Fibular Head Pain

[Flybye]

When I am on the top of my pedal stroke pushing down and right at the end of the pedal stroke pulling up, I fell sharp pain in my fibular head area. It runs from the bone where the fibular head starts to down my leg about 5 inches. I am generally fine until about 15 miles into a ride. The pain isn't constant. It goes from REALLY hurting to not hurting at all. Any suggestions? Physical Therapists??

OUCHIE!!

[aicabsolut]

Biceps femoris tendinitis usually triggers pain at that spot.

Massage, ice, muscle rubs, and stretching of the hamstrings can help a lot.

Since it runs down the calf, also consider peroneal tendinitis. Massaging the lateral and anterior calf, icing the leg down to the ankle, and muscle rubs also help there.

If it gets really bad or spreads, you can see an orthopedist about getting a prescription for physical therapy. A PT may use ultrasound or other techniques to help.

If it's your calf and not from your hamstring, you may want to take a look at your cleat position and cleat wear.

[K8sgotgame]

It is also likely that it's a peroneal issue which would be affected by the angle of your cleats and/or the way you pedal, as well as foot structure.

Another possibility is peroneal nerve irritation, which now I'm thinking is more likely based on the fact that it comes and goes.

I don't know what state you're in, but some states allow you to go to a PT without a prescription and may or may not be covered by your insurance.

IMO time at PT is wasted on ultrasound. There's little scientific evidence for it for treating most conditions and a lot of people do not even use the correct settings to get the response that they want.

[Flybye]

Thanks for your replies!

I am actually headed to the Physical Therapist this afternoon and I will print off your suggestions for him to read. Ought to be good for his non bike riding ego I always tease him that he has no idea what he is doing anyhow, that he's just making it all up as he goes along--- and since I have no idea either, I pay him He's actually the best PT in the region, which I tease him about too, because we live in a pretty rural area - kind of like being the favorite son when you are the only son -


Thanks for your time and suggestions!