Say Goodbye to Arch Pain.
Flexor Hallucis Longus PAIN FHL Tendonitis Causes & BEST Treatment
The Flexor Hallucis Longus Tendon can cause tendonitis and pain in 3 areas! The back of the ankle, the midfoot and the big toe. Feel better TODAY!
Tired of Living with Foot Arch Pain? Get the Relief You Deserve
Foot arch pain can sneak up slowly or strike suddenly, making every step uncomfortable. Whether caused by flat feet, plantar fasciitis, overuse, or injury, foot arch pain shouldn’t be ignored. At Balance Foot & Ankle Specialist in Michigan, we’ve helped thousands of patients find long-term relief with personalized treatment plans. Keep reading to discover the top causes, proven remedies, and when to seek professional help for your aching arches.
Understanding Foot Arch Pain: Why It Happens & What You Can Do
Your foot arch plays a critical role in absorbing shock and supporting your body’s weight. When stressed or injured, the arch can become inflamed or misaligned—leading to pain that worsens with activity. Common culprits include flat feet, high arches, plantar fasciitis, posterior tibial tendon dysfunction, and even unsupportive footwear. Early diagnosis and proper treatment are key to preventing long-term issues.
Big Toe Joint, Hammer Toe & Bunionette Problems
Don’t Let Arch Pain Hold You Back — Get Expert Relief Today
At Balance Foot & Ankle Specialist in Howell and Bloomfield Hills, Michigan, our experienced podiatrists specialize in diagnosing and treating foot arch pain with advanced, personalized solutions. Whether you need custom orthotics, MLS laser therapy, or physical rehab, we’re here to help you move pain-free again.

Top 5 Big Toe Joint Causes Picture & Photo Gallery:
Look:
- A bunion is a pre-dislocation of the big toe joint.
- Big toe joint arthritis is also known as hallux rigidus and can form a very large toe joint spur.
- A turf toe is the hyperextension and bending of the big toe joint. This can cause ligament and tendon damage.
- Sesamoiditis of the big toe joint is the inflammation and possible fracture of the two bones underneath your big toe joint.
- Gout in the big toe joint is the buildup of the crystal substance called uric acid.
So, check out the big toe diseases by clicking on the photo gallery for descriptions!
The Flexor Hallucis Longus Tendon Pain
The flexor hallucis longus tendon runs along your ankle and midfoot to the big toe joint.
It can cause flexor hallucis longus pain and FHL tendonitis, especially in runners.
FHL tendonitis is most common in runners, athletes, ballerina performers. We go over the best flexor hallucis longus tendinopathy treatments!
We go over the flexor hallucis longus origin, insertion and muscle function and action.
What is Flexor Hallucis Longus Tendinitis?
- The flexor hallucis longus muscle tendon extends from the back of your calf to the tip of your big toe joint.
- This muscle functions to bend your big toe joint downward.
- This motion is called plantar flexion.
Causes:
- this is usually caused by the overuse of the flexor hallucis longus tendon and muscle.
- Repetitive use of this muscle will cause inflammation and soreness over time.
- This can lead to microscopic tears in the body causes inflammation to occur.
- This causes fluid to build up throughout the tendon in the tendon sheath leading to impingement within the foot and ankle potentially
Symptoms:
- symptoms of flexor hallucis longus tendinitis include the gradual buildup of soreness and stiffness.
- This can lead to reduced function of the big toe joint.
- It can lead to big toe joint weakness and pushing down.
- It could lead to walking difficulty.
- It can lead to swelling and inflammation throughout the foot and back the ankle.
Diagnosis:
- diagnosis of the flexor hallucis longus tendon is generally performed by a podiatrist.
- This can result in the inability to then your big toe joint downward. This is also called plantar flexion.
- This can cause pain in three different areas, in the bottom of the big toe joint, the bottom of the foot in the back of the ankle.
Flexor hallucis longus tendinitis treatment:
- the best treatment is the change in lifestyle factors and modifications.
- If you are training, cross training might be ideal during this time.
- Using a good shoe, orthotics and potentially an ankle brace is an excellent solution that yields good results over the period of a month or two.
- Switching from running or pushing off exercises to swimming or biking is generally a good option.
- Icing can help control inflammation, although this generally does not speed up the overall healing time.
Big Toe Joint Home Treatment Infographic

Big Toe Joint Injury or Surgery Treatment:
- If you think you might have a severe turf toe, a severe tear or sprain, a broken big toe joint or broken big toe, or you have just had surgery: this guide may be able to help you!
- Just make sure to check with your podiatrist because a severe injury will require imaging, biomechanical evaluation, and a good discussion to prevent anything from going more wrong.
- For surgery, purposes make sure to discuss with your podiatrist To see what is recommended, as every surgery is unique, and there are pros and cons to all treatment methods.
Big Toe Joint Fracture, Sprain, or Surgery Products:
- If you have a traumatic injury such as a broken bone or ligament tear, these products may be able to help you.
- The best way to do this is, of course, to see your podiatrist and get evaluated with an x-ray, ultrasound, and potentially even an MRI or CT scan.
- If you cannot do so, it may benefit you to be in a cast, fractured boot, or even keep the weight off of it with a rolling knee scooter or other protective devices.
- We as podiatrists frequently take patients off work for a very long period of time when they suffer a traumatic injury. Unfortunately, there is no other way around us in labor jobs.
- If you have a sit-down job, there are ways to get people back to work quicker, but this can be impossible otherwise.
- Just remember these injuries can take a very long time, specifically 2 to 3 months or more, to come back from if you’re going to be on your feet all day. There is a long recovery time and healing time in most cases.
Big Toe Joint Injury & Surgery Immobilization:
- There are pros and cons to using a boot to treat your big toe joint injury. If you are immobilized too long, the cons are that you will gradually become stiff and overworked to your other leg.
- The Pros are that your injured heel will hopefully have a chance to heal gradually!
- Our favorite fracture boots and their supplies:








Big Toe Arthritis and Hallux Rigidus:
- One of the best treatment options for a stiff big toe is a stiff orthotic.
- The big toe can become arthritic, and what causes the pain is the bone grinding on a joint that cannot move.
- Getting a rigid carbon insole can make a huge difference in preventing the bend of the big toe joint.
- Out of the big toe joint products in the next table, the carbon insole is worth looking at for relieving the big toe joint bed.
- A good over-the-counter orthotic can provide a similar result, and we would otherwise prefer those.








Offloading and Scooter Treatment:
- If you cannot use your foot, it needs to be immobilized: we have found success with offloading the scooters in these products.
- Crutches can be difficult long term, whereas scooters can really help you get around and to work if you have a sit-down job in this been okay-ed with your podiatrist.
- These are our favorite knee scooters and walking devices:








Best Big Toe Joint Products:
- There are usually two phases to treating big toe joint pain
- The two phases of treatment include controlling the acute inflammation with protection and correcting the biomechanics, which led to the problem in the first place.
- If the tendons, joints, and ligaments are inflamed, they are almost frozen in place and cannot function properly.
- Inflammation can mean damage as well, in this most likely needs to be protected as the big toe joint heavily relies upon the weight-bearing joint. So consider discussing with your podiatrist the need for and offloading surgical shoes or boots.
- Once the inflammation is decreased, we need to correct the biomechanical causes to ensure that they can never become overworked and inflamed again!
- The key with an injury or surgery is to keep it protected initially, and when the bone and tendon heels, to get moving before stiffness can set in.
Best Bunion Specific Products:
- There are no perfect bunion treatment products.
- Most people end up disappointed after spending a lot of money on bunion pads, bunion gel pads, expensive bunion correctors, and bunion splints!
- The truth is a bunion is a biomechanical injury. The foot is flattening out, and the ankle is flattening out, causing the pain.
- Having a gel pad on the big toe has very little chance of fixing the deformity, although it can stop the rubbing and relieve a lot of the pain.
- This is why people sometimes wear splints and correctors. It holds the toe straighter so that the tissue and were’s and have left pain.












Big Toe Joint Inflammation Control:
Massage & Ice Products:
- Ice is an excellent option that can be safe for almost everyone.
- There is some debate about whether icing is worth doing, but this can help limit the need for medications and keep your options open for chronic pain.
- This works great for your arch, less for the ball of the foot.
- The more muscle and ligament tissue there is, the better ice will work there.






Menthol Based Gels:
- Biofreeze is one of our favorites.
- This can work well as a cream or gel option for your big toe joint pain.
- These gels have been studied to work 2x as long as ice.
- This works great for the ball of the foot.
- This can be very effective for the bottom of the heel and Achilles tendon sore regions.








Massage Sticks:
- These can work great for loosening your muscles.
- This is not to be used directly onto your foot but to help take pressure off the foot’s front.
- This allows less tightness and pressure on the ball of your foot.
- This is very effective for the arch, the gastrocnemius, calf muscle, and the hamstring and thigh muscles.
- This also works very well for the gluteus muscles if you are having butt cheek or hip pain.






Remove the Big Toe Joint Pressure:
- The key is to prevent future pain and to keep pressure off of the big toe joint.
- This means keeping you active while keeping stress off of your big toe joint. This will prevent future bunions, sesamoiditis, turf toe, and even big toe joint arthritis!
- If you can get rid of the pain and swelling, this will let you start walking normally.
- If you can walk normally, the vast majority of your pain should gradually start to go away.
- The best way to ensure that your big toe joint, hammertoes, and foot and ankle ligaments are not overworked is to support them.
- The best way to support them is to use great orthotics and great shoes.
- Some people may also need to rely on supportive ankle braces and other supportive modalities.
Best Big Toe Joint & Flat Foot Shoes:
- Getting a great supportive pair of shoes will make sure that there is no further pressure onto the ball of your foot and the big toe joint region.
- This is especially important if you have plantar fasciitis, heel spur pain, or Achilles tendonitis.
- Consider shoes combined with a good supportive orthotic for the best pain relief!
- We have found shoes and orthotics to be one of the most effective ways to reduce bunion and hammertoe pain.
- The following link will show you what our favorites are.
Best Big Toe Joint & Flat Foot Orthotics:
- These are our recommended orthotics for offloading the big toe joint.
- Custom orthotics can work very well, but they should not be the first line of treatment. Custom orthotics can cost a lot of money, over the counter orthotics can be a great introduction to foot control and prevent pronation.
- There are different types of orthotics for different types of shoes.
- Women’s shoes usually need a less bulky orthotic but allow for less correction of your big toe joint and ball of the foot pain.
- A full-length orthotic requires a running shoe, boot, or comfortable walking/dress shoe.
- We recommend doing everything you can to get a good supportive shoe that can fit a full-length orthotic. This will get you the best results for your bunion, hammertoes, and bunionette.
- This is the best way to maximize your orthotics for great results.
Click this link for the best podiatrist recommended orthotics!
Best Full-Length Orthotics:
- These will only work in wider shoes or a good supportive running shoe.
- This will not work in sandals, flats, or most women’s dress shoes.








Best Dress Shoe Orthotics:
- These are a great choice for dress orthotics.






Best 3/4 Length Orthotics:
- These are great options for women’s dress shoes and thinner shoes.
- These are not the most supportive pair of orthotics.


Get A Great Dynamic Stretch:
- The goal of getting a great stretch is to improve your ankle flexibility and prevent ball of the foot pain and big toe joint pressure.
- It is possible to stretch on your own, but these products can also really help!
- This will take pressure off of the ball of your foot.
- We personally prefer this method of stretching.








Get A Great Static Stretch:
- These devices are great for stretching while you are resting.
- This will also help take pressure off of the ball of your foot.
- This works great for plantar fasciitis but can also make your ankle more flexible in removing pressure from the ball of your foot!
- It can be used while watching TV or at night time.






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Big Toe Joint, Hammer Toe & Bunionette Problems
Flexor Hallucis Longus: Frequently Asked Questions
It helps flex the big toe and stabilize the foot during movement.
It starts in the lower leg and runs down behind the ankle to the base of the big toe.
Overuse, repetitive motions, poor footwear, or trauma can irritate or strain the tendon.
Dancers, runners, soccer players, and those with flat feet or poor gait mechanics.
A physical exam, patient history, and imaging tests like MRI or ultrasound confirm the condition.
Pain under the big toe or inside the ankle, swelling, or difficulty pushing off during walking.
Yes, custom orthotics can correct alignment and reduce strain on the tendon.
Rest, physical therapy, anti-inflammatory meds, stretching, and sometimes immobilization.
Rarely, but severe tears or chronic inflammation unresponsive to therapy may need surgery.
With proper care, recovery can range from 4 to 12 weeks, depending on severity.