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What is an extensor tendinopathy?



Extensor tendinopathy is swelling within the tendons that pass over the top of the foot. Physiotherapy is an important treatment for extensor tendinopathy.


How does an extensor tendinopathy happen?



There are two typical causes of swelling within the extensor tendons of the foot. One being overuse of the tendons and the second being tight footwear or shoelaces over the tendons.


Soft tissue massage of the planta fascia along the sole of the foot.Above: Soft tissue massage of the planta fascia along the sole of the foot.



What are the symptoms of an extensor tendinopathy?



With an extensor tendinopathy pain is generally felt over the top of the foot. Pressing the top of the foot can increase pain as can pointing the toes to the ground. Additional symptoms may include:

What should I do if I have an extensor tendinopathy?



If you have increased or changed your training regime, then an increase in load may be causing an overuse of the extensor tendons. If this is the case, re-evaluate your training load and seek advice on developing strength in these tendons. Assessment of foot and leg biomechanics by a physiotherapist is also important to ensure that your biomechanics are not affecting the extensor tendons. A change of footwear or lacing technique could also be responsible for this injury, assess this and modify if necessary.


Mobilisations and stretches of the foot and ankle by specialised therapistAbove: Mobilisations and stretches of the foot and ankle by specialised therapist



What shouldn’t I do if I have an extensor tendinopathy?



You should not continue to perform activities if they continue to cause pain on the top of your foot.


Physiotherapy treatment for an extensor tendinopathy.



Your physiotherapist will be able to diagnose and provide management options for your extensor tendinopathy. You may require referral for further examinations to rule out other possible causes of your pain. Treatment can include:

Could there be any long-term effects from an extensor tendinopathy?



Yes, permanent extensor tendon damage is possible if the pain is ignored and not managed correctly.


Foot and ankle assessment conducted by specialist MSK physiotherapistAbove: Foot and ankle assessment conducted by specialist MSK physiotherapist



To arrange a physiotherapy assessment call Physio.co.uk on 0330 088 7800 or book online.


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