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Plantar fasciitis vs FHL tendinitis

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Asher, Jun 6, 2006.

  1. Asher

    Asher Well-Known Member


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    Plantarfasciitis vs FHL tendinitis

    It has been suggested to me that plantarfasciitis is in fact likely to be flexor hallucis longus tendinitis, in many cases.

    I can see that dorsiflexing the hallux will be stretching the FHL tendon as well as the plantarfascia...

    I just can't get my head around it - has anybody got any thoughts?
     
  2. DaVinci

    DaVinci Well-Known Member

    The FHL tendon does not come close to be anatomically located near to the most common place of plantar fasciitis symptoms, so whoever told you that is wrong.
     
  3. LuckyLisfranc

    LuckyLisfranc Well-Known Member

    Da Vinci is correct,

    Look up your anatomy textbooks and look at the location and depth of the plantar fascia on the medial side of the foot, and compare it to the course of the FH tendon. The plantar fascia is very superficial to the FH tendon in the medial arch.

    Pathology in either area is easily to separately identify by palpation and or muscle testing - even distally near the 1st MTP joint.

    LL
     
  4. Asher

    Asher Well-Known Member

    So by dorsiflexing the hallux and pressing on the prominent band, we are palpating the plantarfascia and not the FHL tendon at all?
     
  5. LuckyLisfranc

    LuckyLisfranc Well-Known Member

    U-huh.

    Surface anatomy of the foot 101.

    LL
     
  6. Asher

    Asher Well-Known Member

    Thanks for the replies received!

    Has anyone encountered a diagnosis of Flexor Hallucis Longus tendonitis with symptoms presenting on the plantar aspect of the foot - with or without plantarfasciitis?
     
  7. Ian North

    Ian North Member


    The following paper describes a clinical association of plantar midfoot pain and FHL tenosynovitis.

    James Michelson and Laura Dunn. Tenosynovitis of the FHL: A clinical study of the spectrum of presentation and treatment. Foot and Ankle International 2005 Vol26/4 291-303.
     
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