Rest means rest, welcome to Peroneal Tendonitis...

After the Oil Creek 100k, I took a whopping 5 days off and then ran the Heritage 5k race (October 12th).  I was just going to jog it out but ran it harder than I wanted.  However, after the run, the left foot felt fine.  The next day, heather and I did a light 6 miles and my left foot (below the ankle bone) started aching a little bit.  However, I ran the following Wednesday and Friday with limited pain.  By the time the weekend arrived, my left foot was aching pretty good.  On that Sunday, I hit the bike for an hour but it still didn't feel any better and told myself to cut running out for a couple of days.  At the point, the pain in the middle outer left foot area.  However, in the last 14 days, it moves between the middle outer calf, to below the ankle bone, to the outer left foot.  I had xrays which were negative however, it should be noted only a a fracture shows up when calcification occurs.  That said, I don't think its a fracture on more tendonitis.  


Here is the timeline of the start of Peroneal Tendonitis:

• Oil Creek 100k - October 5th (rolled left ankle (exversion) at mile 3.5 and inversion at mile 23) - significant of a roll that I didn't know I would finish.  However, finished with time of 17 hours 44 minutes - but foot did not swell.
• Heritage 5k  - October 12th (placed first in my age group) - foot still felt ok 
• Ran 6 miles on October 14th
• Ran 4.5 miles on October 16th
• Ran 4.2 miles on October 18th
• Biked 12 miles on October 20th
• Stopped running since October 21st.....
• Biked 2 miles on October 28th.
• Bike 5.2 miles on October 29th
• Bike 5.2 miles on October 30th
• Biked 4.2 miles on November 1st
• Bike 5 miles on November 2nd
• Biked 5 miles on November 3rd

 I told myself I would not run for two weeks to give the foot a rest and will start back early next week.  Additionally, I will start back very slow and see if the Seashore 50k is in the cards...however, if I can't its not going to be a big deal.  I just had some plans to get some speed work in for this fall and it looks like that will not be happening <SIGH>

Knowing that if I don't want this thing to hang over me forever, I need to take care of it now rather than when the big races come up...

Currently, I am 14 days in without running and will begin doing these exercies to help strenthening the ankle:

http://www.askthetrainer.com/strengthening-exercises-for-the-peroneal-muscles/

and these:

• Towel stretch: Sit on a hard surface with your injured leg stretched out in front of you. Loop a towel around your toes and the ball of your foot and pull the towel toward your body keeping your leg straight. Hold this position for 15 to 30 seconds and then relax. Repeat 3 times.

When you don't feel much of a stretch using the towel, you can start the standing calf stretch and the following exercises.

• Standing calf stretch: Stand facing a wall with your hands on the wall at about eye level. Keep your injured leg back with your heel on the floor. Keep the other leg forward with the knee bent. Turn your back foot slightly inward (as if you were pigeon-toed). Slowly lean into the wall until you feel a stretch in the back of your calf. Hold the stretch for 15 to 30 seconds. Return to the starting position. Repeat 3 times. Do this exercise several times each day.
• Standing soleus stretch: Stand facing a wall with your hands on the wall at about chest height. Keep your injured leg back with your heel on the floor. Keep the other leg forward with the knee bent. Turn your back foot slightly inward (as if you were pigeon-toed). Bend your back knee slightly and gently lean into the wall until you feel a stretch in the lower calf of your injured leg. Hold the stretch for 15 to 30 seconds. Return to the starting position. Repeat 3 times.
• Achilles stretch: Stand with the ball of one foot on a stair. Reach for the step below with your heel until you feel a stretch in the arch of your foot. Hold this position for 15 to 30 seconds and then relax. Repeat 3 times.
• Heel raise: Balance yourself while standing behind a chair or counter. Using the chair or counter as a support to help you, raise your body up onto your toes and hold for 5 seconds. Then slowly lower yourself down without holding onto the support. (It's OK to keep holding onto the support if you need to.) When this exercise becomes less painful, try lowering yourself down on the injured leg only. Repeat 15 times. Do 2 sets of 15. Rest 30 seconds between sets.
• Step-up: Stand with the foot of your injured leg on a support 3 to 5 inches high (like a small step or block of wood). Keep your other foot flat on the floor. Shift your weight onto the injured leg on the support. Straighten your injured leg as the other leg comes off the floor. Return to the starting position by bending your injured leg and slowly lowering your uninjured leg back to the floor. Do 2 sets of 15.
• Resisted ankle eversion: Sit with both legs stretched out in front of you, with your feet about a shoulder's width apart. Tie a loop in one end of elastic tubing. Put the foot of your injured leg through the loop so that the tubing goes around the arch of that foot and wraps around the outside of the other foot. Hold onto the other end of the tubing with your hand to provide tension. Turn the foot of your injured leg up and out. Make sure you keep your other foot still so that it will allow the tubing to stretch as you move the foot of your injured leg. Return to the starting position. Do 2 sets of 15.
• Balance and reach exercises: Stand next to a chair with your injured leg farther from the chair. The chair will provide support if you need it. Stand on the foot of your injured leg and bend your knee slightly. Try to raise the arch of this foot while keeping your big toe on the floor.
• Keep your foot in this position. With the hand that is farther away from the chair, reach forward in front of you by bending at the waist. Avoid bending your knee any more as you do this. Repeat this 10 times. To make the exercise more challenging, reach farther in front of you. Do 2 sets of 10.
• Stand in the same position as above. While keeping your arch height, reach the hand that is farther away from the chair across your body toward the chair. The farther you reach, the more challenging the exercise. Do 2 sets of 10.

If you have access to a wobble board, do the following exercises:

• Wobble board exercises:
• Stand on a wobble board with your feet shoulder width apart. Rock the board forwards and backwards 30 times, then side to side 30 times. Hold on to a chair if you need support.
• Rotate the wobble board around so that the edge of the board is in contact with the floor at all times. Do this 30 times in a clockwise and then a counterclockwise direction.
• Balance on the wobble board for as long as you can without letting the edges touch the floor. Try to do this for 2 minutes without touching the floor.
• Rotate the wobble board in clockwise and counterclockwise circles, but do not let the edge of the board touch the floor.
• When you have mastered exercises A through D, try repeating them while standing on just your injured leg.