Doctor insights on:
Extensor Hallucis Longus Tendon Repair
What to do if I have no clue how ive done this but my big toe and the extensor hallucis longus - there is a bit of my foot where aparently its the 1st metatarsal?
Big toe and ehl: I'm sorry, but your question really makes no sense. The ehl tendon runs on top of the first metatarsal for all humans and inserts just before the growth center of the nail on the hallux. ...Read more
See below: If you are referring to tendonitis than it will be 3-6 weeks. ...Read more
Stretch: If the flexor tendon is too tight it will also cause cramping of the arch area. You need to stretch out your great toe by hyperextending it gradually (holding your big toe toward your face) also use some icy hot, etc. Make sure that you stretch this at least 2 times daily, and before and after exercise. Good support is also needed in the shoes. ...Read more
2.5 cm cut, top of foot below big toe, 6 stiches. Hallucis longus tendon was partially cut, wearing a cam boot. Is it ok to be on feet 5 hours?
Don't even ask.: This is an example of one of those hypotheticals that that surgeons are expected to have an answer for without knowing all the details. After practicing for almost forty years, my answer has never wavered. "If you have to ask, the answer is NO." ...Read more
Is it normal to immobilise my hand and my fingers for 4 weeks after surgery for Extensor Tendon Repair (2 3 and 4 fingers)?
Yes it is: Yes it takes 4-6 weeks for soft tissue to heal and hence the need to immobilize. ...Read more
Torn or inflamed?: If torn it will not flex & stays in a somewhat extended position. It also causes a limp since it is involved in push off. Hurts when it happens & may have some calf cramping, but pain goes away fairly fast. If inflamed it hurts in gait push off, u may deal & hear it squeaking. All attempt 2flex is painfull. Torn = surgical, inflamed= activity modification nsaids, ice rest? Pt also. ...Read more
Have a complete tear of left flexor hallucis longus tendon. Tear is in front of knot of henry. Is surgery best or is something less invasive possible?
Experience counts.: It goes without saying that every patient's condition should be evaluated before applying general rules, but, if the laceration is distal (toward the toes) to the knot of Henry, then surgical repair is probably best. Find an experienced surgeon. ...Read more
Overuse and chronic?:
If its an overuse injury--running too much perhaps--then rest is of primary importance. This is normally the case so I'll assume this is what's happening with you.
The more you can NOT flex down your big toe the better. That means no flip-flops and wearing stiff soled shoes as much as possible. If it becomes more and more bothersome so its difficult to walk normally see your doctor ...Read more
Lateral ankle pain. MRI showed "moderate amount of fluid in flexor hallucis longus tendon sheath consistent with tenosynovitis." What does this mean?
The tendon is: Inflamed. It could be you have a small tear or irritation in the tendon. And the surrounding tissue called synovium of the tendon is swollen. ...Read more
Would an overstretched flexor hallucis longus cause the arch under the first ray of the foot to be depressed + big toe unable to push off?
Yes: If you have a strain of the flexor tendon it can course pain with pushing off. Also see a podiatrist to check the sesamoids. ...Read more
Motion: This question should be answered by your surgeon or therapist. They will want you moving the finger, but not necessarily with the muscles of your forearm. They may have you use your other hand, or have you extending your finger but not flexing it. Your surgeon is the best person to tell you what to do. ...Read more
Entrapped nerve: You should see an orthopedic foot and ankle surgeon. ...Read more
Strength and ROM: Typically after an Achilles repair rehab involves strengthening the muscles of the lower leg/ankle, while increase rom (range of motion) and flexibility. It is an area that must be rehabbed carefuly, as reinjuring the tendon is possible and certainly not ideal. ...Read more
See your doctor: This problem can only be solved by seeing your doctor and being evaluated face-to-face. After a thorough examination, your doctor should be able to tell you what's wrong and what to do about it. ...Read more
Progressive: Different surgeons have varying protocols which all may be acceptable. Usually there is some form of immobilization for close to 3 months. By 6 months most patients are able to resume most of there activities but it can easily take a year to be "fully recovered". ...Read more
A full recovery: Can take a year to recover.Get a more detailed answer ›
Need more info: This is obviously a question to ask your surgeon in follow- up. Not sure what tendon you had ' repaired' (patellar, quads, etc.) and what kneecap surgery u had in addition (lateral release, chondroplasty, ext. Mech. Realignment.?). I would keep your immobilizer on until you have spoken w/ your ors. Gl! ...Read more
Is it really necessary to use ted hose for 6 full weeks after surgery? I had a broken kneecap and tendon repair.
I had tendon repair surgery:and I am non-weiight bearing for six weeks. I am experiencing terrible gas due to inactivity?
I had a perineal tendon repair in my ankle last sept. Suddenly im having painful spasm in that area, Should I be concerned?
Concern is okay: Follow up with surgeon for the peroneal tendon. ...Read more
I had epicondylar release with tendon repair 4 weeks ago. My doc said the tendon was grey and there was grey fluid. Why was it grey?
Scar tissue: Tendonosis or scar tissue within the tendon could appear grey. ...Read more
What is the the approx recovery time following excision of os vesaslianum? As far as I know there was no tendon repair, bone was in the fatty tissue.
Fairly rapid: It is good that there is no tendon repair, however, this accessory bone lies with in the peroneus brevis tendon and it must be cut to remove this bone. Most of the time a small anchor is placed in the 5th met base and tied into the tendon to maintain strength and rapid healing. It is unusual that this bone sits in fatty tissue. Be prepared for at least 4-6 weeks of walking with a boot. ...Read more
Variable: The amount of pain one experiences after surgery varies from person to person. Any surgical procedure will cause certain levels of pain in the post operative period. Surgical technique is important in preventing unwanted complications. If surgery is needed, I would recommend researching the doctors in your area and try to find one with high patient satisfaction. ...Read more
Peroneal tear/ruptur: The peroneal tendons, either the brevis or longus are examined after the incisions are made and after confirmation is made via an mri. Usually the tendons are partially torn, the frayed pieces are removed and the longitudinal tears are repaired with fine sutures. Wraps can be used to cover the tendon (bovine, porcine or amniotic membranes. ...Read more
Ask your surgeon: Varied rehab protocols, all that may be correct, exist between different surgeons. Generally early on, range of motion through a limited arc and isometric strengthening, followed by gradual progressive conditioning and strengthening and avoidance of forceful training for an extended period of time. ...Read more
6 months: Approx 6 months depending on the technique. ...Read more