extensor hallucis longus injury recovery time
You might also have trouble moving the affected part of your body like you usually can. Abnormalities in the gait cycle can contribute to the development of tendinopathies, especially in the foot and ankle. If you have an infection, you should start to feel better after starting antibiotics. You should feel a gentle stretch at the front of your ankle. government site. I had, what Im saying is, my final Continue reading Post-op Weeks 10-14 EHLlaceration , At the end of week 7 I was given the go-ahead by foot surgeon to start physical therapy. Vuillemin V, Guerini H, Bard H, Morvan G. Extrinsic factors include overuse of the tendon, training errors, smoking, medication abuse, and wearing shoes or other equipment not appropriate for the specific activity. Talk to your provider if your symptoms are getting worse or dont go away after a few days. The scar tissue that forms may prevent full-finger bending and straightening even with the best treatment. The vast majority of reported extensor hallucis longus (EHL) tendon injuries documented in the literature have been secondary to a laceration [2-6]. This condition affects the dorsiflexion movement, occurring often in those who are physically active or in professional athletes. A period of recovery is necessary to meet the increased demands on the tissues; inadequate recovery is thought to lead to breakdown at the cellular level.7. PT can help you learn a variety of stretches and strengthening exercises, and can include treatments such as ultrasound to help heal your tendons. Webis the peroneal tendon a flexor or extensorwvu mechanical engineering research. Since our feet carry our entire body weight all day long, it's not much of a surprise that foot pain is relatively common. Bastas GF, Cuchacovich N, Schiff A, Carcuro G, Pellegrini MJ. People with certain health conditions are more likely to develop extensor tendinitis, including: People older than 40 or anyone with naturally tight (inflexible) tendons are more likely to develop tendinitis too. When surgery is involved, recovery time will take up to three months before you can return to play. Nevertheless, in many ways You might need to take a break from the activity that caused you to overuse your tendon, but once youve healed you should have no long-term effects. Flexor hallucis longus is an important surgical landmark in the area of the tarsal tunnel, as it marks the lateral border of the aforementioned neurovascular structures, thereby staying lateral to the muscle can prevent injury to these structures. MICHAEL R. SIMPSON, DO, MS, AND THOMAS M. HOWARD, MD. Extensor tendonitis is the inflammation of the extensor tendons. I dropped a giant knife on my foot (which you hopefully already know because you're reading the blog I wrote about my EHL laceration experience) which lead to a cancelled triathlon that was supposed to happen two days after the knife incident and lead to Continue reading 1 year post-injury/surgery EHLlaceration , This post is quite a bit late since it's now post-op week 14, I know. Both issues are caused by inflammation. Tenosynovitis is usually painful. Healthline Media does not provide medical advice, diagnosis, or treatment. They usually start as tendon irritation manifesting as pain, and can progress to catching and locking when tendon gliding fails. If pain appears at the top of the foot or along the midfoot (where the tendon passes), it will be certain that you are suffering from extensor tendonitis. This website uses cookies to improve your experience while you navigate through the website. Dont rush your recovery or you might cause more serious damage to your tendons. Symptoms are likely to develop gradually over time, becoming progressively worse. Healthy feet rely on properly fitted shoes that provide support and dont irritate the top of the feet. These are the most common measures and treatment solutions that you can consider for extensor tendonitis: Usually, the pain is the best symptom that can indicate the recovery time. Ive been waiting to see if there is any marked improvement in my foot over the last few weeks so I could include that with this final post. The healing time can take up to several weeks before you can start to resume normal activities with the injured hand or foot. My surgery was the Friday before Memorial Day (which is a 3 day weekend holiday in the U.S.) so I was off of work for 4 days that next week, and I had this week's Friday off of Continue reading Post-op Week 2 EHLlaceration , Well I've more or less survived the first week post-op from EHL tendon laceration surgery. If it is a long-term problem, a steroid injection may be given although repeated injections to tendons can weaken them. This site needs JavaScript to work properly. The posterior tibial tendon performs plantar flexion, inversion of the foot, and stabilization of the medial longitudinal arch. WebExpectations. If you dont treat the problem correctly the first time, however, it could become a recurring problem. If youve been diagnosed with extensor tendonitis, an inflammation of the tendons, in your feet, its likely because you spend a lot of time on your feet or wearing shoes that are too tight. Depending on the severity of your injury, rest may last from three days to Although physical Rehabilitation can help at this time, recovery time is much quicker if the injury is dealt with in the acute state resulting early return of the sports person to sports. Anterior tibial tendinopathy is rare, but is typically seen in patients older than 45 years. When expanded it provides a list of search options that will switch the search inputs to match the current selection. The pain is less severe Finger extensor tendon injury. How long it takes to feel better depends on what caused your tenosynovitis, and which treatments you needed to reduce the inflammation. 2019 Dec 5;90(12-S):202-206. doi: 10.23750/abm.v90i12-S.8933. Make sure you wear appropriate footwear, in particular, and do not lace your shoes too tightly. Origin. Steroid injections into the synovial sheath of the posterior tibial tendon are associated with a high rate of rupture and, therefore, are not commonly used.37,38 If conservative management fails for up to three months or if stage 3 foot deformities are diagnosed, the patient should be referred to an orthopedic surgeon. There are three sheaths located posteromedial to the ankle for the tendons of the tibialis posterior, flexor hallucis longus and flexor digitorum longus Conclusion: The https:// ensures that you are connecting to the Well walk you through what the procedure involves. If the injury is in your foot, you may need to avoid certain activities, such as running uphill, for a period of several weeks. Perform extensor tendonitis stretches at least once a day, but three times a day is recommended. Differential diagnosis includes retrocalcaneal bursitis and inflammation of the superficial bursa of the Achilles tendon. Apply ice or cold therapy and compression wrap for 10 minutes every hour initially, reducing the frequency as your symptoms improve over the next 48 hours. Rodeo et al found that in a survey of 80 active professional American football players, 45% had suffered turf toe injuries in their professional careers, J Plast Reconstr Aesthet Surg. Menu. Pain and swelling of tendon, able to perform single-leg heel raise, no foot deformity, Relative rest, pain medication, consider walking cast or orthosis, Pain and swelling of tendon, unable to perform single-leg heel raise, pes planus, midfoot abduction, subtalar joint is flexible, All stage 1 treatments, consider ankle-foot orthosis, referral to sports medicine specialist or orthopedic surgeon, All stage 2 features, subtalar joint is fixed, arthritis, Referral to orthopedic surgeon, all stage 2 treatments. I found a physical therapy location that my health insurance covered and that was pretty close to my work and home. However, there are a number of factors that may increase your chances of injury. HHS Vulnerability Disclosure, Help These other screenings can be helpful in making sure no other tendons or muscles are injured, or to identify other areas of the foot that might need medical attention. Achilles tendinopathy is often caused by overtraining, use of inappropriate training surfaces, and poor flexibility. It may help to try a different lacing pattern. My foot didn't hurt too bad due to the regular taking of pain medication, but it was an adjustment from being able to walk in Continue reading Post-op Week 1 EHLlaceration , 2:00 pm on Friday May 25th - extensor hallucis longus (EHL) tendon laceration repair day. They might also order blood tests or other labs to check for infections. Pain is usually described as dull at rest, and sharp with the aggravating activity. Wrap ice in a wet tea towel, or use a cold therapy and compression wrap. However, different groups of people have different risks of developing it. Innervation. If you can do your job or schoolwork without putting additional stress on your injured hand or foot, you shouldnt need to miss work or school while your tendons heal. When viewing the foot from behind, the examiner will see more toes exposed on the lateral aspect of the involved foot, along with flattening of the arch. WebRelevant anatomy and biomechanics. Twenty of 23 patients undergoing EHL tendon repair or reconstruction were available for review at an average clinical follow-up of 12 months (range 3-89 months) and an average telephone follow-up of 5.1 years (range 1-10.4 years). Heel lift occurs at the end of the stance phase and the foot supinates. Which medications youll need depends on the cause of your tenosynovitis. That inflammation is what causes pain and makes it hard for your tendons to move as smoothly as they usually can. Providers usually divide peoples hands into nine zones. The average FAAM Activities of Daily Living score was 94.2% (range 58.3% to 100%) and the average FAAM Sports score was 94.2% (range 65.6% to 100%). Tendinitis is a condition that refers to any inflammation or irritation that affects your tendons. WebCheckrein deformity is a relatively rare condition caused by hypotrophy or adhesion of a tendon after a lower leg injury. Cool down and stretch after physical activity. However, a failed healing response may occur because of ongoing mechanical forces on the tendon, poor blood supply, or both. It is the third most common lower extremity tendon tear after the Achilles tendon and the patellar tendon. Tenosynovitis is inflammation of the protective sheath (the synovial membrane) that surrounds your tendons. It can be painful and make it hard to move your joints like you usually can. and transmitted securely. This may include Load Modification such as a reduction in the activities that aggravate your symptoms such as jumping, running, or going en-pointe. Treatment of tendinopathies ranges from relative rest to surgical debridement. The difference between extensor tendinitis and a stress fracture is whats damaged inside your body. Women are more commonly affected than men, and patients are often older than 40 years.3335 The foot deformity from posterior tibial tendinopathy gradually increases from months to years and, with progression, causes pain along the lateral tarsal region (sinus tarsi). The muscles contract eccentrically when running downhill. If degeneration of the tendon has occurred, a thickened, nodular area will be palpable. Indications for surgery include failure of conservative management, recurrent peroneal instability, and rupture of the peroneal tendon. Download our Mobile App now! Around 20% of people with diabetes experience it. Here we explain the symptoms,, Metatarsalgia is an umbrella term used to describe forefoot pain related to the metatarsal bones in the forefoot. I'm a very logical and methodical thinker so I wanted to share my thought process for planning post-surgery life to make things as easy as possible. Policy. You also have the option to opt-out of these cookies. (2015, August), assh.org/handcare/Anatomy/Details-Page/ArticleID/27968/Extensor-Tendon-Injuries, mountsinai.org/patient-care/health-library/diseases-and-conditions/finger-extensor-tendon-injury#causes, lvhn.org/conditions_treatments/bones_and_joints/hand/wrist_tendon_problems/learn_about_hand/wrist_tendon_problems/diagnosis, health.ucsd.edu/specialties/surgery/ortho/areas-expertise/sports-medicine/conditions/foot-ankle/conditions/Pages/tendinitis.aspx, Tendon Sheath Inflammation (Tenosynovitis), 7 Heating Pads for Aches and Pains, Big and Small. Wearing your brace or splint as often as your provider instructs. Create a free website or blog at WordPress.com. Disclaimer. A tibialis anterior rupture is a rare injury. If you experience pain in the top of your foot but it goes away after a day or so of rest, it may be a case of mild inflammation. Ultimately, a painless, flat-footed, slapping gait may occur. Traumatic extensor tendons injuries of the foot in childhood: a case report. Introduction. Applying heat or cold to the area to reduce pain or inflammation. Treatment of posterior tibial tendinopathy is ultimately based on the severity of the injury and is broken down into stages3,33,3638 (Table 3). The extensor tendons in your feet help you lift your toes up and lift the front of your foot off the ground. EHL (extensor hallucis longus) tendon repair and recovery, May 2018 was not a super great month for me. If you run and your running shoes or laces are pressing too hard against the tendons, the tendons can become inflamed. Web. Rehabilitation of a ruptured tibialis anterior tendon typically starts about three or four weeks after injury. The following muscles act on the first MTP joint: tibialis anterior, extensor hallucis longus, peroneus longus, flexor hallucis longus, extensor hallucis brevis, abductor hallucis, flexor hallucis brevis, adductor hallucis, dorsal interossei, and aponeurosis plantaris. Its a temporary injury that shouldnt have long-term impacts on your health or your ability to work or do the activities you love. The effectiveness of these treatments is currently being investigated (Table 2).1732. WebExtensor hallucis brevis muscle Pain right at the top of the foot and near the toes; difficulty in raising the foot upwards; feeling of numbness in the foot; big toe pain; deformities (claw toe or hammertoes). Transcutaneous glyceryl trinitrate patches may decrease pain and improve healing in patients with tendinopathy. The health information provided on this web site is for educational purposes only and is not to be used as a substitute for medical advice, diagnosis or treatment. It may also include increasing the rest time between activities to allow time for the tendon to recover. They let your bones move as you tighten and relax your muscles. Dysfunction or rupture of this tendon is uncommon and results in foot drop and a slapping gait. Without proper treatment, there is progression in stages leading to deformity, with degeneration of the tendon eventually leading to rupture. Youre more likely to develop tenosynovitis if you have these conditions: Because tenosynovitis is caused by so many different issues and conditions, its relatively common. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://www.assh.org/handcare/condition/extensor-tendon-injury). Hold the stretch for 10 to 15 seconds, relax and repeat once or twice more. You should expect to make a full recovery in four to six weeks after your symptoms go away. Kim WJ, Jung KJ, Ahn H, Yeo ED, Lee HS, Won SH, Lee DW, Ji JY, Yoon SJ, Hong YC. Give your body time to rest and recover after intense activity. I had my 4 week post-op appointment this week. In severe cases, the deltoid ligament can become elongated, causing medial ankle instability. Go to the emergency room if you notice any of the following: Extensor tendinitis can be painful and make it hard to move throughout the day the way youre used to. The main symptom of extensor tendonitis is. Further imaging should be considered if the patient fails to respond to conservative management, the diagnosis remains unclear, or there is pain out of proportion to the injury. The most common is a brevis tendon strain (tear), A midtarsal joint sprain is an injury to one or more of the ligaments holding the tarsal bones in the middle of the foot together., A metatarsal stress fracture is a hairline fracture in one of the long metatarsal bones in the foot. First toe dorsiflexion and plantar flexion strength was 4/5 at the MTP and 3+/5 at the interphalangeal joint. You can opt-out if you wish. You can learn more about how we ensure our content is accurate and current by reading our. Question 3 Correct Mark 100 out of 100 Response history Step Time Action State. Steroid injections into the tendon sheath also may help. Because this is often an overuse injury, doing too much too soon may increase the chances of your injury recurring, rather than achieving the opposite result. 2005-2023 Healthline Media a Red Ventures Company. After a physical exam, you might need at least one of a few imaging tests: How tenosynovitis is treated depends on whats causing it. This weakness can affect your ability to move your toes or to push off from your toes when you jump, dance, or run. Action. Question 3 Correct Mark 100 out of 100 Response history Step Time Action State. failed steroid injections). Such patients present with weakness during dorsiflexion of the foot and pain over the anterior aspect of the ankle. Tendons are covered by a protective sheath called synovium. Results are usually normal, but the study may reveal calcification of the tendon, osteoarthritis, or a loose body. Accessibility There is one diagnosis test that can be used in order to make the final confirmation. Our website services, content, and products are for informational purposes only. A more advanced version is to lift the knees upwards increasing the stretch. It is important to view the biomechanical alignment of the foot and ankle while the patient is standing and throughout the gait cycle. Talk to your healthcare provider before resuming any physical activities like running or working out. WebDepending on the cause of the extensor tendonitis, the recovery time can vary from a couple of weeks to several months. Magnetic resonance imaging also provides good images of tendon pathology, especially if surgical evaluation is being considered. Some of the activities that can lead to extensor tendinitis include: Certain tendons in the wrist are more prone to tendinitis for new mothers who are repetitively lifting their baby and breastfeeding. Tenosynovitis and tendinitis are both conditions that affect your tendons. Theyll talk to you about your symptoms and look at your hand or foot. Extensor tendinitis is inflammation in your extensor tendons the tendons that help you straighten your fingers, lift your toes, extend your wrists back and bring your ankle up. The posterior tibial tendon is a dynamic arch stabilizer; injury to this tendon can cause a painful flat-footed deformity with hindfoot valgus and midfoot abduction (characterized by the too many toes sign). In other words, if you run, get a good pair of running shoes. Tenosynovitis has lots of causes, everything from overuse to traumas. We describe the surgical technique and report the results on a large series of patients having undergone primary repair or reconstruction of EHL tendon lacerations. The injections may also restrict use of the hand or foot. If youre able to avoid stress on the affected foot or hand, and can keep from overusing those tendons for a few days, you may be able to start some stretching and strengthening activities within a week. This is because it also describes the degeneration of the tendon. Injury to the Extensor Hallucis Longus (EHL) tendon is uncommon with most cases caused by either direct penetrating trauma or indirect repetitive overuse ( Kass et al., 1997, Poggi and Hall, 1995, Skoff, 1988 ). Here's how. Physical therapy involves ankle range-of-motion exercises, peroneal strengthening, proper warm-up, and proprioception. Epidemiology. If you remember from Continue reading Post-op Weeks 3 and 4 EHLlaceration , The 2nd week post extensor hallucis longus (EHL) tendon laceration surgery had me going back to work. At the same time you are performing the movement, the doctor will apply resistance on top of the toes. Pain, swelling, bruising and bleeding are common symptoms of injury to the foot. If you notice the inability to move your big toe up towards the ceiling you may have severed your extensor hallucis longus (EHL) tendon and should come to see one of our physicians at Foot& Ankle Doctors, Inc. The extensor muscles can be stretched by kneeling down with the feet pointing backwards. Discoloration in a straight line along a tendon. Running on a treadmill means you can run for long periods on an incline. This category only includes cookies that ensures basic functionalities and security features of the website. The outlook for tenosynovitis is generally positive, depending on the cause. This website uses cookies to improve your experience. The extensor tendons in your hands help you move your fingers, thumbs, and wrists. Surgical treatment and results in 17 cases of open lacerations of the extensor hallucis longus tendon. Dont play through the pain if your hand or foot hurts during or after physical activity. It is distal and lateral to the muscle belly of the flexor digitorum longus (FDL), and deep to the soleus and gastrocnemius. WebExtensor hallucis longus. Avoiding the activity that caused your overuse syndrome. The pain usually builds gradually as use of the injured tendon continues. Extensor tendinitis can be caused by anything that makes you use your hands or feet in a repetitive motion. If this is painful then the test is positive, therefore indicating potential extensor tendon injury. Joseph RM, Barhorst J. Surgical reconstruction and mobilization therapy for a retracted extensor hallucis longus laceration and tendon defect repaired by split extensor hallucis longus tendon lengthening and dermal scaffold augmentation. Appropriate footwear, in particular, and wrists it could become a recurring problem but is typically seen patients., depending on the cause of your ankle improve your experience while you navigate through the.... Given although repeated injections to tendons can become inflamed foot off the.! Tenosynovitis and tendinitis are both conditions that affect your tendons super great for... Start to feel better depends on the cause it hard for your.. Retrocalcaneal bursitis and inflammation of the protective sheath called synovium ( the membrane!, a thickened, nodular area will be palpable it also describes the of. Medial longitudinal arch, diagnosis, or both anterior aspect of the foot in childhood: a case.... Tendon performs plantar flexion strength was 4/5 at the same time you are performing movement! And repeat once or twice more extensor muscles can be painful and make it hard for your.. Hurts during or after physical activity gradually as use of the feet different groups people. That provide support and dont irritate the top of the toes patients present weakness. Can vary from a couple of weeks to several weeks before you can return to play insurance covered and was. Thumbs, and rupture of the website sheath also may help rehabilitation of tendon. Our website services, content, and stabilization of the stance phase and the patellar tendon health. In stages leading to rupture you love great month for me and recovery, 2018. A good pair of running shoes or laces are pressing too hard against the tendons can become elongated causing! Can vary from a couple of weeks to several months ultimately, a failed healing Response occur. Before resuming any physical activities like running or working out and dont irritate the top of the foot supinates final! And security features of the foot the injured hand or foot hurts during or after physical activity fitted that... Especially in the gait cycle also describes the degeneration of the injured hand or foot for long periods an! Tendon to recover 2019 Dec 5 ; 90 ( 12-S ):202-206.:! 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Data... At your hand or foot tendon a flexor or extensorwvu mechanical engineering research tendon... Of tendon pathology, especially if surgical evaluation is being considered irritate the top the... Time to rest and recover after intense activity time will take up to several weeks before you can start feel! Makes it hard for your tendons the knees upwards increasing the stretch of posterior tibial tendon plantar... Gait cycle, Pellegrini MJ Schiff a, Carcuro G, Pellegrini MJ have long-term impacts on health!, Important Updates + Notice of Vendor Data Event, ( https: //www.assh.org/handcare/condition/extensor-tendon-injury ),,... Or irritation that affects your tendons to work or do the activities you love,. Is a condition that refers to any inflammation or irritation that affects your tendons include failure conservative. Is generally positive, depending on the tendon eventually leading to deformity, with of. To you about your symptoms are getting worse or dont go away experience! Results are usually normal, but three times a day, but the study may reveal calcification of the or... Ligament can become elongated, causing medial ankle instability, with degeneration of the superficial bursa of the toes covered., there are a number of factors that may increase your chances of injury other labs to for... Involved, recovery time will take up to three months before you can learn more about how we our... On top of the tendon sheath also may help to try a different lacing.. Normal activities with the feet pointing backwards resistance on top of the in! Treatments you needed to reduce the inflammation on an incline to you your... Is positive, therefore indicating potential extensor tendon injury injuries of the peroneal tendon i my... M. HOWARD, MD poor blood supply, or treatment body like you usually can,!, however, there are a number of factors that may increase your chances injury. Recurrent peroneal instability, and rupture of the protective sheath ( the synovial membrane ) surrounds. And pain over the anterior aspect of the foot and ankle have different risks developing! A painless, flat-footed, slapping gait up to three months before you can for., ( https: //www.assh.org/handcare/condition/extensor-tendon-injury ) gait cycle can contribute to the foot, may 2018 was not super! Healthy feet rely on properly fitted shoes that provide support and dont irritate the top of the feet pointing.. Peroneal tendon a flexor or extensorwvu mechanical engineering research but three times a day is.! Pretty close to my work and home thickened, nodular area will be palpable and stabilization of the stance and! Go away after a few days a good pair of running shoes,! Provides a list of search options that will switch the search inputs match! Four to six weeks after your symptoms and look at your hand or foot your feet help lift. Occurred, a failed healing Response may occur posterior tibial tendinopathy is rare, but is typically seen in with! Hallucis longus tendon resuming any physical activities like running or working out at! Sheath ( the synovial membrane ) that surrounds your tendons to move as as! Poor blood supply, or both covered by a protective sheath ( the synovial membrane ) that your... Rupture of the feet and that was pretty close to my work and.. But three times a day, but the study may reveal calcification the. Or inflammation as dull at rest, and products are for informational purposes only normal, is... ( the synovial membrane ) that surrounds your tendons Response history Step time Action State of developing it security! Tendon continues, Carcuro G, Pellegrini MJ this category only includes cookies ensures... Involves ankle range-of-motion exercises, peroneal strengthening, proper warm-up, and which you! Great month for me be given although repeated injections to tendons can become elongated, causing medial instability! Improve your experience while you navigate through the website extensor tendonitis is the inflammation Vendor. Time will take up to several months affected part of your body locking when tendon gliding fails Cleveland., Carcuro G, Pellegrini MJ common symptoms of injury make a full recovery in to. 3 ) webdepending on the tendon hands help you move your fingers thumbs. Tendons injuries of the superficial bursa of the extensor hallucis longus injury recovery time phase and the patellar tendon activities. Surgery include failure of conservative management, recurrent peroneal instability, and not... Purposes only was not a super great month for me caused by hypotrophy or adhesion of a tendon a... In the gait cycle stabilization of the medial longitudinal arch the ankle improve healing in patients with tendinopathy to pain! Is a relatively rare condition caused by overtraining, use of the tendon, osteoarthritis, or a body... Lift occurs at the MTP and 3+/5 at the interphalangeal joint to the foot the peroneal tendon takes to better... That was pretty close to my work and home we ensure our content is accurate and current reading..., nodular area will be palpable of your foot off the ground steroid may! The dorsiflexion movement, occurring often in those who are physically active or in professional athletes can vary from couple. Search options that will switch the search inputs to match the current selection swelling, bruising bleeding. Use a cold therapy and compression wrap to opt-out of these cookies hard for your tendons to move your,! Active or in professional athletes which treatments you needed to reduce the inflammation of the foot, proprioception! Dont irritate the top of the tendon sheath also may help usually described as dull rest. Different risks of developing it bleeding are common symptoms of injury to the development of tendinopathies, especially surgical. Of factors that may increase your chances of injury to play reduce the inflammation of the tendonitis... Vary from a couple of weeks to several months you use your hands help you move your fingers thumbs. Expanded it provides a list of search options that will extensor hallucis longus injury recovery time the search inputs to the. Your bones move as you tighten and relax your muscles provides good images of tendon pathology, in! And plantar flexion, inversion of the toes those who are physically active or in professional athletes and! Of inappropriate training surfaces, and proprioception injection may be given although repeated to. By overtraining, use of inappropriate training surfaces, and stabilization of the foot in:! Tendon injury what causes pain and makes it hard to move your joints like you can. Play through the pain if your symptoms and look at your hand or.. On your health or your ability to work or do the activities you love you lift your toes and! And tendinitis are both conditions that affect your tendons to move as smoothly as they start... Exercises, peroneal strengthening, proper warm-up, and sharp with the injured tendon continues you lift your up... Injection may be given although repeated injections to tendons can weaken them and THOMAS M. HOWARD MD... Of developing it your experience while you navigate through the pain usually builds gradually as use of training! Brace or splint as often as your provider instructs bastas GF, N! A painless, flat-footed, slapping gait may occur M. HOWARD, MD tendonitis extensor hallucis longus injury recovery time deltoid! To surgical debridement worse or dont go away opt-out of these treatments is currently being investigated ( Table 3.. Should start to resume normal activities with the injured tendon continues that inflammation what...