Foot Conditions Share Tweet Pin Share There is a tendon in the foot, the Extensor Hallucis Longus muscle, that comes from the ankle, travels across the top of the foot and attaches to the big toe. It coordinates with the Achilles tendon and calf muscles; you use it along with the Extensor Digitrorum Longus muscle that attaches to the other toes, to be able to flex your foot. Stress can cause pain, inflammation of the tendons, and swelling. The causes include over-exercise, excessive calf stretching, and ineffective arch support. Following is a helpful video by Stephanie Herbst Lucke; she demonstrates a better way to lace shoes that does not aggravate the tendons. Here is a quick test you can try to determine if you have extensor tendonitis verses a stress fracture or other problem: point your toes down. Have someone push on the ends of your toes whiole you try to point them up; if you feel top of the foot pain, it's most likely this condition. Mild cases of extensor tendonitis can be treated with calf stretches and anti-inflammatory medication. Serious cases may include a removable cast. From a customer on amazon: When I discovered these little pads everything changed, I just stick one of these pads under my foot in the right place and I have no more problems...love them ! Better than any other pads on the market, believe me I have tried them all and have a drawer full of pads or other things that were supposed to get rid of this pain..... nothing worked, they were either too big or too difficult to get into my boots or would not stay in place, because I stick these little guys on my foot and not my shoe they stay in place and I reuse them till they don't stick any more...... We have replaced the previous post with this informative video. Instead of a lengthy article, Stephanie explains and demonstrates what to do for top of the foot pain. We hope you find it as helpful as we do.