Tendinitis and Tendinosis of Flexors, Extensors and Anterior Tibial in Laval

Tendinitis vs Tendinosis: Important Distinction

Tendon conditions can present in two main forms: tendinitis (predominantly inflammatory condition, often acute) and tendinosis (chronic degenerative tendon condition, with little or no active inflammation). This distinction is essential to guide management.

At Clinique podiatrique de l'Avenir, our podiatrists in Laval evaluate and manage tendon conditions of the foot and ankle with a progressive and individualized approach.

Flexor Tendinitis and Tendinosis

Flexor tendons allow toe flexion, propulsion when walking and running and dynamic foot stability. Injury can manifest as plantar or deep pain, increased pain with exertion, localized sensitivity along the tendon path and discomfort when walking or during sports activities. Contributing factors include repeated mechanical overload, impact sports activities, biomechanical imbalances, inadequate shoes and rapid changes in activity intensity or volume.

Extensor Tendinitis and Tendinosis

Extensor tendons allow toe and foot dorsiflexion and foot clearance when walking. Injury can cause pain on top of the foot, discomfort with tight or rigid shoes, pain with exertion or after prolonged activity and sensitivity to dorsal palpation. These conditions are often associated with repeated pressure from lacing or shoes, activities with repeated dorsiflexion, biomechanical imbalances and functional overuse.

Anterior Tibial Tendinitis and Tendinosis

The anterior tibial tendon plays a key role in foot dorsiflexion, foot control during initial ground contact and ankle stability. Injury can manifest as pain at the front of the ankle or foot, increased pain when walking or climbing, sensitivity along the tendon and anterior muscle fatigue. Contributing factors include repeated activities uphill or on inclined surfaces, biomechanical imbalances, functional overuse and inadequate or worn shoes.

Podiatric Evaluation

Management begins with a complete podiatric evaluation: clinical examination of the foot and ankle, biomechanical analysis, gait observation, shoe evaluation and identification of contributing mechanical factors. Ultrasound and X-ray can complete the diagnosis.

Management Options

Conservative Approaches

Custom foot orthotics when indicated, activity and load adjustment, personalized clinical advice and shoe modifications.

Advanced Therapeutic Modalities

When symptoms persist: PRP (platelet-rich plasma), hyaluronic acid and complementary modalities adapted to the condition.

Surgery

In some situations, and only after failure of conservative and advanced treatments, surgical options may be discussed as a last resort.

When to See a Podiatrist?

Do you have tendon pain in the foot or ankle in Laval? Book an appointment with a podiatrist at Clinique podiatrique de l'Avenir for a complete evaluation and care in accordance with current standards.