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Ankle Pain While Running | Peroneal Tendonitis

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What’s causing pain on the outside of your ankle? One possible running issue is peroneal tendonitis, which is a fancy way of saying an inflamed tendon.

Runners unfortunately are prone to things like tendonitis to because we ask our muscles to fire repetitively in the same motion. But it is something you can resolve and prevent!

Ankle Pain While Running

What causes ankle pain in runners? There are a few possibilities which depend upon foot strike, running form and any past ankle injuries, which we can dive in to below.

The potential outcomes of ankle pain while running:

  • Sprained Ankle
  • Achilles tendonitis
  • Plantar fasciitis
  • Stress fracture
  • Peroneal Tendonitis

Of course those are the injury results, but some aches are just the body getting stronger. If it’s not changing your running form, shooting pain or swollen it could be standard runner discomfort. Ease up a little on the mileage and know your body is going to keep getting stronger.

The causes of most runner pains from shin splints to the bigger issues stem from the same things:

  • Adding too much mileage
  • Adding too much speed work
  • Not doing enough hip, glute and core strength
  • Only moving our bodies forward and not maintaining that ability to move side to side
  • Life incidents like stepping off a curb wrong

Sprained Ankle

Unfortunately, a sprain can be a bigger problem than we realize as they often take longer to heal than a stress fracture! Possibly because we don’t stay off it in the same way that we would a fracture.

This article isn’t specifically to address sprains, but you will need to stay off of it and compression can help to manage swelling and increase blood flow.

Peroneal Tendonitis Recovery

What is Peroneal Tendonitis?

Without getting too deep in to anatomy, let’s say that these tendons run along the outside of your foot and help to create that downward force you need to push off and to turn your foot outward. Pain will run right under the bony part of your ankle that you can feel, often in to the foot.

This is not an injury that will magically go away. Instead, it’s one that continues to get worse without attention.

peroneal tendonitis

Symptoms of Peroneal Tendonitis:

  • Pain on the outside of the ankle just below the ankle bone
  • Could also be swollen
  • Pain that improves with rest
  • Painful to push on the area

What causes ankle pain while running?

  • Quick increase in mileage
  • A big change in surface. I.e. road to technical trails that require more ankle strength
  • Often running on the same side of the road – leading to running on a slope constantly
  • Lack of hip, core and glute strength
  • Tight calves and feet muscles reducing mobility

How to Resolve Peroneal Tendonitis?

You’ve heard me say work on your hip strength a million times, but I’m going to say it again. Before I get in to that, let’s start with some of the pain management things you can do.

  • Stop running if you are having SHARP pain
  • Only use ice to inhibit pain, otherwise use heat to loosen tight muscles
  • Don’t take anti-inflammatories and run
  • Use compression socks (my favorites)
  • Foam roll to help release tension up the leg
  • Changing shoes or considering a running orthotic

Let’s cover somethings to deal with immediate pain and then a long term plan.

Taping Ankle Pain

If you’re attempting to keep running or even having issues walking, this step could be very useful.

You know by know that I’m a huge fan of RockTape (stays on so much better). It was a lifesaver prior to my knee surgery and I’ve found it really useful for many other little aches pains or injuries my runners have gone through.

taping ankle pain while runningWatch this video for exact instructions.

Improving Mobility and Flexibility

Tight calves are a common issue for runners, in this case leading to pulling on muscles all the way in to your ankle and foot creating pain.

  • Do standing calf stretches against a wall – remember you aren’t stretching to the point of pain. Hold at least 30 seconds.
  • Try getting in to a deep Buddha squat to improve ankle range of motion and a full hip to foot stretch
  • Roll your foot over a PT ball prior to any run to help loosen muscles
  • Try the peroneal muscle stretch in the video below

Long term plan prevent ankle pain while running:

Start working through these strength and flexibility pieces to make them part of your weekly routine. Then begin to look at tools from the right shoes to insoles to see if they could help improve things.

  • Tips to resolve tight calves while running
  • Improving Hip Strength – a number of workouts here
  • Reviewing Your Footstrike – learn how to best land
  • Ankle stretches – similar to those for shin splints
  • Utilize a massage gun to help release ongoing tightness

Best Shoes for Peroneal Tendonitis

Underpronation is one potential cause and while I always LOVE for us to start by fixing our weak hips, glutes and stride, sometimes we need a little extra support from the right shoe.

Insoles are an option to make your current shoe work. By picking one that provides more arch support to help your foot stop rolling inward you could get relief, but these shoes also have other benefits like the larger heel height.

best shoes ankle pain

While many of these have a higher heel to toe drop than I often recommend, they can be useful for Achilles or ankle pain because you’re shortening the amount the ankle has to stretch. Additionally most of these are designed to help with under pronation.

  • Asics Gel Nimbus
  • Brooks Glycerin
  • Saucony Triumph
  • Nike React Infinity Run Flyknit — similar to my favorite running shoe

Hopefully the above tips and shoes have given you some options to help mitigate pain and decide exactly what might be causing your issues.

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29shares

Posted by amanda Categories: injury

Reader Interactions

Comments

  1. Radha says

    June 17, 2020 at 5:19 am

    Every time when I run or Jog I get ankle pain or my ankle will get twisted. After reading this blog I got to know my problem . This blog really helped me. Thank you.

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DID YOU KNOW: There are 500 species and three pounds of bacteria in our gut! 😱😱It’s a living and breathing factory that:

🔵impacts your energy levels and can be reason for joint pain
🟣impacts your mood and focus
🟡can cause runners trots and nausea when micro biome is off
🔴can cause more food sensitivities and intolerances when not balanced with good bacteria
//
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#runningtips #runhappy #trailrunning #guthealthmatters #probiotic #runmehappy #runforlife
☀️MORNING OR ⭐️EVENING RUNNER? Which are y ☀️MORNING OR ⭐️EVENING RUNNER? Which are you?

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Most of the year I’m up by 5, which often leads to “when do you go to bed?!?!” 
Early 😂.
I’ve been prepping for AARP time since we moved to Miami and it was so dang hot. 

The habit stuck, so now I’m up early and lifting it not heading out immediately in the snow.
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🤓What could you easily give a 30 minute presentation on??

😱I’m prepared to be fascinated and learn once again I might need more hobbies.
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UPHILL RUNNING TIPS: One of the best ways to get s UPHILL RUNNING TIPS: One of the best ways to get stronger and faster with less injury risk is hill repeats.
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BUT even picking routes with hills pays off. So a few tips to SAVE AND USE to get the most from them.
//
👁 Eyes: look ahead not down this will keep your chest up and you standing tall

💪Arm swing: swipe to see the upper cut motion that will propel you ⬆️

🦶Feet: take shorter faster steps and don’t run on the balls of your feet overtaxing the calves

🥵Effort: focus on maintaining the same effort not pace.

Mentally remind yourself of the great downhill coming for recovery! For every up there must be a down (lies I tell myself 😂while running).

👉👉How often do you incorporate hill repeats??
🛑STOP ROLLING YOUR IT BAND. You can’t lengthe 🛑STOP ROLLING YOUR IT BAND. You can’t lengthen it or loosen it that way.  So while it’s inflamed that’s like pushing in a bruise and asking it to heal.🙈
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SAVE THIS! 📌

What to do instead:
1️⃣Roll the surrounding muscles, especially glutes, TFL, quads and calves. If they are tight they pull on your IT Band causing knee pain.

2️⃣Do glute and hip strength constantly- that is what will resolve it long term. Lots of videos here and in my 30 Day Core Program for Runners that will help.

3️⃣Use heat to relax the muscles, don’t use ice on your already right ITB. It will get tighter.

4️⃣Rest doesn’t fix ITB. Stop running through pain, but you have to do the above to actually fix it.

Have you ever dealt with ITB? Did you know not to roll it??

ITB issues are no fun and often feel like a never ending battle once it starts, but I promise these things will help.😁

PS - yes I pulled out an old video today and dang look at my hair!! Miss those long locks.
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