Extensor tendonitis is a type of foot tendonitis that causes pain along the top of your foot. It develops when the extensor tendons – the tendons responsible for lifting the toes and foot – become irritated or inflamed. These tendons include the tibialis anterior, extensor hallucis longus, extensor hallucis brevis and extensor digitorum longus. Together, these extensor muscles pull your toes and foot upwards toward the shin, working in opposition to the much larger calf muscle group and the Achilles tendon at the back of the leg.
When the calf is tight or footwear is not supportive, more strain is placed on the tendons, which can lead to an injured tendon and ongoing discomfort.
Extensor tendonitis foot pain, sometimes also called extensor tendinopathy or extensor tendinitis, is most often linked to repetitive physical activity. Some of the common causes include:
Extensor tendonitis can affect anyone, but certain groups are at higher risk:
Although it may develop in only one foot, many people notice pain across both feet if footwear or training habits are the main cause.
While Achilles tendonitis is more common, podiatrists frequently see cases of foot extensor tendonitis in active patients. It is especially common in runners, hikers and those who wear unsupportive or tight footwear. Though rarely serious, it can lead to a prolonged healing process if ignored.
The most typical extensor tendonitis symptoms are pain and swelling across the top of the foot. Patients often describe:
Your podiatrist will begin with a physical exam or physical examination. They may:
During a physical exam, your podiatrist may press over the tendons to identify specific areas of tenderness, such as extensor digitorum longus pain on the top of the foot.
Sometimes imaging is needed to rule out stress fractures or other causes of foot pain.
There are many treatment options for extensor tendonitis. The right plan for how to treat extensor tendonitis will depend on the severity of the condition and your lifestyle. Common recommendations include:
Shockwave therapy uses high-energy sound waves to stimulate healing in damaged tendon tissue. It can help reduce pain, improve circulation, and speed up recovery for stubborn or chronic cases of extensor tendonitis.
Laser therapy is a non-invasive treatment that uses targeted light energy to reduce inflammation, relieve pain, and promote tissue repair. It can be a useful addition to traditional treatments, especially for patients looking to accelerate healing.
In some cases, wearing a moon boot may be recommended to offload pressure from the top of the foot and allow the tendon to heal. This immobilises the area and gives the tendon a chance to recover without ongoing strain from walking or activity.
At Advance Foot Clinic, our podiatrists tailor extensor tendonitis treatment to your needs. Book an appointment now to explore the best treatment options for your recovery.
The recovery period depends on the severity of the condition and how quickly treatment begins. For mild cases, pain can settle within 6–8 weeks with proper care. More complex cases involving biomechanical issues, damaged tendon tissue or delayed treatment may take several months to heal fully.
Your podiatrist will guide you through the healing process and ensure that progress is measured and safe.
There are many simple ways to prevent extensor tendonitis foot pain and lower the risk of recurrence:
See a podiatrist if you are experiencing pain across the top of your foot that does not improve with rest, or if you suspect an injured tendon. Seek professional care if:
No. While it is a type of tendon injury, extensor tendonitis affects the top of the foot, whereas conditions like Achilles tendonitis affect the back of the ankle and heel bone.
Applying an ice pack, using a compression bandage, and wearing supportive shoes can help quickly reduce pain and reduce swelling. Long-term recovery requires addressing the cause with strengthening and stretching.
Sometimes mild cases improve with rest, but most patients need structured treatment and guidance from a podiatrist to avoid prolonged symptoms or future injuries.
If your foot hurts and you think you may have extensor tendonitis, our podiatrists are here to help. With clinics in Arana Hills, Bellbowrie, Chermside, The Gap and Mount Isa, Advance Foot Clinic provides expert care tailored to your lifestyle.
Ready to give your feet the care they deserve? Book your appointment online or call us and experience our expert podiatry services at any of our six clinic locations.
