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If you’ve ever felt pain on the top of your foot or hand, you might have experienced extensor tendonitis. This condition occurs when the tendons that help extend your fingers or toes become inflamed or irritated. While it may sound complicated, the condition is fairly common and often treatable with rest and simple therapies. In this article, we’ll answer the key question: What is extensor tendonitis and how is it treated?
What Is Extensor Tendonitis?
Extensor tendonitis is the inflammation of the extensor tendons, which are responsible for straightening the fingers, wrist, or toes. These tendons run along the top of the hand, wrist, and foot.
The condition typically develops from overuse, repetitive movements, or poor footwear that puts extra strain on the tendons. Unlike other tendon injuries, extensor tendonitis usually causes pain on the top of the foot or hand rather than the underside.
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Common Causes of Extensor Tendonitis
Several factors can trigger this condition:
- Repetitive strain from activities like typing, texting, or running.
- Tight shoes that put pressure on the tendons in the foot.
- Sudden increase in activity such as long-distance running or heavy lifting.
- Improper posture or poor wrist/foot alignment.
- Injury or trauma to the tendons.
Symptoms of Extensor Tendonitis
The symptoms are usually easy to identify and may include:
- Pain on the top of the foot, hand, or wrist.
- Tenderness when pressing on the affected tendon.
- Swelling or redness over the tendon area.
- Pain that worsens with activity and improves with rest.
- Stiffness when trying to extend fingers, wrist, or toes.
If left untreated, the condition may worsen and interfere with daily movements.
How Is Extensor Tendonitis Treated?
Rest and Activity Modification
The first step is to rest the affected area. Avoid activities that trigger pain, such as running, typing, or wearing tight shoes.
Ice Therapy
Applying an ice pack for 15–20 minutes several times a day can help reduce swelling and pain.
Proper Footwear or Wrist Support
For foot tendonitis, wearing supportive shoes with cushioned soles can ease pressure. For wrist tendonitis, a brace or support may help reduce strain.
Anti-Inflammatory Medications
Over-the-counter medications like ibuprofen or naproxen may help control pain and inflammation. Always follow your doctor’s advice before starting medication.
Stretching and Strengthening Exercises
Gentle stretches can improve flexibility, while strengthening exercises help support the tendons. Physical therapy may be recommended for persistent cases.
Gradual Return to Activity
Once symptoms improve, gradually return to normal activities. Avoid rushing back into high-impact exercises to prevent recurrence.
Medical Treatment (for Severe Cases)
In rare cases where pain persists, your doctor may recommend corticosteroid injections or other medical interventions. Surgery is extremely rare but may be needed if there is tendon damage.
Prevention Tips
To reduce the risk of extensor tendonitis:
- Wear well-fitting shoes with adequate support.
- Warm up before exercise and stretch afterward.
- Avoid repetitive strain by taking breaks from typing or similar tasks.
- Gradually increase physical activity instead of making sudden changes.
So, what is extensor tendonitis and how is it treated? It’s an inflammation of the tendons on the top of your hands or feet, often caused by overuse, poor footwear, or repetitive movements. Treatment usually involves rest, ice, supportive shoes or braces, and physical therapy. With the right care, most people recover fully without long-term complications.
If you suspect extensor tendonitis and symptoms don’t improve with self-care, consult your doctor for a proper diagnosis and personalized treatment plan.
