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I have flexor hallucis longus tendonitis - self diagnosed.

What is a good treatment...
I have flexor hallucis longus tendonitis - self diagnosed.
What is a good treatment plan? I think its from my shoes I wear to the office. What can be done. I believed it has caused associated problems with my lower back. Extreme tightness.
Any other tips I should follow?
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Answered in 3 minutes by:
8/19/2013
Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 19,118
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
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It will help if you could provide some further information:
What symptoms are you having?
How long has this been bothering you?
Do you have any chronic medical problems?
Do you take any chronic medicines?
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Customer reply replied 4 years ago

A long time. Perhaps 18 months to 2 years. Not taking any medicines. No chronic medical problems.

Symptoms are:

Tight calf muscle. Very tight. The muscle next to the bone is like a rock in one part. Massage doesn't hurt it but feels very good - feel like I could massage it for hours. lower achilles on same leg hurts a lot. Also in the morning. Very stiff and hard to get moving. Its my right leg that hurts and has the problem but lower left back always gets stiff and takes days to unlock.

Hope this helps?

Thank you for th additional information.

The pain from flexor hallucis longus tendinitis can occur anywhere along the course of the tendon along the bottom of the foot, the ankle, and up the back of the leg.

The lack of other medical problems or medicines is the more important information, to be certain that there was no reason to not take any recommended medicines.

There are several interventions for flexor hallucis longus tendinitis. The usual medicine is an anti-inflammatory medicine, and two are available over the counter - ibuprofen and naproxen. However, in someone with a more severe inflammatory problem, it may be necessary to take a higher dose, up to 2400 mg per day of the ibuprofen or 1500 mg per day of naproxen, in divided doses. There are prescription strengths of 800 mg of ibuprofen and 500 mg of naproxen, designed to be taken 2-3 times per day, but it is also OK to take an equivalent amount of the over the counter strengths.

Other interventions that are also used for conservative treatment of flexor hallucis longus tendinitis include rest (particularly avoiding exercises that stress the tendon, such as jogging) and immobilization when sleeping. Immobilization can be done using a splint or removable cast that supports the entire foot and ankle in a neutral position (i.e., bent neither up or down) that can be placed on the foot and ankle during sleep. It is also appropriate to perform stretching exercises, such as while standing facing the wall, place a book under the large toe and then bend at the knee to flex the ankle and stretch the tendon. Once the tendon is maximally stretched, the position is held for 10 seconds, before standing. This is repeated for 10 repetitions; a set of 10 repetitions is repeated 3-4 times daily.

If the conservative management does not work, then it would be appropriate to be seen.
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Customer reply replied 4 years ago

Excellent information. Should I get massage as well?

The studies have not included massage in the treatment regimen, but there is no problem with using massage.
Dr. D. Love
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