Hi Everyone,
I'm turning to ST for some help after exhausting all the limited resources Kaiser has to offer.
I've been experiencing pain in my Peroneus Brevis tendon since late 2020. It's right where the calcenus meets the cuboid. Initially I went to my PCP and got an X ray, they said the pain was caused by a non union fracture of the very top of the calcenus, i probably did this in 2017 when I was tryinga jump line on a gravel bike and fell, the lace of the shoe exerted a lot of pressure on the top lateral part of the foot. At the time, I was told it wasn't broken based on one x ray and the fact that it "would not be possible" to ride my bike to the ER with a broken foot (fwiw I broke my Pelvis in 2011 and walked home, where i passed out from the associated blood loss).
They told me the pain would continue, on and off, until I had the bone chip surgically removed. It took the better part of a year to get a kaiser podiatrist to actually show up for an appointment. When, eventually, I had surgery scheduled in my pre op I said I had no pain, and that i had a similar pain in my right foot. The surgeon suggested the pain might be tendon pain not bone related, and ordered an MRI. The MRI showed mild tenosynovitis in my peroneus brevis and posterior tibial tendon with no evidence of a tear. After getting the MRI I got a DMT shot in the foot, not in the tendon but near it, which helped a lot with the pain on a work trip that had me walking a lot. I then developed PTT pain.
After I got back I met with the surgeon, who looked at the MRI, and essentially told me to rest until the pain stopped. No physio or other meds. I've been avoiding anything that makes it worse for two months. Some days are better than others but as SOON as I get on the bike it kicks off, in less than 5 minutes. Some days I can walk a bit in boots with my custom orthotics, some days I can't. I have very high arches, and I've tried various custom orthotics, they don't do much on the bike. I wonder if the BOA, which is the commonality on the half dozen shoes I have tried, might be not helping? The only shoes which let me ride a bit longer are BONTs with the older ratchet strap.
Am I looking at surgery here, even if there is no evidence of a tear? Would PT help? I'm using custom orthotics for walking, and was using green specialized insoles for riding. Custom orthotics i had made to ride in make it worse, they post me medially too much I think. It's serious depressing having had this pain and had to bail on events for coming on two years, and I want to do whatever it takes to at least be able to ride a little again.
I'm turning to ST for some help after exhausting all the limited resources Kaiser has to offer.
I've been experiencing pain in my Peroneus Brevis tendon since late 2020. It's right where the calcenus meets the cuboid. Initially I went to my PCP and got an X ray, they said the pain was caused by a non union fracture of the very top of the calcenus, i probably did this in 2017 when I was tryinga jump line on a gravel bike and fell, the lace of the shoe exerted a lot of pressure on the top lateral part of the foot. At the time, I was told it wasn't broken based on one x ray and the fact that it "would not be possible" to ride my bike to the ER with a broken foot (fwiw I broke my Pelvis in 2011 and walked home, where i passed out from the associated blood loss).
They told me the pain would continue, on and off, until I had the bone chip surgically removed. It took the better part of a year to get a kaiser podiatrist to actually show up for an appointment. When, eventually, I had surgery scheduled in my pre op I said I had no pain, and that i had a similar pain in my right foot. The surgeon suggested the pain might be tendon pain not bone related, and ordered an MRI. The MRI showed mild tenosynovitis in my peroneus brevis and posterior tibial tendon with no evidence of a tear. After getting the MRI I got a DMT shot in the foot, not in the tendon but near it, which helped a lot with the pain on a work trip that had me walking a lot. I then developed PTT pain.
After I got back I met with the surgeon, who looked at the MRI, and essentially told me to rest until the pain stopped. No physio or other meds. I've been avoiding anything that makes it worse for two months. Some days are better than others but as SOON as I get on the bike it kicks off, in less than 5 minutes. Some days I can walk a bit in boots with my custom orthotics, some days I can't. I have very high arches, and I've tried various custom orthotics, they don't do much on the bike. I wonder if the BOA, which is the commonality on the half dozen shoes I have tried, might be not helping? The only shoes which let me ride a bit longer are BONTs with the older ratchet strap.
Am I looking at surgery here, even if there is no evidence of a tear? Would PT help? I'm using custom orthotics for walking, and was using green specialized insoles for riding. Custom orthotics i had made to ride in make it worse, they post me medially too much I think. It's serious depressing having had this pain and had to bail on events for coming on two years, and I want to do whatever it takes to at least be able to ride a little again.