+Donna Martin
Dec 122012
 

What symptoms and pain are associated with the peroneus longus and peroneus brevis muscle?

Peroneus Longus and Peroneus Brevis contribute to pain in the ankle and outside of the foot

Pain around the outside of the ankle, the outside of the foot, numbness in the lower leg, ankle and foot can be signs of peroneus muscles dysfunction.

  • Pain all around the outside ankle bone
  • Pain going down the outside of the foot
  • Can cause numbness in the lower leg, ankle and top of the foot
  • Weak ankles

Where are the peroneus brevis and longus muscles?

  • Peroneus longus – attaches to the head of the small bone of lower leg (fibula) running down the outside of the leg. The tendon of the longus then travels behind the outside anklebone and crosses under the foot to connect to the bones in front of the big toe.
  • Peroneus brevis -  attaches part way down the small bone of the lower leg (fibula) running down the outside of the leg and connects to bone that lies in front of the little toe (metatarsal).

What movements do the peroneus muscles control?

  • Turns the sole foot outward
  • Assists in pointing the toes down

Activities that cause peroneus longus and brevis pain and symptoms:

  • Twisting the ankle
  • Immobilization of the leg and foot in a cast or brace
  • Crossing legs when seated
  • Tight elastic bands around the leg
  • High heels
Peroneus Longus and Peroneus Brevis

You use the peroneus longus and brevis muscles to turn the bottom of your foot outward and when pointing your toes downward.

Interesting facts about the peroneus muscles:

A tendency of ankle sprains can be an indication of trigger points in the peroneus muscles.

Clinical diagnoses to which this muscle symptoms may contribute:

  • Peroneal Nerve Entrapment Syndromes
  • Diabetic neuropathy
  • Morton foot structure
  • Lateral Compartment Syndrome
  • Ankle Sprain/Strain Syndrome
  • Osteoarthritis
  • Rheumatoid Arthritis
  • Gout
  • Bursitis
  • Plantar fasciitis
  • Achilles tendon rupture or tear

Other muscles that should be considered and examined in conjunction with the peroneus longus and brevis:

Satellite Trigger Points: Peroneus tertius,  Extensor Digitorum Longus, Tibialis Anterior, Tibialis Posterior, Extensor Hallucis Longus, Flexor Hallucis Longus

For Anatomy Information See:


Help with Peroneus Muscle Pain

Sombra Warm Therapy Gel provides pain relief.
Warm Therapy Gel For Ankle and Heel Pain

Sombra Warm Therapy Pain Relieving Gel is a warming pain relieving gel that I use both personally and professionally in my massage therapy practice. Unlike other over the counter heating creams, it provides warmth without burning heat.  Applying Sombra to the muscles on the back of the leg, down the outside to and around the ankle can help reduce pain and tightness caused by the peroneus muscles.  I recommend Sombra for chronic pain and pain from arthritis. If you have sprained or strained the ankle, I recommend Biofreeze below.

Cold Therapy Gel For Ankle and Heel Injury

Biofreeze is recommended for recent muscle injury

Biofreeze Pain Relieving Gel is an excellent pain relieving gel and I recommend it for those who have sudden onset muscle pain or recent injuries.  It is better than warm therapy gels and creams for recent injury muscle pain as it cools the area much like ice and does not promote swelling. A recent study showed that Biofreeze decreased pain 2 times more than ice and the pain relief lasts 9 – 10 longer. If  your pain is from a recent injury I would recommend Biofreeze. This is excellent to use on sprain and strained ankles.

Cold and Hot Wrap For Ankle, Heel and Foot Pain

Foot & Ankle Ice Wrap & Hot Wrap by ActiveWrap
The Foot & Ankle Ice Wrap & Hot Wrap by ActiveWrap is a foot, ankle and foot wrap that can be heated for warm therapy or kept in the freezer for cold therapy. This is a wrap that I recommend  that everyone have on hand for quick application for a sprained ankle. Runners and athletes who are prone to ankle injuries should always have a cold wrap at the ready.  For old injuries and stiff ankles this wrap works well when heated to help relieve muscle and joint pain and stiffness. Purchase information: Foot & Ankle Ice Wrap & Hot Wrap by ActiveWrap

 

Support Brace For Ankle Injury and Pain

Back on Track Therapeutic Ankle Brace is a lightweight ankle brace that I use and recommend to friends and clients. It provides light support but what I like is that it provides warmth, soothing muscles and reducing stiffness. I recommend this brace for people who have chronic pain, weak ankles, and as a light support after an ankle injury. Can be worn with most shoes and works well with boots. Purchase Information: Back on Track Therapeutic Ankle Brace

Stabilizing Brace For Ankle Injuries and Chronically Weak Ankles

ASO Ankle Brace

ASO Stabilizing Ankle Brace is a  support for ankles that is recommended by doctors, physical therapists, and athletic trainers. The brace is adjustable to not only provide support but also comfort.  I like this support for peroneus muscle problems because it not only supports the ankle, but also provides support for the heel and arch.  This is great for those who suffer with weak ankles and to provide support for ankle strain and sprains.

Self Massage Treatment Technique For Lower Leg, Ankle and Heel Pain

The Trigger Point Workbook can help you resolve muscle pain throughout your body.

Do you know that small knots in the peroneus  muscles can contribute to weak buckling painful ankles?

If you have chronically sore and or weak ankles  I  recommend that you purchase Claire Davies  The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief. Mr. Davies explains the trigger point phenomenon and muscle pain in everyday language.  But what makes this book worth its weight in gold are the individual muscle trigger point treatments that Davies has compiled.His diagrams and step by step instructions help you locate which muscles are contributing to your pain,  how to find the trigger point and treat it. He also provides stretching and strengthening exercises for each muscle.  It takes time and practice to master finding trigger points, but once you learn you have a tool and method to help relieve muscle pain throughout the body.  If you have unresolved ankle pain, weak buckling ankles and heel pain you may want to learn about the trigger point in the peroneus muscles which help you resolve your pain issues. This book is a must have for anyone interested in finding the cause and treating muscle pain.


Anatomy Study: Origin, Insertion, Action and Innervation of the Peroneus Longus and Peroneus Brevis Muscle

Peroneus Brevis

Origin: Distal two-thirds of the lateral surface of the fibula, and the anterior and posterior intermuscular septa
Insertion: Tubercle on the base of the lateral aspect of the fifth metatarsal.
Action: Eversion of the foot at the subtalar joint
Innervation: Superficial Peroneal Nerve (L5, S1)

Primary Actions:

1. Eversion of the foot at the subtalar joint

  • Agonists: Peroneus Longus
  • Antagonists: Tibialis Anterior and Posterior

Peroneus Longus

Origin: Head and proximal two-thirds of the lateral surface of the fibula, and the anterior and posterior intermuscular septa of the leg.
Insertion: Passing behind the lateral malleolus, running obliquely across the sole of the foot from lateral to medial, and ending on the base of the first metatarsal and the medial cuneiform bones
Action: Eversion of the foot at the subtalar joint
Innervation: Superficial Peroneal Nerve (L5, S1)

Primary Actions:

2. Eversion of the foot at the subtalar joint

  • Agonists: Peroneus Brevis
  • Antagonists: Tibialis Anterior and Posterior

Secondary Actions:

1. Assists with plantarflexion of the foot at the ankle

  • Agonists: Gastrocnemius, Soleus
  • Antagonists: Tibialis Anterior

2. Supports the lateral longitudinal and transverse arches of the foot

Satellite Trigger Points: Other Peroneus Muscles,  Extensor Digitorum Longus, Tibialis Anterior, Tibialis Posterior, Extensor Hallucis Longus, Flexor Hallucis Longus

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