tight. I went the next day despite some discomfort. And then the pain just got too much to bare. I walked morning jog a few more times, but then eventually decided to take a week off. Pain went away, but then today I went at it again and then 3/4ths of the way done I started to feel the pain again and had to walk home in pain. Sigh... time to focus and really zone in on this rehab because I can't wait to start running again!

Which athletic shoes do you recommend for Peroneal Tendonitis? I'm not a runner, I am an avid walker and do 20-30 of exercise walking per day. Thanks.

Two months and 3 weeks ago i had a tibial surgery. Both tibia and febula was broken 1/3 from the knee is it normal to experience these symptoms ?

I have more on the metatarsal and for sun tendinitis so what shoes can you recommend for this?

I have plantar fasciitis but here lately I have been having pain on the outside of ankle. Went to a foot and ankle doctor he took and X-ray said it was inflammation and put a shot in my ankle. It only lasted for about3 days now I am back where I started from

Im battleling peronial tendonitis for about 3 months now. Its one most painful experience. I suffer plantar fascitis also. Changed shoes 3 times no help. Finally i got good arch supports, had to remove shoe inserts so the orthotics could work. Motrin and tiger balm helped. I had to try different things it took me a while. Now the tendonitis is gone i can walk without pain. Its difficult but you have to do your own thing.

I did the same thing and was told there was nothing they could do in your opinion I have a walking boot from a previous injury should I be using it

Thank you this info helped. My ankle has been hurting very badly for weeks now and I didn’t know what was wrong. It’s swollen and it hurts when I’m immobile.I will definitely go see a doctor about this, thanks again.

I have realized i have this because my ankles hurt, but not the bone, just underneath, and i pop it but it makes it worse, so I've stopped since then and now i just do stretches, it seems better. It was caused by my work shoes that were too small, i realized later i needed wides, and the heel part of my shoe was too close to my achilles tendon, so i think it started from my achilles and then it started affecting the tendon underneath my ankle. Smh :( i think it's permanent because no matter what it comes back.

OMG! It hurts like crazy! I can’t walk well and I can’t even sleep, I hope this video helps me thnx

I have a swelling on my right foot..it is not sore but it looks like a second ankle bone...what would that be?

I had surgery to repair my 5th metatarsal nearly two years ago. It had been fractured for almost a year before we gave up on the boot healing it. I have since then had a chronic tendinitis with the peroneal tendon I believe. I have had them check the xray. One person saw a shadow but the doc said it is fine and the pain is tendinitis. The pain is so severe right now. I have been trying to strengthen the area with the exercises they gave and I use Voltaren. The pain today is just unbelievable. Any advice??

I have it now. Post 9 months calcaneuous fracture…Graston technique is helping. Ask helped plantar and Achilles fascia pain

Hello! Great simple explanation. I had been diagnosed with Peroneal Tendinitis about 6 years ago. I wore the knee high boot for the prescribed 2 months, strengthened & worked on it to get back to normal. Flash forward now, I have lost all my instructions for exercises prescribed to keep me healthy. the Heel drop being what I remember. Should I be doing some others as well? I felt my tendons flare up, I rested, iced & elevated a couple of days. The pain is not there now but want to ward it off! Thanks so much.

Hi sir. Is Tendon fracture was Normal or serious?

What would cause pain in the ankle during internal rotation especially with plantar flexion? Chronic for months and X-rays don’t show anything.

Hi Doc, is it possible to develop Acute Peroneal Tendinitis from inline skating? I did a 60km skate and after 30km I started feeling my outer boot (there is part of the skate that joins with a screw) was digging into the liner too much and put pressure on my ankle bone. Never happened to me before as I usually do 25-30km skates a week. I rested for a week. The following week I could only do 12km and the pain started again. After 10 days, the pain started almost immediately after starting my skate. I changed the liner an put a more padded one as long as with footies with a doughnut, but I still had discomfort right away and now I have mild pain even without the skates on. I wonder if I should stop skating and rest for way longer before putting back the skates on again. 😭

What kind of stretches should be done

What can you do about it at home

Whats the best exercise for weak peroneal and pain still after 1 year of pain

I have diagnosed with osteoarthritis in my knees my left ankle leg tendon hurts hamstring ortho says just says overstretching I don’t think so I had gel injections in my knees that seems to have helped you mentioned something about hip connected?

I'm not sure if my issue is tendonitis but I get extreme discomfort with the tendon and the only way to relieve it temporarily is to "pop it" over my fibula. This happens on both feet but is more severe on the right foot. I don't run but I do backpacking. Any ideas?

I have cerebral palsy and have peroneal tendonitis. I just started pt for it today. The doctor said this keeps happening because of the cp.

Dealing with this right now... so painful , cant even walk well or put weight on it. Attempting to go to work today... yay

Is this an on and off pain? Mine does on and off..like itl just hurt after i wake up and got up frm the bed...then it goes away after 2-3d...is this even the same? Coz the pain is almost the same as where that womans is

Hey Paul, I have been dealing with life-altering feet problems for the past 7 months. I’ve been active all of my life, having grown up playing sports & being active all the way up to 7 months ago at which time the pain at the stylus process area (same pain, same spot on BOTH feet) that forced me to stop all activities. Whereas I was playing tennis 3x a week & hiking on the weekends, never a problem with my feet & active all my life, now suddenly I can’t even take my dog on a 10-minute walk. I have been to many different doctors-a sports medicine doctor who diagnosed me with lateral column overload syndrome but whose only intervention of giving me a wedge to put in my shoe was far too painful to even try out; a podiatrist who diagnosed me with peroneal insertional tendinitis (the only part of the peroneals I have pain in is at the stylus process insertional point); a physical therapist who said it is actually an alignment problem. I’ve tried everything & no one seems to agree & there doesn’t seem to be a coherent treatment path. All of this is to say my question is: should I continue with (extremely costly) physical therapy BEFORE trying an immobilization boot like the one you’re going to try with her? Podiatrist said it’s PT then boot if PT fails, but that seems like a waste of money

ive had this since I was a kid no matter what I do, after 2 miles my legs just go numb with pain

Why mine feels like a bone that grew bigger than my left foot?

Hi sir , I am from India. Thinking for information. Sir i have one suggestion that video provided with Hindi subtitel 🙏

I have so much pain in the same spot like her

Similar issue and pain. In the final weeks of Marathon training. Jumped my last long run from 13 miles to 20. Experiencing a lot of pain in the same area as the video 24-48 hrs after the run.... How can I rest and heel quickly to be ready for the full Marathon in 3 weeks?

Hi, which is more suitable: an X Ray or MRI?

Bottom of my fibula is tender I sprained ankle few times.

I had Achilles Tendon Surgery 10 months ago. I have now been diagnosed with Peroneal tendonitis that is extremely painful, the outside area of my ankle is swollen it never goes down even if I rest it all day 😢 I'm so frustrated that my doctor has not been doing a great job with my recovery. She said I need a treatment of stem cells injected to help repair the Tendon. Can the Peroneal tendonitis I'm experiencing be handled without surgery or injection?

I am experiencing this exact issue. When I walk, my right ankle sends me a shock/spasm, so then I have to stretch my right foot more outwards to walk. (If I walk 'normally' I definitely will be receiving these shocks, so I have to separate my foot out to alleviate it) :(

Just started reformer Pilates. When my leg is stretch out and I dorsiflex my foot or invert my foot I get an extreme pain on the lateral side of my heel just below my ankle. What do you think this is? I can walk normally, but if I lift my leg stretched out about 30° in invert. The pain is just unbearable.

I don’t have any tenderness/pain or swelling. My foot looks completely normal but feels a bit numb. When i start running, a pain gradually builds up and before i finish one mile, it becomes super high and gives a burning sensation. The location is same as described in the video. Is it peroneal tendinitis?

How can you tell if it is peroneal tendinitis or a tear in the tendon? I’ve had this pain for 7 weeks, I am having an MRI done soon but is there any other way to tell if it is a tear? Also does a tear in the tendon always require surgery?

I had to find this to figure out what's going on with mine because I've had this for since I took a fall I slipped in the garden a couple of years back and it is consistently caused me problems and I got to find what can I do to eliminate it because I'll go to walk and I sure as heck at my age it's in my '70s Don't want to fall and hurt myself again

I1 year and a half ago i had a non traumatic injury where the fibula where it meets the knee. After several diagnostic guesses from 2 physical therapy places, they came up with the vague verdict that it was peroneal tendinopathy. My whole body mechanics have changed, where now I have difficulty walking the way i used to, can you please understand and perhaps give me some help. Thank you

Hey paul bruh! From india my age 18. Focal mild tendinosis of peroneus tendons around retromalleolar groove Marked thinning in outer aspect of superior peroneal retinaculum with elevation of fibular periosteum along inferolateral aspect of lateral malleolus.-Superior peroneal retinacular injury

I have a little bump in the same position(second minute). "It is a tendon" - said the chiropractor. I said- "yes but below is a dislocated bone." He refused to look. I had a sprain. Could be cuboid. But here is the thing. Right foot. Below the fibula little towards the lateral forward position is bump. It has a neuropathic battery (I call it that way) Because it hurts on runs and when I walk. And when resonance is at full pitch my leg from hip drops on its own. No control. Looks like vein pain. There is muscle that goes along the fibula on the lateral right leg, which is like a conductor of that pain. Path of pain is the right lateral side of bone. Below the right lateral side of the knee is a point that is very hard to relax or stretch. My hamstrings are also tight. If you imagine a horizontal normal position of a stable foot that never had pronation. My position is angled towards the line(axis) connecting the left bottom part of the heel and small finger. So it pronates a little. Arch is sometimes attacked and that (left) part of the heel or calcaneus. Idk if I am clear enough. Basically that bump prevents me from unrolling both my foot and tibia and fibula in an axisymmetric position, so that my foot finally stands in the middle of the shoe. HAving heel support won't help me much. Because I can't stand on my right foot alone feeling no pain. and feeling strong inside of my ankle like we all should. If legs are good movement is free of our attention. My attention is all the time on every uneven angle on terrain, grass or angled asphalt... My left feels nothing. And right..it wanna cry. When the chiropractor told me I am healthy and when he gave exercise, you perform at the second minute, dorsiflexion.. I was disappointed. My inner gut body feeling(I feel pain in stomach yes) is telling it is that bump on Peroneal Tendonitis side (part you showed) making my fibula muscle down near my ankle superweak, like when you place a wet hand on an air balloon and when sound appears you goosebump in a little "acidic way". That is how I feel pain in my stomach. Also Achilles is attacked by an improper angle. During runs it feels like breaking up. When I knock on the part you showed, the right foot sounds like bone..and left is silent due to muscles and tendons over and of course lack of bump. Or when you connect dot where fibula ends and moves finger from that point along side, lateral of tibial (anterior) muscles to back of knee where tightness is always present..that line to me is saying that my symmetry is broken, my straight standing if you will on right is moved towards left and it shouldn't. If I could somehow move those vectors a little bit to right, I would be relieved. All the best. Thanks for the educational video.

Does anyone know how the pain here passes and how long does it last?

partial dislocation does it need surgery??

How long should i use the boot?

Hi pls am having the something

Hey Doc, I'm a runner and I've had peroneal tendonitis for about 3 months now. I've seen a physiotherapist, an osteopath and had an ultrasound examination, all confirmed the tendonitis, but it's not at all severe. I changed shoes, did a lot of exercises, stretching and most of all I stopped running for a whole month. Still, when I started running I could feel that excruciating pain that lasts a second, on the side of my feet, just above the malleolus, especially when I feel I "pronate" too much. My physiotherapist said my foot's arch probably gave out but I don't really think it did, I don't have flat feet, I'm just a bit of a pronator. I really don't know what to do, I've never experienced such a frustrating thing! What do you think it is? Thanks!

Just went for a 5km run and as soon as I stopped I had this excruciating pain on the bottom outsides of my feet...(lateral side I think it's called) I've been looking it up to see what it is because I have never had this much pain in my feet before, I've reduced it to either Stress Fractures or Tendonitis It feels like the bottom outer sides of my feet have been smashed in with baseball bats and I've got a deep bruise going down the side.

Im a professional football player and i had exactly the same inflammation like the woman in the video! I didnt get my ankle twisted or anything i just had a run on the treadmill and as soon as i got off when i ended my run it started to hurt alot! Then i couldnt even walk for 3-4 days! I had and MRI scan and it shoes that the exact olace you showed in the video the peroneal tendon gas inflammation so i have rested it for 7 days now but it still hurts! Do you suggest i start little running as i told you im a professional football player and this is my job i cannot stay out for too long as it will affect my career. Waiting for your response.

Hi. My doctor and I believe I have this (only a physical exam done, no X-rays or scans) however, because I am limping so much my other foots Achilles is starting to become painful and the calf is getting tight. Is this common? At this rate I'm going to be in crutches or a wheelchair.

I had surgery to repair a tear on my peroneal tendon. There is chronic pain 9 weeks later and it still hurts to walk. If I catch my foot on something and my foot turns outward while my ankle remains in place, it is excruciatingly painful. Is this normal at 9 weeks post op? If I try and bear more than my normal weight on my foot it is also very painful. For example, if I walk my dog and he tries to pull away very hard, I might have to bear my weight down heavily (almost like a small jump) and that hurts very much. When will I go back to normal and be able to walk and do activities without pain?

I have this pain! Hurts when I run or walk

Please what can I do about it the pain is very severe that I can't walk on my feet

Will that area get red and hot? It hurts to even try to walk 😔

Can lifting also cause this?

I bet he didn't wash his hands after that for awhile 😂

Run on kangoo jumps 🦘🦘instead of sneakers 👟

U used 10000 diff words which general public have no clues rather irritating. Can u speak point to point. What’s the solution or this is for doctors

Whenever I walk for more than 500 m I feel the pain in this area . Should I get this treated by a chiropractor or should I meet a doctor for this ?