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Flexor Hallucis Longus Tendinopathy
Aka: Flexor Hallucis Longus Tendinopathy, Flexor Hallucis Longus Tendinitis, Flexor Hallucis Longus Tendonitis
- Epidemiology
- Most common leg Tendinopathy in ballet dancers (en pointe position)
- Causes
- Repetitive motion injury in dancers (related to the push off)
- Signs
- Pain and swelling over the posteromedial ankle
- Pain on resisted plantar flexion of great toe
- Deeper than achilles tendon
- Differential Diagnosis
- Achilles Tendonitis
- Osteoarthritis
- Talus Osteochondritis
- Posterior Tibial Tendinopathy
- Management
- RICE-M
- Short leg immobilization (e.g. CAM walker boot) for 2-3 weeks
- Indicated in prolonged or refractory course
- Prevention
- Reduce hip turnout (so dancer stays directly over foot)
- Avoid hard floors as much as possible
- Core strengthening
- Firm supportive shoe