11/10/2025
Lateral Foot Pain
Here’s a fun anatomy fact: the abductor digiti minimi (the small muscle on the outer side of your foot that moves your pinky toe) actually has a fascial connection to the peroneus longus tendon. This is something I learned in Active Release Techniques Level 2 Courses!
That means when the peroneus longus, the muscle that runs along the outside of your leg and helps stabilize your arch and helps you push off, gets tight or irritated, it can pull on structures all the way down into the foot. Over time, that tension can lead to lateral foot pain, pinky toe irritation, or even contribute to overpronation and ankle instability.
What you might notice:
Pain or tightness along the outside of the foot or ankle
Irritation when pushing off during walking or running
Tenderness when rolling the outside of the calf or foot
Things that can help:
Wearing shoes with good lateral support
Rolling or releasing the outer calf and bottom of the foot
Strengthening the peroneals and intrinsic foot muscles
Getting soft tissue work to free up those fascial connections
In the clinic, we assess the entire chain and use Active Release Techniques (especially the Level 2 protocols) and adjustments to restore balance and take pressure off the structures. Sometimes it’s not just one muscle; it’s how they’re all connected.