Abductor hallucis strain

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The abductor hallucis muscle is positioned along the interior of the foot and spans from the heel bone and inserts onto the side of the big toe.

What are the indications?

The abductor hallucis muscle is responsible for bending and sideways movement of the big toe as well as supporting the interior arch of the foot. The indications of an abductor hallucis strain include:

  • Pain along the interior arch of the foot
  • Increased pain and tenderness if the sole of the foot along the length of the muscle is pressed
    Abductor hallucis strain
    Increased pain and tenderness if the sole of the foot along the length of the muscle is pressed.
  • Tendency to overpronate in which the foot rolls excessively inwards during the gait cycle

How to manage an abductor hallucis train

Adequate rest is a vital part of treatment for an abductor hallucis strain. If the individual continues to train with an injured foot, it will only worsen the injury or even delay the healing process.

For a mild case, it only requires a few days of rest or modifications with activity such as substituting swimming or cycling for running until the pain has settled.

Application of ice must be done as soon as possible. An ice pack must be applied for 10 minutes every hour during the initial hours and reduce the frequency to 2-3 times in a day. Taping of the arch of the foot can also relieve the stress on the affected muscle to allow the foot to rest. In case overpronation or other biomechanical issues of the foot are present, orthotics might be required for support.

Anti-inflammatory medications such as ibuprofen might be prescribed by the doctor. Ultrasound can also be performed to alleviate the pain and inflammation. In addition, deep massage is also beneficial, usually after 48 hours or up to a week or more depending on the severity of the abductor hallucis strain.

Once the pain allows, a rehabilitation program should be started which includes stretching and strengthening exercises that involves the plantar fascia beneath the foot as well as the calf muscles.

Disclaimer / More Information

The information posted on this page on an abductor halluces strain is for learning and educational purposes only. To learn to recognize the indications and manage strains, register for first aid training at one of our training centers located throughout Canada. The training centers are in Edmonton, Calgary, Vancouver, Kelowna, Surrey, Saskatoon, Winnipeg, Toronto, Ottawa and Halifax.

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