Flexor tendonitis of the foot

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Flexor tendonitis involves soreness of the flexor tendons found inside the foot which are responsible for flexing the big toe. These tendons travel through the interior of the ankle as well as beneath the foot up to the toes.

What are the indications?

The indications of flexor tendonitis usually include:

Flexor tendonitis
Evident tenderness along the length of the tendon that passes around the back part of the medial malleolus (bony protuberance on the interior of the ankle)
  • Evident tenderness along the length of the tendon that passes around the back part of the medial malleolus (bony protuberance on the interior of the ankle)
  • Discomfort or pain can be felt in the arch, within the back part of the ankle and if the big toe is flexed against resistance

Management of flexor tendonitis

What should I do?

The individual should rest from any activity until the pain has fully settled. This involves complete rest for 1-2 days depending on how severe the injury is or avoid activities that worsen it. The individual should also try to stay fit if possible by swimming or cycling.

Apply an ice pack to minimize the pain and inflammation. The application should last for 10-15 minutes every hour initially to reduce the frequency as the discomfort and inflammation settles. Taping of the foot must be done to protect the arch and enable it to rest easily. If the individual is required to walk, taping the arch minimizes the strain on the tendons.

Medical care

The doctor might prescribe anti-inflammatory medications such as ibuprofen to minimize the pain and inflammation. An individual with asthma should not use ibuprofen though.

Surgery is often an option for the injury and it has been reported that some athletes can resume their sport within 6-9 weeks after.

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