Peroneal tendonitis is a condition that could be highly exhausting for runners and may need longer to recover if you do not put on the proper running shoes. Therefore, you have to purchase a pair of the best running shoes for peroneal tendonitis that will reduce the stress and tension of your feet.
Appropriate Running shoes offer reliable protection and support properties to protect against injury primarily or prevent further damage and quicken the healing process.
Peroneal tendonitis is an injury to the peroneal tendons located on the outer side of your lower leg, just below your heel. The peroneal tendons attach the muscles on your calf’s lateral (outside) side to the bones on the bottom of your foot. Several things can aggravate peroneal tendonitis, including overuse, incorrect training techniques, and wearing shoes that don’t fit properly.
Reviews: The Best Running Shoes for Peroneal Tendonitis
Having chronic pain resulting from a severe injury that adds pressure to your feet and ankles is a great misfortune that can prevent you from running for a long time. However, according to shoe experts, choosing the right pair of shoes for your medical situation will let you proceed with your running habit.
We analyzed a lot of running shoes and handpicked some effective shoe pairs that best fit patients diagnosed with peroneal tendonitis. Our research hinged on the characteristics that will help lessen tendonitis pain during running. The following recommendations have all been lauded in reviews and will flatter the different tastes of shoe lovers.
Brooks Ghost 13 – Best Overall Running Shoes for Peroneal Tendonitis
With its fancy design, Brooks Ghost 13 has sent runners to override. A wide cohort of runners expressed that they have been captivated by its stylish outlook. Part of what makes Brooks Ghost a recommended pick is that it optimizes its cushioning system owing to its Segmented Crash Pad and DNA LOFT. The use of a Segmented Crash Pad and DNA LOFT translates to an extended cushioning that protects the feet from heel to toe and all along with the midsole.
In addition to its landmark design, the brand is celebrated for paving the way for a relaxing running experience for men and women in which you are expected only to think about running and nothing else. The shoe has also excelled in providing segmented crash pad transitions to master all facets of mobility.
Asics Women’s Gel Nimbus 23
Asics Gel Nimbus 23 is one of the most acclaimed brands designed to ease the way of Peroneal Tendonitis patients. It is equipped with fabric and snugly uppers, which prevent the feet from wiggling about.
ASICS’s FlyteFoam Lyte tech in the midsole employs nanofibers to protect the midsole from flattening and keep that bounce.
The shoe has been tailored using the most up-to-the-minute Flytefoam technology that makes the shoe’s midsole ready to absorb imminent shocks, for the cushioning system is designed to spring back at jumps and protect the feet against harmful effects.
The shoe is complemented by forefoot and rearfoot GEL cushions and SpevaFoam. This mix creates the perfect blend of energetic push-offs, comfort, and shock absorption. It’s a very comfortable experience for your feet!
This mixture of cushioning properties makes it an excellent shoe for any runner, especially for people with peroneal tendonitis. As a result, there’s much less chance of pain and jarring in the calves and ankle.
The Heel Clutching System is an external heel counter system that maintains the foot locked in and protected.
Asics Gel Nimbus 23 is also protected by tight heels that stabilize the runner’s ankle. In addition, the shoe features an AHAR outsole that helps act against abrasion that results from friction.
Interestingly, the women’s shoe has an additional 3mm of height to protect against Achilles pain which is common in women because of their foot shape.
New Balance Men’s Fresh Foam Zante v3
New Balance Fresh Foam Zante v3 is distinguished by its feathery weight and effective cushioning system. The shoe is marked as the right pick for both newbies and veterans since it can handle sudden shocks and intensified runs over an extended distance. Moreover, the shoe’s flexible body is a great asset for beginners since it will help them keep going for long distances.
The shoe’s lasting outsole adds to its quality and gives free rein to runners to run while feeling cushioned. In addition, patients diagnosed with peroneal tendonitis will find the shoe very helpful because its lightweight significantly reduces pain and pressure. Moreover, if you are a mid-foot striker, this shoe is made for you as you will never need to push yourself to learn heel-striking strategies.
The shoes’ upper part is so smooth that you won’t feel any sensory seams. The shoe’s responsiveness to shocks is another added bonus that keeps runners’ feet stable and confident.
Saucony Women’s Cohesion 13
People like this shoe’s robust rubber outsole and tightened grip around the feet. In addition, the shoe is complemented with a breathable mesh above its upper surface, which does great help to people diagnosed with peroneal tendonitis since it cleans the feet from moisture and dirt and refreshes its tense muscles now and then.
Part of the thrill is the shoe’s zigzagging grooves, which are marked by its versatility to suit all spectrums of runners. In addition, it is equipped with the most modernized Versarun technology; the shoe excels in absorbing shocks and protecting the feet during intensified running.
Another worth-mentioning fact that not most people would like is the extra room of the shoe’s toe box; however, people with wide feet and toes won’t feel bothered by this feature. Furthermore, some users reported that the shoe’s outsole didn’t display the versatility they expected to feel.
Asics Women’s Gel Cumulus 20
The shoe displays a 10mm heel-to-toe drop, making it perfect for a peroneal-tendonitis patient. In addition, the shoe’s cushioning system is well-designed to fit neutral runners. Finally, Asics features FlyteFoam, which is a more advanced version of EVA foam. The foam aims to provide runners with a smoother kick and absorb running shocks more effectively.
The shoes’ heels are provided with gel cushioning to enhance flexibility and responsiveness. Moreover, the gel facilitates the runner’s mobility and lessens the risks of exhaustion. The shoe is further equipped with a breathable upper mesh that runners find super effective during the roasting weather of summer days. The shoe manufacturers didn’t miss the stylish part, for Asics Gel is regarded as one of the most fashionable running sneakers in the shoe market.
Brooks Men’s Glycerine 18
Brooks Glycerine has become manifest among the most recommended running shoes for those suffering from peroneal tendonitis. The shoe is provided with an Ortholite Sockliner, which is known to have a significant effect on wiping away moisture and dirt.
Moreover, users have applauded the brand for its soft and sufficient cushioning system that provides the feet with a smoothing sensory effect and relaxes its exhausted muscles.
Glycerine 18 can be used for a wide range of situations, such as excessive running, mild running, walking, and training. The shoes were designed to have a stretchy feature from the inside to help your feet wind around freely. The shoe also doesn’t lack the breathable mesh feature, which makes it one of the most suitable picks for peroneal-tendonitis runners.
Nike Men’s Vomero 13
The shoe is designed to furnish runners with premium support and responsive bounces to shocks with each and every stride. In addition, Nike Vomero has created a lavish design that stands out among other designs of running shoes.
The brand is steeped in ultra-high-end quality that maintains durability and takes the running experience to extremely new heights. In addition, it is equipped with soft cushioning, which leaves no chance of feeling tense.
Nike Vomero 13 is designed to fit precisely the runner’s feet so that the feet sit still without wrestling or waggling. It gives newbies an edge to venture out and try new destinations.
Adidas Men’s Ultraboost 20
The shoe’s unique edge lies in its sock-like fit, which is the reason why it fits neatly into the category of the most preferred shoe for peroneal tendonitis. In addition, it is equipped with soft heels to absorb shocks and give a super bouncing effect.
For backpackers looking forward to the next destination, the shoe will be a recommended asset to your journey, especially if you are a mountain striker. The shoes’ responsive cushioning will hook you up with its immediate resistance to heavy jumps and unpredicted transition.
Adidas Ultra boost has been the go-to for many peroneal tendonitis patients for years since it is designed for daily running. So, if you don’t like twisting your feet from time to time so that your weight would be borne on the inner edge of the feet, Adidas Ultraboost may be the pair of shoes you should be looking for.
Mizuno Women’s Wave Rider 24
The shoe is marked by its unique, varied colors that make running a joyful experience one is excited to embark on. However, its unique edge lies in the bounces and softness it creates with its well-established cushioning system that takes runners aback.
The design hinges on a synthesized blend of U4ic and wave plate, giving the feet complete contact with the ground. As a result, Mizuno has enhanced its firmness and softness to provide patients suffering from peroneal tendonitis with a cutting-edge combination they can rely on.
Mizuno has employed an efficient rubber system that encompasses two types of rubbers – a carbon rubber in the heels that gives the shoes a durable touch and a blown rubber in the forefront that reinforces the cushioning system and enhances softness. In brief, the shoe is responsive, seamless, and long-lasting.
Salomon Men’s XA Pro 3D V8 – Best Trail Running Shoes for Peroneal Tendonitis
This version has been created to make neutral runners hit the trail with confidence due to its optimized cushioning features. Its lightweight is marked by its lightweight, giving a barefoot sensation and enhancing confidence. In addition, it fully maintains tight traction on the ground, so you don’t need to focus on the terrain but only enjoy running.
The shoe is made of feathery and slim materials, which sustain protection alongside comfort. Its basic frame is composed of an enhanced 3D chassis. It has been lauded in reviews for its stability, responsiveness, and breathability. Moreover, the shoe comes in various colors and styles, such as Night Sky, Dark Denim, and Butterscotch.
The GTX version of this shoe is made from waterproof materials. So if you are planning to take some runs in rainy weather or on muddy trails, this shoe will be an excellent choice.
Saucony Women’s Triumph 18
Saucony Triumph 18 is one of the most well-cushioned pairs of shoes that can accompany you wherever the track takes you. The shoe’s 3D Print overlays provide runners with a luxurious confiding experience. One of the shoe’s best-selling options is its PWRRUN+ midsole cushioning that fits patients with peroneal tendonitis due to the smoothing effect it creates.
Saucony is characterized by premium elasticity thanks to its super springy foam and blown rubber outsole, adding a new edge to the shoe’s rapid responsive system. In addition, the shoe is complemented with a supportive upper mesh that enhances breathability and sustains the ankle and the upper part of the feet.
Both athletes and neutral runners handpick Saucony Triumph because it can adapt to the body of the feet without any effort from the user. Moreover, the shoe does a wonderful job of keeping your whole body balanced during running.
New Balance Women’s Nitrel V4
Owing to its AT Tread outsole, the shoe maintains an all-terrain grip, which means that you won’t need to moan about wet roads anymore. The New Balance Nitrel is equipped with a DynaSoft midsole that translates to above-average quality and cozy comfort.
The shoe features a cushy Eva foam that is envisioned to let your feet embrace the confines of a well-cushioned surface. This is why the shoe has earned its place among the recommended picks for those who suffer from peroneal tendonitis.
The brand complemented its New Balance V4 with a lace-up closure to ensure firmness and security. That is to say; your shoes will roll around your feet like a pair of snuggly socks. Moreover, the shoe’s synthetic upper is marked by being robust and feathery.
Adidas Men’s Adizero Boston 6
Adidas Adizero Boston 6 is a perfect choice for peroneal tendonitis patients due to its boost cushioning and 10mm drop. In addition, the shoe is distinguished by its light supply that illuminates every stride ahead. Moreover, the shoe’s continental rubber helps maintain sustainable traction on the ground so that runners feel their feet are directly landed on the ground, boosting their confidence and stability.
Adidas is provided with a breathable mesh to kill bacteria and eliminate moisture so that runners can keep going for long distances without feeling in a tither. The shoe also employs the renowned Torsion System, which does a superb job adjusting the midfoot to the ground and coping with numerous surfaces. The shoe weighs 8.5 ounces and is equipped with a rubber sole.
Asics Women’s Gel-Venture 6
Asics Gel-Venture 6 has a lot going for it. Its gel is a remarkable asset for those suffering from peroneal tendonitis and other diseases since it reduces pressure and facilitates mobility. In addition, the shoe is composed of durable elements that make for a pretty comfy sneaker that shouldn’t be overlooked.
The running sneaker is known for its lightweight, which alleviates extra pressure while running. Moreover, shoe manufacturers have excelled in innovating a wide variety of stylish designs to suit abundant customers.
The price of Asics Gel Venture 6 is said to be affordable for those who want a fancy brand that conforms to their budget. With Venture 6, your transitions will be a source of fun rather than worry. The shoe’s AHAR outsole further maintains this, which intensifies the shoe grip around the feet.
The shoe is also complemented with a sock liner that can be removed at your request. This feature will be a great help to the patients who add medical orthotics. Users for its ventilation options also acclaim the shoe.
Hoka One One Women’s Bondi 7
The Hoka One One Bondi 7 is the most cushioned shoe for peroneal tendonitis. It is a reasonably good-looking shoe with TPU overlays for midfoot stability, heel beveling for an easier landing, and internal heel counters to keep the heel from moving.
Bondi 7 comes with a toe-to-heel EVA foam midsole that offers extreme comfort and excellent energy return for explosive toe-offs.
The shoe’s footbed is provided with orthotics that help the patients have a speedy recovery. In addition, the shoe is complemented with a wide outsole to absorb all shocks effectively.
For those with wide feet that feel problematic when it comes to buying shoes, Hoka might be your way to go since its wide toe box will accommodate your needs.
The shoe displays an intensified cushioning system, yet the weight is artfully balanced and light.
Adidas Men’s Solar Boost 21
The shoe’s rapid responsiveness to shocks might be enough to draw you in since it restores the energy with every stride. The shoe displays a dense cushioning system; however, the shoe weight is perfectly feathery.
Solar Boost 21 is characterized by utmost flexibility that caters to every instantaneous step you go for. The shoe will be ideal for extended distances for patients suffering from peroneal tendonitis pain.
Thanks to its stiffness-free design, the shoe is designed with a perfect balance to maintain a tight grip around the feet, yet without adding extra pressure.
New Balance Men’s 990 v4
The men’s 990v4 NewBalance running shoe comprises 100% textile and leather. It is very comfy to put on and features a breathable mesh with leather overlays to support the outside of the foot.
The shoe is known for its durability and premium bouncing effect. Comfort-wise, the shoe is super comfy due to its ultra-boost cushioning system. It also fits people with wide feet and toes.
The outsole is manufactured from durable leather. In addition, the sole is engineered to provide stability on different terrains.
The midsole features EVA combined with ENCAP technology to improve cushioning and support. Therefore, the shock experienced while running is absorbed. Also, the upper hugs and molds your feet for extra cushioning when running.
The New Balance 990 v4 features a foam collar that aims to protect your feet from abrasion. As a result, the shoe really holds up for overextended periods. So, it is indeed worthy of its retail price. Moreover, it is characterized by flashy responsiveness to shocks and putting up with sudden movements. So, as far as practicality goes, this shoe is recommended for regular running and intensified exercises.
The Factors We Consider When Looking for the Best Running Shoes for Peroneal Tendonitis?
As peroneal tendonitis is more likely to hit people with high arches, It is essential to go for neutral running shoes that are manufactured to promote pronation. However, there are some crucial elements that you have to consider to get entirely comfortable and supportive shoes. We considered the below features while picking the best running shoes for this ailment:
- The most important feature to look for is responsiveness to shocks because if your shoes fail to absorb shock, chances are your pain will surge, and your injuries might even be intensified. In addition, having a shock-absorbing sole will decrease stress from impact as you jog and run, allowing you to move further without pain. Therefore, buying a pair of shoes whose heels are equipped with shock padding is highly recommended.
- The weight of your shoes should be light and unnoticed to preserve your muscle energy and move about without extra effort.
- Your shoe must be up to the highest standards of flexibility and support, for the leading cause of injuries is the lack of support. Waggling about or slipping inside your shoes adds a severe strain on your weary muscles, so make sure to check and recheck the shoe’s support system.
- Appropriate cushioning is essential as the peroneal tendons hit your ankles down to the middle section of your foot. Without this, you’ll risk putting higher stress on the already strained tendons, resulting in a flare-up. In addition, having a proper cushioning system is essential for pain reduction as sturdiness and stiffness will aggravate the pain and make your injuries sore.
- With Peroneal Tendinitis, heel striking is suggested, and it is preferable to avoid forefoot and midfoot strikes.
- A snug-fitting collar and secure heel counter will offer good ankle support to protect your ankle from twisting and moving too much.
- It’s essential to search for a pair of running shoes with excellent heel support as this is where the tendon connects to. Some sneakers feature an exclusive heel lock-in structure that contours around the back and keep your heel in place. If you find your perfect shoe, but it doesn’t come with heel support, you can employ extra padding or insoles to make your own padding for your feet.
- Fitness is one of the most important factors to consider when choosing the best running shoes for peroneal tendonitis. Wearing a running shoe that matches your foot’s size is crucial for a comfortable ride. Putting on either too big or small footwear can aggravate the tendon and cause pain. We recommend that you re-measure your feet and stick to the manufacturer’s recommendations. Make sure that you involve the socks you will use and special insoles if you use them. If you’re in search of athletic shoes for long runs, check that you’ll need extra wiggle room in the toe box area as our feet start to swell, especially at the forefront, It will be a good idea to have at least half an inch between your longest toe and the shoe.
- Running trainers with a heel drop of 8-12 mm are the best peroneal tendonitis options. It protects you from running on your toes to avoid further pressure on the tendon and helps you have a smooth stride during push-off.
Read also: top cushioned running shoes for bad knees
Below are some common questions about the best running shoes for peroneal tendonitis and how to deal with this issue.
How is peroneal tendonitis defined?
There are two peroneal tendons. The peroneus brevis and peroneus longus. They run parallel to each other, linking the foot’s outside to the brevis muscles and peroneus longus in your lower.
Peroneal tendonitis (also known as peroneal tendinopathy) is a rare but aggravating injury. Peroneal Tendinitis (a partial rupture of tendons) often results in inflammation and rupture of the ankle joint due to prolonged ankle stress. In addition, the compression and twisting will worsen the situation, causing prolonged irritation and swelling. Peroneal tendonitis triggers an aching or sharp feeling at your foot’s outside or along the length of the tendons. It can happen at the insert point of the tendons, through the exterior edge of your fifth metatarsal bone, or through your ankle’s outside.
How common are peroneal tendonitis injuries in runners?
Unlike injuries to the Patellar Tendon or Achilles, which are well-understood and fairly common, peroneal tendon injuries are pretty rare.
What causes peroneal tendonitis?
The most common reason for peroneal tendonitis is repetitive movements of the same tendons or muscles. Several factors may cause the injury, the most important of which are:
- Repetitive movements in a specific muscle over a long time.
- Bad habits and unreliable movements during walking or standing.
- A soft or very flexible running shoe is an “unstable” base when you run.
- The presence of abnormal pressure imposed on a specific region in the body results from a congenital disability in one of the joints or a wrong positioning of one of the bones (as in the case of the wrong bone fusion after fractures).
- Infection with certain bone or joint diseases, such as osteoporosis and rheumatoid arthritis.
- Performing a lot of runs on a cambered surface pushes your foot to turn in excessively.
- Having diabetes or metabolism disorders.
- Lateral ankle sprains.
- Some factors increase the chances of injury, such as old age, occupations in which the body may be moved incorrectly and harmfully, and the practice of specific sports.
Can running shoes cause peroneal tendonitis?
The short answer is Yes, poorly manufactured running shoes may bring on peroneal tendonitis, particularly if you run repetitively wearing them. Running repetitively on sloped surfaces with improperly manufactured footwear maximizes your possibility of developing this ailment. So, always make sure to wear proper shoes for your daily training.
What are the symptoms of peroneal tendonitis?
Peroneal tendonitis leads to inflammation and severe pain, primarily upon touching the injured area. The patient experiences difficulty in moving his/her ankles and feet. Walking and running might also feel so challenging. The feet’ arches become elevated in position. Other symptoms can include;
- Swelling at the ankle or back of the foot.
- Instability of the ankle when supporting body weight.
- Pain when turning the foot
- The back of the foot and ankle are warm to the touch.
- Increasing pain in the back region of the foot or ankle during activity.
- Pain is located at the back of the ankle.
How to put up with peroneal tendonitis?
- Ensure that you put on supportive shoes. Avoid using walking shoes for running, as they do not have shock-absorption properties.
- Doing some exercises to fortify lower leg muscles that support the ankle – specifically the Soleus. Be mindful when fortifying the peroneal muscles- if you exercise them excessively, the condition may get worse.
- Ensure you retrain your position sense/proprioception so your brain understands accurately where your ankle is. Doing this can better control when you walk and run.
- If you’re getting pins and needles/electric shock sensations/sharp pains, it is essential to consult a doctor as you might also have aggravated the nerve that runs in that area.
- Apply some simple medications that can be applied at home, such as using packs of ice or gel on the injured surfaces. Doing mild stretches and massages will also help reduce the pain.
How can perineal tendonitis be prevented?
Consider some things if you’re asking how to prevent this painful foot condition.
If you’re making any kind of changes to your running routine (change of running surface, volume, intensity, etc.), incorporate them slowly and gradually. It’s not a good idea to rush into things – it may give your feet a bit of a shock!
Apply foot strength workout beside your runs. Strength training helps strengthen your body – feet included – so the possibility of getting peroneal tendonitis will be minimized. In addition, strength training plays a vital role in developing the connective tissue between muscles, and that involves tendons.
Additionally, be sure to give yourself enough time to relax between hard exercise classes. Then, if you feel any twinges or tweaks, take some more time to rest.
What are the common rehab exercises for perineal tendonitis?
The rehab exercises for peroneal tendonitis include:
- Weight-bearing ankle strengthening exercises.
- Foam rolling techniques for the peroneal muscles of the lower leg.
- The single-leg balance exercises.
One of the current recommendations if you are injured and slowly return to running is cross-training, and the best form of cross training for this injury is Aqua Jogging.
Can stretching make tendonitis worse?
Studies report that stretching the tendons can speed up the recovery process. It restores elasticity, assisting you to recover quicker and without feeling tense. But if your tendon is severely damaged, stretching exercises may make it worse, so you would want to talk to your doctor before starting to practice.
How much time does peroneal tendonitis need to be healed?
The number of activities you engage in typically determines how long the recuperation time lasts; the more effort you put in, the longer it will last. Applying ice can have a calming impact, lessen inflammation, and hasten the healing process.
Will an ankle brace help with peroneal tendonitis?
An ankle brace is a device that is worn around the ankle in order to immobilize it. This prevents overuse of the injured area and helps it heal properly. Ankle braces can help prevent peroneal tendonitis from developing or getting worse.
Can I run with peroneal tendonitis?
Running with peroneal tendonitis will be painful, as will trying to evert and dorsiflex your foot, specifically against resistance.
Do you need surgery when you have peroneal tendonitis?
Some conditions will need surgery to get your peroneal Tendonitis foot issue solved. It will all rely upon the severity of your injury and the structure of your foot.
Generally, a doctor or surgeon can decide the suitable treatment for your foot. Undoubtedly, physical therapy is essential after surgery for a full recovery.
Can compression socks help with peroneal tendonitis?
Peroneal tendonitis is a condition that can cause pain and inflammation in the peroneal tendons. Compression socks are often recommended as a treatment for this condition, as they can help relieve the pain and inflammation.
How do you wrap a foot with peroneal tendonitis?
Wrapping the foot with peroneal tendonitis can help to provide relief from pain and inflammation.
When wrapping a foot with peroneal tendonitis, it’s important to be mindful of the following: you don’t want the wrap to cut off blood flow to the foot, and you don’t want it to provide a tingling sensation or numbness. So you need to make sure that you apply a proper wrapping technique.
The first step is to place a band under and slightly in front of your foot. You will then want to wrap the band around your ankle, ensuring it is secure. You can then repeat this process for the other side of your foot. When wrapping your foot, it is essential to cross one side over the other in order to create an X shape. This will ensure that the wrap is tight and secure around your ankle and foot. Finish by circling the two bands around each other to tighten them before you apply any further pressure. Furthermore, make sure you replace the wrap every 24 hours.
Should I massage peroneal tendonitis?
Peroneal tendonitis is a condition that affects the peroneal tendons, which are located on the outside of your ankle. This condition can be treated with gentle massage, which can help to reduce inflammation and pain. However, it is essential not to press too hard on the area, especially if it is particularly painful or swollen.
Does peroneal tendonitis go away?
This condition can be excruciating and make it difficult to walk or run. In most cases, tendonitis will eventually go away without any intervention. However, you can do a few things to speed up the healing process and reduce pain. These include icing the area, using compression wraps or sleeves, and taking over-the-counter pain medication.
Running Injuries are common among runners. Whether you are hooked on trail running or preparing for a marathon or triathlon, there is a good chance of getting injured.
Peroneal tendonitis leads to soreness in the area around the outside and back of the foot. It often happens because of overuse, injuries, or damage to the tendon.
Peroneal tendonitis can be unbearable and debilitating for runners and those involved in exercise and sports routines. If the condition is not cared for, it will get more severe and lead to further damage.
Wearing one of the best running shoes for Peroneal tendonitis will offer comfort and support to alleviate pain and symptoms and protect the feet against further damage.
In sum, peroneal tendonitis is a grave situation that stands between runners and their favorite habit due to pain and pressure. That is why we paraded a trusted collection of recommended shoes that can help those who suffer and wish to resume their running routine. Fortunately, tendonitis can be handled and treated using a well-cushioned pair of sneakers that supports your feet without adding unsolicited weight or pressure.