Rest is not healing my injury...Diagnose me!!!

Can you get in to see a doctor or better yet, physical therapist? Just because you don't need to limp doesn't mean it's not a stress fracture. But if it's just tendonitis, it would feel better to run on it but you might make it worse. I had tendonitis in my Achillies on and off for years; I kept training on it and it would go away but it would always come back. Turns out it was caused my my pelvis being tilted, so it was ajdusted and no more trouble ever since.

I'd go to a sports doc first instead of a physical therapist. A PT is there for the rehab after a doc diagnoses the condition.

A regular PT will outdiagnose a good MD on a musculoskeletal injury any day of the week.

Yes sir1 wrote:

I'd go to a sports doc first instead of a physical therapist. A PT is there for the rehab after a doc diagnoses the condition.

This is crazy, I have the same thing going on. That's why I am posting here so much this last week... boreddd

I RICED mine for the first 48 hours, limping around. At that time I did not know what kind of injury it was because it was still swollen and I couldn't prod it, etc. I even bought crutches that second night but, the swelling went down with lots of RICE and ibu then I dunked it in ice water and started walking on it in the house for over an hour after the ice dunk repetitions because the pain wouldn't be felt.

The following day (third day after injury) I took more Ibu and walked on it with a wrap and light brace for two hours+ without too much pain making sure to walk completely normal without a limp.

The fourth day I massaged it after ice water and hot water dunks.

The fifth day I rested again.

The sixth day I jogged a quarter mile on it with proper form and it hurt later in the day so I was worried it could be a fracture where the tendon detaches a small chunk off a bone. That's when I started researching more and I believe I have chronic peroneal subluxation and when I rolled my ankle the tendon slipped out then over the following day after injury it went back in.

I'll plan on not running on it for the rest of the month to make sure it heals up now. I have no pain but, the range of motion is very poor.

So the moral of my story is, work it around and move it early on to help kick start the healing process as long as it doesn't hurt too much then make sure to REST after it starts feeling normal again. Look up Ottawa ankle rules. That's what Dr.s use to determine if you need an x-ray. Even then, if you can walk into the Dr.s office it's unlikely they will recommend on x-ray.

really?????? wrote:

A regular PT will outdiagnose a good MD on a musculoskeletal injury any day of the week.

This is just not true by any stretch of the imagination.

I WANNA RUN wrote:

I have been experiencing pain in my right foot. It is hard to exactly pinpoint where it hurts the most but it seems like it is around the peroneal tendon.

peroneal tenosynovitis, BOOM! diagnosed.

PRICE:

Protect it with wraps/tape

Relative rest: do as much activity as you can handle, when it hurts, stop and rest.

Ice

Compress

Elevate, especially after exercise.

I am recovering from the same injury (sounds like it) and recovery takes a while. I went to a sports doc who did (forgive me if I spell it wrong) Micro Fascial release therapy (similar to deep tissue massage) but they work on the fascia in the whole foot and lower leg (at least for my injury). Much better after four treatments, plus prescribed home exercises, ice, advil. I was advised to run, but only if the pain did not get any worse while I was being treated. It has been 1 month since my first visit (My final visit was two weeks ago) and I am 95% pain free and improving daily. Even been upping my mileage. Rest alone won't fix it, you need to treat the cause as well (mine was a lower leg muscle imbalance that put more stress on the tendon). Good luck.

sdmiler1 wrote:

I went to a sports doc who did (forgive me if I spell it wrong) Micro Fascial release therapy (similar to deep tissue massage) but they work on the fascia in the whole foot and lower leg (at least for my injury).

i think what you're thinking of is called MYOFASCIAL release therapy. it's good stuff if you find a good practitioner.

really really???? wrote:

really?????? wrote:

A regular PT will outdiagnose a good MD on a musculoskeletal injury any day of the week.

This is just not true by any stretch of the imagination.

All an MD will do is ask if you want an x-ray. In fact, an ortho will get an x-ray. If it's not clearly operable, they send you to PT. Been there, done that. Although, it's more helpful for the PT to have some diagnostic tests to go by..

I went to a sports doc today. He said it sounds like tendonitis. Nothing showed up the X-Ray to indicate a stress fracture. I am starting to take aleve. If it doesn't feel any better in one week I am going to get an MRI. How long does Tendonitis typical take to heal? If it is a minor case, could it heal in one week?

Ugh. "PRICE" is worthless for overuse injuries, might as well just go with "RI." Rest it and ice it. Do not take antiinflammatories, don't bother with tape or compression or elevation. Inflammation is not the problem, and there is some evidence that NSAIDs (advil, aleve) interfere with healing. You damaged the tendon and you have to wait for it to heal, simple as that. Strengthening exercises like ankle circles can speed that process, and if it becomes a chronic issue, soft tissue manipulation techniques like "myofascial release" or ART or Graston can be helpful.

That's all there is really. Mild tendon injuries heal with 3 days of rest if you are young. More severe cases will take longer. Start up running gradually and slowly; you can heat up the area before you run, but do be sure to ice it afterwards. If it doesn't get better, see a PT to get some strength exercises.

I WANNA RUN wrote:

I went to a sports doc today. He said it sounds like tendonitis. Nothing showed up the X-Ray to indicate a stress fracture. I am starting to take aleve. If it doesn't feel any better in one week I am going to get an MRI. How long does Tendonitis typical take to heal? If it is a minor case, could it heal in one week?

Unless it was a digital x-ray there's no way to see a stress fracture.

Take some time to do some non-weight bearing cross training and see how it is.

I had a very similar injury. My running was going extremely well and this came on. In my case, I went to over a dozen good clinicians (ones who worked with pro athletes and taught at top ranked universities), including DPT's, MD's, ATC's, DCs, and DPM's. I went through X-rays, MRI's, orthotics, manual therapy, massage therapy, RICE, NSAIDs, etc. and nothing worked. Nobody could even diagnose me. I went from being around low 30's 10K shape to not being able to run more than about 30 seconds due to sharp stabbing pain. And, like yours it was hard to locate exactly, but seemed to be around the peroneal tendon. Sometimes it seemed to be on the bottom of my foot also.

4 years later of disappointment, frustration, chronic stiffness and pain (with zero training) I randomly found another chiropractor based on a recommendation who did his own form of myofascial therapy. He literally removed my pain in an hour treatment, and then helped me do some neuromuscular training to keep it gone.

I do not believe his training as a chiropractor was what did it, nor do I believe he is the only person in the world who could have cured me, but the point is that it was a long frustrating journey.

Just because a doctor says "tendonitis" does not mean that it is. Is it hot, swollen, and painful (I will leave out the "red" component)? If it meets all three of those things, than it very well may be inflamed and anti-inflammatories are appropriate. However, if it is not hot and swollen, it does not likely have acute inflammation and therefore will not respond to medication designed to treat inflammation.

So, for those reading this who have been through this frustrating type of injury, keep shopping around and find a good manual therapist. If you try two or three and they can't help, don't give up - you will eventually find relief somewhere.

^^ Holy shit that sure makes me feel better.

So what exact type of therapy did the chiropractor do and what was wrong with you?

Anyone ever heard of cold laser therapy? I heard that might help

I read shortly on myo whatever it's called. It's deep and or soft tissue massage with increased blood flow at trigger points. A home remedy would be hydrotherapy with self massage... if you massage your feet enough using different techniques you're bound to accidentally do it right eventually, haha. I do know for tendon massage to remove scar tissue you work up towards your body going back and forth perpendicular on the tendon. This will flatten things out so you don't re tear it in the same spot. The whole trigger point thing is beyond me, though.

really really???? wrote:

really?????? wrote:

A regular PT will outdiagnose a good MD on a musculoskeletal injury any day of the week.

This is just not true by any stretch of the imagination.

I had a "doctor" who diagnosed my torn achilles as a sprained ankle.

He was young and inexperienced but he completely missed it. I do think a lot of doctors are better at internal things than orthopedic injuries. After a few weeks of not getting better my doctor finally sent me to an orthopedist who diagnosed me just by glancing at it, not even an MRI. The next year when I believe I tore my shoulder capsule my original doctor diagnosed me with bursitis.

Being a PT I can say that I have gotten many referrals from doctors where the diagnosis is not what it actually is. Sports/ortho are obviously better than just your general med doctor for musculoskeletal problems, but unless they diagnose it via imaging, a PT's tests/exam can be more thorough.

Could it still be tendonitis even though it hasn't gotten better in 5 days? The thing is, I took 4 days off last week also because if a sprain to my other ankle. How could it be a stress injury if these past 2 weeks have been so easy???

Interesting update...

I got so mad today that I decided to try 4 sets of 5 minutes running 3 minutes walking. It hurt at first but after I got into my rythem a little, the pain started to subside. It seems like after my foot gets warmed up, it hurts less. Anyone know what this means?