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Ankle pain! Help!

Discussion in 'Biomechanics, Sports and Foot orthoses' started by johntee721, Jun 3, 2014.

  1. johntee721

    johntee721 Member


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    Hi...I am currently suffering with right ankle pain - sustained whilst cycling - over my lateral malleolus with a tenderness in my peroneal tendon...i have had this before and resting for a month off the bike, just running and some strengthening exercises seem to rid me of it...I went on a 83 mile hilly cycle at the weekend and its back. It doesn't hurt when I run only cycling....although I don't run excessive distances..It doesn't matter what shoes I wear and I have tried different seat heights! Hills and distance seem to be exacerbating factors...sure I could just stick to flat <50 mile rides as it don't hurt then...but I'm down for some sportives this summer and would like to do the hills and distance...

    I just wondered if anyone had any thoughts biomechanically on why this is happening?? I have had a look at my cycling form from behind and my right knee does have a bit more lateral excursion than the left...

    Maybe as I fatigue my cycling changes putting more stress on the right side?


    Thanks
    JOhn
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Back to basics: an overuse injury occurs when the cumulative load in the tissue exceeds what the tissues can tolerate, so:
    1. Reduce the load
    2. Increase the ability of the tissue to take the load.

    Preferably, do (1) and (2); if you can't do both, then you have to do one of them; if you can't do either --> give up cycling.
     
  3. John:

    My guess is that your subtalar joint axis is more laterally deviated on the right foot. Try adding a forefoot valgus wedge of 1/8" felt or a reverse Morton's extension to your right cycling shoe to reduce the load on the peroneal tendons. Better yet, get yourself set up on a wind trainer and have someone video your cycling form on your own bicycle from the front and rear and post it up here on Podiatry Arena. That would be very instructive for everyone following along.

    Please report back to us to let us know how the valgus FF wedge/reverse Morton's extension helped.:drinks
     
  4. Shane Toohey

    Shane Toohey Active Member

    Dear John,

    I have great success with recalitrant lateral ankles using the advice from Kevin above and also releasing any triggers in the peoneal muscles.
    Simple kinesio taping will help further.

    Cheers
    Shane
     
  5. David Smith

    David Smith Well-Known Member

  6. HUGHESA1

    HUGHESA1 Member

    My first thougt was why does he turn this leg out? Does he have a leg length imbalance? I have seen this before in cyclists but usually MTB, some have responded well to orthotics but others have changed crank lengths on one side especially (as in your case) the problem is specific to cycling. Hope this is helpful.
     
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