Doctor insights on:
Flexor Hallucis Longus Tendon Tear
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
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
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
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
It is palpable &=sor: Also flexing the toe is painful. If not palpable & the toe won't move in plantar flexion, this means that it is ruptured. C Ur orthopedist. ...Read more
Yes it can: It can but there are other structures in the area that can cause similar symptoms. Classically posterior deep ankle pain is associated with fhl injuries but have had cases with medial ankle pain. ...Read more
Is it possible to palpate the flexor hallucis longus or is it too deep? Palpable only with injury?
Depends on where: The muscle belly of the FHL is quite deep and not very palpable but the tendon can be palpated on the underside of the great toe ...Read more
Can a blood vessel become entrapped btw spasming flexor hallucis longus and other muscles of the deep posterior compartment?
Mri done on ankle; anterior talofibular is torn, ankle joint effusion, flexor hallucis longus tenosynovitis. Meaning? Doc handed me off. Help. No ins.
You can order a cast boot online for very little money. $35-$65. These are all removable casts. You need it tall like a real short leg cast.
Keep your weight off it.
Get crutches or a walker at drug store or good will.
You need to immobilize it to allow the atfl ligament to heal. This will take 6 to 8 weeks to knit itself together. After it heals you really need to get therapy to rehab the ankle. ...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
Will I need foot surgery for focal longitudinal split tear of the peroneus longus tendon, tenosynovitis of the flexor tendons, or a non visualized atf?
For the flexor tenosynovitis, no; PT, rest w/ a boot, NSAID's may help. "Non-visualized ATF? " I would have to see you clinically. Do you have an unstable ankle? "Split PL tendon"-I would start w/ a boot or brace, maybe PT. If it does not get better and it hurts, may need repair. Good luck!
Dr. Latva ...Read more
Joint and back pain and stiffness with numerous trigger points, most recent MRI of hand revealed a partial tear of the flexor pollicis longus tendon?
Arthritis: You have described an arthritis condition, of which there are many types. In addition to joint damage, many arthritides can cause tendon damage resulting in tears or ruptures. See a rheumatologist. (note "fibromyalgia" while causing tender points, does not result in tendon tears). ...Read more
Tenosynovitis: Tenosynovitis means inflammation of the internal lining/membrane of a tendon. The Flexor Hallucis Longus or Flexor Digitorum longus tendons run along the medial ankle to the bottom of the foot to each respective toe. The FHL and FDL tendons, along with the Posterior Tibial Tendon and a Neurovascular bundle run in the tarsal canal, so, yes, inflammation of any of these tendons can affect Tarsal T ...Read more
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