This evening I've been assured by
Kim that my ankle niggles are probably down to a bit of fatigue/damage in the
peroneus muscles. These run from the lateral border of the fibula to the outer border and sole of the foot - this probably explains the slightly 'odd' feeling of my middle toes. The two major peroneus muscles have ligaments that run around the lateral malleolus and this is a common site of
referred 'trigger point' pain even though there is little muscle at that area. These diffuse areas of referred pain help explain why I have found it hard to say exactly where the pain is.
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Trigger point around ankle from website |
The physio checked for nerve tightness & trapping and muscle weakness and felt that there was no clear underlying damage. It is likely, as I suspected, that I have slightly overloaded the peroneus longus on Tuesday's faster run by
inversion whilst running on the uneven roots and stones found in the woods. The observation that there is no tenderness around the malleolus helps to confirm that the connective tissue isn't unduly inflamed. By the
common classification of sprains my niggle is a
lot milder than a Grade 1 on the 1 to 3 scale.
So, I need to keep it mobilised to prevent scarring and increase the strengthening exercises. I already do wobble board single leg balance exercises which I find quite easy but I've been encouraged to add single leg calf raises to the programme to help reduce the risk of future injury.
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