Your extensor tendons lie on top of your foot just underneath your skin, and they help to control movement of your foot and toes. Like any tendon, they can be overstressed, and when this happens the tendon becomes inflammed. Rest usually helps acute inflammation, but if the problem occurs regularly, it could lead to what’s known as chronic extensor tendinitis, which involves tendon degeneration. This condition takes longer to heal and requires some proactive treatment, which we put in the spotlight in today’s blog.
Treating Chronic Extensor Tendinitis
Although the following tips are aimed at individuals with chronic extensor tendinitis, these treatment options are also helpful for less serious cases, so if you’re dealing with pain at the top of your foot from extensor tendon stress, consider these options. The goal of chronic extensor tendinitis treatment is to reduce tendon irritation and inflammation, which in turn can reduce other symptoms, like pain and compression-related discomfort.
Ice – Icing helps to reduce inflammation, swelling and pain.
Over-The Counter NSAIDs – OTC anti-inflammatories can also help to reduce inflammation and compression.
Shoelacing Techniques – Believe it or not, a lot of people make their condition worse by tightly lacing their shoes, which puts extra pressure on the top of their foot. By trying different lacing techniques, you can avoid irritating the extensor tendons.
PT and Exercise – Controlled exercise and targeted physical therapy can help to strengthen the tendons, which in turn helps them handle daily stress.
Rest – Rest can slowly help to calm inflammation, but for people with more regular instances of extensor tendinitis, rest shouldn’t be the only treatment option they are pursuing.
Orthotic Inserts – Orthotic inserts with certain padding styles can help to take pressure and tension off the tendons.
Walking Boot – A walking boot or similar immobilization device can help take stress off the foot if you need to remain active.
Doctor Consultation – Dr. Silverman can also help you get a handle on your extesor tendinitis. He can look for related issues and examine your arch to help determine which treatment techniques have the highest likelihood of success.
Surgery – Finally, surgery is an option in rare cases. Most cases of extensor tendinitis resolve with conservative care, but if problems persist, Dr. Sivlerman can help walk you through operative options.