Extensor digitorum brevis and extensor hallucis brevis | Sports massage for foot pain, part 1

In this series of videos, we're looking at massage techniques for foot pain. To kick things off, we're covering the extensor digitorum brevis and extensor hallucis brevis.
These two tissues are part of the small extensor muscles of the toes. They are found at the front of the forefoot and attach proximally to our calcaneus bone. The extensor digitorum brevis interdigitates with the second, third, and fourth phalanx of the toes (and very occasionally the fifth), while the extensor hallicus brevis attaches to the phalanx of the big toe.
Because of their role as extensors of the toes, dysfunction in them can impact a variety of everyday activities like walking, running, and even balance. A dead giveaway is ankle sprain injuries: if your client has sprained their ankle, but complains of foot pain as opposed to ankle pain then I would highlight these muscles.
There are three trigger points to be aware of with these muscles: the extensor hallucis brevis has a single trigger point and the extensor digitorum longus has two. These trigger points are local to the muscles and can refer to the distal dorsum.
The small size of these tissues means you can use your fingers and thumbs, but you should always take a slow, purposeful approach. Work these muscles with care and watch your pressure as the bones are superficial so feedback can be strong.
Part 1: • Extensor digitorum bre...
Part 2: • Abductor hallucis | Sp...
Part 3: • Abductor digiti minimi...
Part 4: • Flexor digitorum brevi...
Part 5: • Adductor hallucis | Sp...
Part 6: • Quadratus plantae | Sp...
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These videos are intended to be used for information purposes only and are not intended to be used for medical diagnosis or treatment or to substitute for medical diagnosis and/or treatment rendered or prescribed by a physician or trained healthcare professional. This information is designed as educational material and should not be taken as a recommendation for the treatment of any particular person or patient. Always consult your physician if you think you need treatment or if you feel unwell.

[@bgracer]

I've been struggling with pain at the insertion of the extensor hallucis brevis on my left great toe for the last year or more. This massage technique has been the most effective treatment I've found so far. Have you treated patients who complain of pain at the top of the great toe at the joint of the proximal phalanx and first metatarsal with this technique? Do you have any other suggestions for treating pain at this location? The pain is restricting my range of motion in the great toe joint and has become significantly limiting.

[@stuarthindsacademy]

Yep i sure have , i would definitely include Tibialis anterior and Peroneal tertius aswell , both play a crucial role in ankle function.

[@bgracer]

​@@stuarthindsacademy Thank you! Based on your comment here and some of your other videos I'm including the tibialis anterior, extensor hallucis longus, Peroneal tertius, and your massage treatment for plantar fascia. I'm finding some significant tension in those stabilizing muscles! Yesterday, when flexing the great toe joint I got a small "crack" of the joint which scared me at first, but ended up feeling great. That gives me hope that by loosing up ankle and foot stabilizers I can get more flexibility in the great toe joint and resolve the acute pain. Thanks again.

[@bgracer]

One other question. What do you think ice massage on the top of the great toe joint where the acute pain is? Is this helpful, harmful, or neutral?

[@Cisnerosss]

For how long would you recommend messaging them for and would you recommend icing them afterwards? Thanks

[@stuarthindsacademy]

No icing , the bone is too superficial, 4 minutes should be plenty of time , targeting the trigger point