Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Have you liked us on Facebook to get our updates? Please do. Click here for our Facebook page.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Peroneal cramping

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Zac, Nov 16, 2014.

  1. Zac

    Zac Active Member


    Members do not see these Ads. Sign Up.
    Would appreciate some clear heads top help me think logically through a case.

    The patient is me, significantly overweight (lets say obese 126kg - should be 100 or less for 1.88m tall). I have had a 6-12 month history of predominantly left side insertional achilles tendinopathy - have treated with heel drops to floor, heel raises etc which does help the heel pain on arising in morning. I do have tight gastroc/sol/hamstrings. I can now walk with no heel pain but i am finding when I attempt to walk at a fast rate, I develop considerable peroneal/tib ant cramping. To the point I have to stop. I do some calf stretching which provides some very short term relief, commence walking & the same cramping begins.

    I need some help in mentally understanding from a mechanical point of view what is happening & then how to address.
     
  2. Zac:

    It is possible that your peroneal muscle pain/fatigue may be due to excessive external subtalar joint supination moments. Try adding a slight 3-6 mm heel lift along with an orthosis that has a lateral heel skive, valgus forefoot intrinsic balance and a valgus forefoot extension. This will increase the external subtalar joint pronation moments which will counteract the external subtalar joint supination moments that are likely causing your peroneal muscle symptoms.

    I have just posted my January 1998 Precision Intricast newsletter on the "Forefoot Valgus Wedge Effect" on my Facebook page which may help you understand the effect of forefoot valgus wedges a little better.

    https://www.facebook.com/kevinakirbydpm
     
  3. Zac

    Zac Active Member

    Thanks Kevin. I have adjusted my orthotics as per your suggestion. I was trying to get my head around the effect of tight calves & cramping in tibialis anterior. When I palpate the lateral border of the tibial crest, it is very tender & "tight" feeling. With tight gastroc/soleus what is the mechanics of overuse of tib ant? It dorsiflexes the foot in swing phase & decelerates the forefoot after heel strike. What is the connection (if any) with the history of posterior heel pain)??
     
  4. HansMassage

    HansMassage Active Member

    This is interesting to me because i am trying to document the effect of weight distribution and motion of the upper body on the feet and lower extremity. It is nice to have the description of a case in precise anatomical terms.

    Your description matches what I have found in cases of a failure of right arm swing and avoidance of impinging motion at the L5 S1 joint. There are many other possibilities because one antalgic avoidance can lead to a cascade of other repetitive motion pains and avoidance.
     
Loading...

Share This Page