Treatment for extensor tendonitis

Treatment for extensor tendonitis

Last updated on March 5th, 2024 at 10:37 am

If you’re experiencing pain on the top of your foot or difficulty walking, you may be suffering from extensor tendonitis. This condition occurs when the tendons that run from the muscles on the front of your leg down to your toes become inflamed. This can be caused by overuse, repetitive strain, or sudden injury. Fortunately, there are several treatment options that can help relieve the pain and inflammation associated with extensor tendonitis.

Symptoms

Extensor tendonitis might appear as a red, inflamed, and swollen area on the top of the foot, near the tendons that extend the toes upward. The affected area may be tender to the touch and cause pain during activities such as walking or running. In severe cases, there may also be difficulty in moving the toes upward or pain during toe extension. For differential diagnosis you may be interested in learning about ganglion cyst.

Rest and Ice

One of the first things you should do if you suspect you have extensor tendonitis is to rest and ice the affected area. This can help reduce inflammation and pain. Avoid activities that aggravate the condition, such as running or jumping. Instead, try to rest and elevate your foot as much as possible.

Ice can be applied to the affected area for 15 to 20 minutes several times daily. You can use a cold pack or a bag of frozen peas wrapped in a towel. It’s important to never apply ice directly to your skin, as this can cause tissue damage.

Anti-inflammatory Medications

Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. These include medications like ibuprofen and naproxen. Be sure to follow the recommended dosages and talk to your doctor before taking any new medications, especially if you have any underlying medical conditions.

Physiotherapy

Physiotherapy can be a highly effective treatment for extensor tendonitis. A physiotherapist can work with you to develop a personalized exercise plan that helps strengthen the affected tendons and muscles. They may also use massage and ultrasound therapy to help reduce inflammation and pain.

Orthotics and Braces

Orthotics and braces can be used to help support the foot and reduce strain on the affected tendons. Your podiatrist may recommend a special shoe insert or ankle brace to help distribute pressure more evenly across the foot or put the foot in a more biomechanical advantageous position. This can help reduce pain and prevent further damage to the tendons.

Surgery

In severe cases of extensor tendonitis, surgery may be necessary. This is usually only recommended when other treatments have failed to provide relief. During the surgery, the affected tendons may be repaired or repositioned to help reduce strain and inflammation.

Prevention

Prevention is key when it comes to extensor tendonitis. Some simple steps you can take to help reduce your risk of developing this condition include:

  • Wearing proper footwear: Choose shoes that fit well and provide adequate support with a rocker bottom. Avoid high heels or shoes with a tight toe box. For more see best shoes for tendonitis on top of the foot.
  • Stretching: Stretch your feet and ankles muscles before and after exercise. This can help improve flexibility and reduce your risk of injury.
  • Gradual progression: If you’re starting a new exercise program, be sure to start slow and gradually increase your intensity and duration over time.
  • Rest: Make sure to give your feet adequate rest between workouts or periods of activity.

Conclusion

If you’re experiencing pain or discomfort in the top of your foot, don’t ignore it. Seek treatment as soon as possible. Extensor tendonitis can be a painful and debilitating condition. With proper treatment, most people are able to make a full recovery. Treatment options may include rest and ice, anti-inflammatory medications, physiotherapy, orthotics, or surgery. Talk to your podiatrist or a physiotherapist if you’re unsure about the best treatment plan. Proper care should get you back on your feet and resume your normal activities. Remember, your health is your wealth. Good luck!

FAQs 

1. What are the symptoms of extensor tendonitis in the feet? 

The most common symptoms of extensor tendonitis in the feet include pain on the top of the foot, swelling, and difficulty walking or bearing weight on the affected foot. Some people may also experience redness or warmth in the affected area.

2. How is extensor tendonitis diagnosed? 

Extensor tendonitis is typically diagnosed through a physical exam and a medical history review. Your doctor may also order imaging tests like X-rays or an MRI to rule out other conditions.

3. Can extensor tendonitis be treated without surgery? 

Yes, many cases of extensor tendonitis can be treated without surgery. Treatment options such as resting, icing, taking anti-inflammatory medications, physiotherapy, orthotics, or a combination of these approaches can help.

4. How long does it take to recover from extensor tendonitis? 

Recovery time can vary depending on the severity of your condition and the treatment approach used. In mild cases, recovery may take a few weeks with proper rest and treatment. In more severe cases, it could take several months to fully recover.

5. Can extensor tendonitis be prevented? 

Yes, this may include wearing proper footwear, stretching before and after exercise, gradually increasing your activity level, and giving your feet adequate rest between workouts or periods of activity.

Rohan Newman MSc MRCPod

Rohan Newman is a qualified podiatrist and teacher with many years of experience and extensive training, with a diploma in education, a BA in physical education, a BSc (Hons) 1st Class in podiatry and an MSc in sports health.

View all posts by Rohan Newman MSc MRCPod →

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