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In some cases, this pain is due to an inflammation of the extensor tendons, resulting in a condition called foot extensor tendinopathy or "tendonitis. The extensor tendons run along the top of your foot and give you the ability to pull it upward and straighten your toes. Though rare, you can also get extensor tendonitis in the hand. In both cases, the tendons are vulnerable because they aren't protected by bones, muscle, or fatty tissue.
You may see swelling on the top of your foot and notice a large bump somewhere along the tendon. A simple test to determine if the pain on the top of your foot is a result of extensor tendonitis requires you to have a friend assist you.
First, flex your foot down and push down on your toes. Now, provide resistance by having someone press on your toes. Then, try to pull your toes up against the resistance. If you're feeling pain across the top of your foot or along the extensor tendon, extensor tendonitis is likely the cause. Figuring out what is causing your foot pain is the first step to finding ways to treat it.
Some common factors that may lead to extensor tendonitis are:. If you are experiencing pain on the top of your foot, you have two basic options. You can try to treat it yourself or you can see a doctor. Extensor tendonitis often clears up after a few days of rest, especially if you catch it early.
For mild cases, also try stretching your calf muscle. You can do this by using a towel to pull your big toe toward you or by trying to spread your toes as far apart as you can. Self-massage using a foam roller helps too, and ice and anti-inflammatory medications can be used to reduce inflammation, swelling, and pain. Compressions and braces may be used to support the foot or ankle, providing greater stability to the pained area.
Boutonniere can happen from a cut or tear of the extensor tendon Figure 3. Cuts on the back of the hand can injure the extensor tendons. This can make it difficult to straighten your fingers. Figure 1.
Extensor tendons, located on the back of the hand and fingers, allow you to straighten your fingers and thumb. Figure 2. The mallet finger deformity causes a droop of the fingertip. This is caused by an extensor tendon injury at the last finger joint. Figure 3. Method 2. Identify the location and nature of your pain. Tendinopathy presents as pain on the top of the foot, usually described as aching, or an inability to fully extend one of your fingers.
Curling your toes may hurt because it stretches the tendons on the top of your foot. Ask your doctor for a diagnosis and treatment options.
Doctors can assess whether you have tendonitis and how severe it is, sometimes by using an ultrasound or MRI. They can also refer you to physical therapy, splint your finger, or for very serious cases notify you that you may need surgery. Jamming injuries are typically treated with splints or pins which then hold the tendon in place. They should be worn until the tendon is healed, which usually takes weeks. Because the drugs stay where they are applied, there will be less build-up of the drugs in blood and more remote tissues over time.
Generally, the cream or gel must be rubbed on the appropriate area times a day. Ask your physician about steroid injections for tendonitis on your feet. These can reduce inflammation but will temporarily weaken your tendons.
Steroid injections are useful for short-term pain relief and increased mobility, but are not necessarily a long-term solution. In some rare cases, they could even cause your weakened tendon to tear. Try physical therapy if your doctor recommends it. Physical therapists will give you stretches and strengthening exercises tailored to your injury, be it to your hands or feet.
Include your email address to get a message when this question is answered. Online articles are not intended to be a substitute for the advice of medical professionals.
Helpful 0 Not Helpful 0. Related wikiHows How to. Symptoms of extensor tendinitis can be swelling, discomfort, stiffness, or a gritty feeling when you use the extensor tendon. Since each individual is unique, recovery time for extensor tendinitis will vary depending on the individual and the severity of the tendinitis.
The primary treatment is resting the tendon and using non-steroidal anti-inflammatory pain relievers, or NSAIDs. Physical therapy may be recommended, which can help speed recovery, and stretches are often used to strengthen and heal the tendon. Ultrasounds can help speed the healing process as can steroid injections, although steroids are usually used in more serious cases.
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