What could be my problem?

Extensor Tendinitis is Inflammation or irritation of the tendons that pull the toes up, usually from repeated friction or compression from a poorly fitting shoe.

What causes Extensor Tendinitis?

  • Improper footwear
  • Spending long periods of time on your feet
  • Walking or running on uneven surfaces or up and down hills
  • Lacing shoes too tightly
  • Calf tightness
  • High foot arches
  • Flat feet
  • Foot injury

When to see a podiatrist (foot specialist) about Extensor Tendinitis:

  • Top of foot pain that gets worse with activity
  • Painful to wear shoes
  • Daily activities are limited due to foot pain
  • Visible swelling and bruising across the top of the foot

What are my treatment options for Extensor Tendinitis?


  • Rest
  • Ice/cold wrap
  • Nonsteroidal, anti-inflammatory drugs
  • Physical therapy
  • Corticosteroid injection therapy
  • Custom orthotics


If rest and conservative treatment fail to treat the symptoms, your podiatrist may recommend surgery to correct bony spurring that could be rubbing or cutting into the tendon.