What is it?
The flexor hallucis longus (FHL) tendon runs behind the inner ankle to the big toe and helps you push off. In dancers and runners it can become irritated and sometimes catch, causing pain and clicking. It is sometimes called 'dancer's tendinitis'.
What causes it?
- Repeated pointing of the foot and pushing off, especially in ballet.
- Overuse.
Common symptoms
- Pain at the back or inner side of the ankle.
- Clicking, catching or stiffness of the big toe.
How is it diagnosed?
Diagnosis is by examination, with an ultrasound or MRI scan.
Things you can do now
- Reduce the activities that bring on pain, such as rising onto the toes
- Look at technique with your teacher or coach
- Keep up general fitness
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include rest, physiotherapy, changes to technique, a guided injection in selected cases and surgical release, often using keyhole techniques.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Pain at the back or inner side of the ankle persists
- The big toe catches or triggers
- It is affecting dance or sport
What to expect
Rest, physiotherapy and technique changes help most people. Surgical release, often by keyhole surgery, is effective when symptoms persist.
Common questions
Where can I see a specialist about flexor hallucis longus tendinopathy in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with flexor hallucis longus tendinopathy at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.