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FDL pain |
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Kevin Keast
Newbie Joined: May 22 2012 Location: Canada Status: Offline Points: 1 |
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Posted: May 22 2012 at 1:37pm |
Hi there - I'm popping in with a nagging area of pain that would be nice to get rid of!
I've recently been doing some trail running. I have been getting a pain in my lower left leg. I'm not an anatomy expert but it seems to be in the lower area of the Flexor Digitorum Longus, on the tibia side. The pain is rstricted to above the ankle, and there is no pain on the sole of my foot or my toes. It usually begins the day after a run and lasts up to a few days. In those days afterwards, even walking 30-40 minutes can flare it up. . A run with a very steep hill seems to be a guarantee to bring the symptoms on. I run in Vibram Five Finger shoes but have had this problem mutliple times over the years using various shoes. I do have a good amount of pronation on that foot as well. I read this article which seems to accurately diagnose my situation. When I do the single leg calf raise test outlined, I notice that the toe beside my big toe curls/claws during the movement. The article suggests doing calf raises while focusing on keeping all toes flat. Anyways, if anyone can chime in I would greatly appreciate it. When the pain pops up, I have to take at least a few days off from running and it is messing with my training. I have my first race coming up on June 9th and am hoping to be able to run in it, while keeping in my mind that I will still have 3 more races to go over the next 3 months. |
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Aurora06
Newbie Joined: May 25 2012 Status: Offline Points: 1 |
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Several muscles travel above the ankle on the tibia side of the leg, including FDL, TP, FHL. All of these muscles are working when you complete the single leg calf raise; however, the FDL would be the only muscle inserting on your second toe. Your second toe curling in/clawing during the calf raise may indicate tightness of that portion of the FDL. While focusing on keeping all toes flat during the calf raise would be helpful, I'd also recommend stretching out that portion of the FDL (evert (turn your foot out), flex your ankle, and gently pull back on your second toe). Hold that stretch for 30 seconds, up to 3 times a day, particularly after activity. Since you are feeling pain, I would recommend icing above your ankle on the tibia side for 15 minutes after running (and icing up to 2 times a day after).
When you run up a steep hill, your symptoms may be aggravated because all of your calf muscles (including the FDL) have to push extra hard from a more lengthened position than optimal to send you up the hill. Until the issue resolves, I would avoid extremely hilly runs. However, that doesn't mean that your training has to suffer - you can get a very good aerobic work out in biking (provided that doesn't provoke your pain) or aqua jogging (just remember that your max heart rate will be lower in the pool. if you use HR to track your workout intensity, rely on an RPE scale instead). |
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Ask a PT
Senior Member Joined: Jul 07 2008 Status: Offline Points: 954 |
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I'd also be interested in taking a look at the joint mobility of your ankle, foot and toes. Hypomobility at these joints could contribute to added stresses to not only the joints themselves but the surrounding tissue at the ankle & foot as well.
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