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Sunday, August 4, 2013

Ball of the Foot Pain: Eccentric Flexor Hallucis Strengthening may help

I have been corresponding with this patient for a long time after he injured his right sesamoid bone (forgot which one). The rehabilitation was long, but successful. This is one exercise I have never thought of or recommended that he felt was invaluable. Concentric strengthening of the long flexor to the big toe is to pull the toe downward (a standard exercise). This is eccentric strengthening of the same tendon where the toe is being pulled up while the patient tries to point the toe downward. Therefore, the long flexor (FHL) to the big toe is elongating while contracting which is the definition of an eccentric contraction. We use this technique all the time for hip, knee, and achilles/ankle problems, why not the big toe? You start with 2 sets of 10 reps, and gradually over time build up to 2 sets of 50 reps. Good luck and thank you to my blog patient!!!

1 comment:

  1. This looks like an interesting exercise, however, I am a little confused with how to do it. In the video, is the guy pulling his big toe back by pulling on the theraband while simultaneously pushing the big toe forward using the muscles in his big toe? I had sesamoiditis which got better but for the past year I have had tendonitis of the flexor Hallucis Longus and am looking for help with this as it is quite debilitating. So this looks like it might be a good exercise for me.


Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.