I was diagnosed as having Peroneal Tendonitis, in my right foot/ankle. I have been an avid runner for 21 years. I have worn custom orthotics for 15 years, with great success, and just recently after this problem started, had a new pair made, since my old pair was about eight years old, and wearing down.
I did therapy for three weeks and the Tendonitis got better and the pain was gone..
I have returned to running and now I am starting to have problems again, only near the outside rear ankle/rear heel area. Same type of pain, but it seems to be in a different location. I don't believe I have plantar faciatis, since I have no pain at the bottom of my foot. I have had a foot x-ray and no bone spur present. The sports medicine Orthopedic doctor that I went to, said that the foot and ankle look very good.
I have researched many websites for foot injuries, and found many type of conditions, and none of them seem to match what I am experiencing.. The pain seems to move around, from the rear outside heel, up to the back of my outside ankle bone, at times. Other times it is below the ankle in front of the heel. At times it will feel like a sharp pain, but mostly like a bruise or sprain in the area. It does stop me from running like I want to. I never have any redness or swelling, and the area is a little sensitive to pressing on it. I always use ice, and it seems to help, but it never gets any better. I also run with good running shoes, Asics Gel and they are very comfortable. I have a semi-curved foot and do not overpronate or supinate.
I have tried everything from, wearing my old orthotics, to a heel lift in the right or left let of a 1/4 inch. I have tried different combinations of these, thinking that I have an imbalance or mechanical problem. I have been running, but very limited.
I recently was told by a PDM on the Internet, that if sounds like I could have
"subluxed cuboid" syndrome
Can you help me out with this frustrating injury, that I have had for over 6 months.
Thank You,
John
John, your history indicates a tendonitis or possibly a tendon sheath inflammation. Cuboid syndrome is typified by sharp pain under the foot during weight bearing. Your symptoms do not sound mechanical.
If you were in my clinic, I would try to reproduce the pain by palpation and by ruling out a tendonitis by manual muscle testing, then I would treat with iontophoresis (cortisone and anesthetic delivered electronically). You should ice routinely, and take a NSAID at therapeutic levels as prescribed by your MD. It occurs to me that you might be able to tape protectively, and that such a strategy would help as well. This is a tough problem, and you should be patient. Once pain free, your return to running has to happen on a gradient as the tissue builds tolerance for loading.
Hope this helps.
NC
