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The response to the question below was authored by Marc Mitnick DPM

peroneus longus tendon

by Jenny
(Oklahoma CIty)

Peroneus longus tendon(????) pain that comes and go

For about 8 weeks, I have had pain on the side of my foot. In looking at your diagram, it is the same area where the peroneus longus tendon is located. The weird thing is, it comes and goes. The pain will suddenly come on, last for 3-4 days, then usually be swollen for 2-3 days following and go away. About 8-10 days later it happens again.
I saw my primary Dr. last week. She said if it was a fracture it wouldn't subside as it does. I do have a history of severely twisting my ankle on that same side, 2 or 3 times but it was at least 3 years ago when I last did. My Dr said I could be experiencing some post-traumatic arthritis. My Dr also said I did not meet the stereo-type of someone with gout. I'm a 31 year old female.
When the pain started, I had just purchased a pair of "Reef" flip-flops. I correlated the pain to those, but have not worn them for about 4 weeks now, and the pain still comes and goes.

Any insight?

Hi Jenny,
Flip flops are notorious for causing foot pain and they may have actually caused an irritation of the peroneus longus tendon. The problem is, once you have the injury, even if you stop wearing the flip flops, you keep re-injuring the area just be walking on it.
I would recommend you see a podiatrist who should be able to give you some help in alleviating the pain.
Marc Mitnick DPM

Comments for peroneus longus tendon

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Oct 01, 2011
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Frustrated Runner
by: M-Runner

I too have had foot pain on the outside of the foot off and on since this summer when I wore flip flops while on our trip to Hawaii. I sprained my ankle 2 times in April while training for a marathon. The pain didn't keep me from running, but my PF flared in that foot about 3 weeks after the 2nd sprain and ruined my spring marathon. I finished but was in great pain and hobbled more than ran. Two months later the PF went away only to have the outside of the foot flare in pain. It has been a problem off and on for about 3 months now. Just when I start to get my mileage up, it flares and sidelines me. I am very very frustrated.

Oct 22, 2010
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response to question
by: Jenny (OKC)

My pain did finally subside. Although at one point, it hurt so bad, I could barely stand or walk. It maybe lasted 2 months I used ice and motrin, and never wore those particular flip flops again. Sorry you're facing surgery!

Oct 22, 2010
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Did your pain resolve?
by: Anonymous

I have pain in the same area, started 9 months ago, no acute injury. The pain has become so bad I can barely walk (I am 40 yrs old with four kids). MRI showed a complete rupture of the peroneal tendon. I now have to have surgery to repair it. I was wondering if you ended up having surgery or if your pain improved without surgery.

Jun 02, 2009
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Flip Flop Reef Pain
by: Anonymous

I have had the same problem with my Reef flip flops. Not any other shoe, just those. It pain usually starts after I have been wearing them for a few hours, and it also lasts a couple of days. I stopped wearing them, and the pain went away.... only to come back when I resumed wearing my flip flops. I thought it was interesting that you mentioned that they were Reef flip flops (as it is those particular ones that are causing my problem).

Oct 27, 2008
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Baxters Nerve Release Surgery
by: Roxanne

Hi Dr.

I have tried every possible treatment for this painful nerve problem that I have endured for over 2 years now. (resulting from a bad sprained ankle). My Dr. wants to try the Baxters nerve release surgery. I am extremely nervous about this, for I have heard it can make the condition much worse. Do you have any thoughts on this surgery, what is the success rate? I have tried P.T., accupuncture, cortisone injections, taping, orthodics...

Thanks for your thoughts on this painful problem.

Roxanne
Seattle

Hi Roxanne,
Every surgery has inherent risks. With your particular surgery there is the problem that your doctor may not be able to actually find the nerve. Does that mean you will be worse off after surgery? Not necessarily so, but you will not be better either.
You do not mention cryosurgery as one of the treatments you have had.
Read my section on Morton's neuroma. The procedure is discussed there along with a video. You may be a candidate for that therapy.
Marc Mitnick DPM

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ADDITIONAL REFERENCES

Mayo Clinic

Johns Hopkins Medicine

MedlinePlus

Arthritis Foundation

University of Rochester Medical Center

Harvard Health

Drugs.com

American Academy of Pediatrics

Penn State Medical Center

National Institutes of Health

Columbia University Department of Rehabilitation

ScienceDirect

Stanford Health Care

Illinois Bone and Joint Institute

Mount Sinai Hospital

Institute for Chronic Pain

University of Florida Health

American Family Physician

Cedars-Sinai

University of Maryland Medical Center

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Unknown location

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San Diego, CA

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Colorado

Wonderful advice

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This is the best site for foot problem info.

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location unknown

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Thank you for your response. It sounds like a good plan to me. He did not cut the wart out first ...

KG

location unknown

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Florida

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New Jersey

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a mom

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Bellevue, WA

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Jodi

location unknown

peroneus longus tendon

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