What pain and symptoms are associated with the adductor hallucis muscle?
- Pain in the ball of the foot just under the toes extending down into the top of the arch
Where is the adductor hallucis muscle?
The adductor hallucis is on the bottom of the foot and divides into two heads. The first head runs across the bottom of the foot below the four small toes. The second head attaches to a bone of the lower big toe and connects to a bone in front of the heel.
What movements does the adductor hallucis control?
- Moves the big toe in toward the other toes
Activities that cause adductor hallucis muscle pain and symptoms:
- Walking or running on uneven ground
- High heels
- Shoes that are too small
Clinical diagnoses to which this muscle symptoms may contribute:
- Plantar fasciitis
- Plantar warts
- Injured sesamoid bone
- Diabetic neuropathy
- Foot trauma or Sprain/Strain injury
- Bone spurs
- Rheumatoid Arthritis
Other muscles that should be considered and examined in conjunction with the adductor hallucis:
- Flexor Digitorum Brevis
Anatomy Study: Origin, Insertion, Action and Innervation of the Adductor Hallucis Muscle
Origin: Oblique head: base of the second to fourth metatarsals and from the fibrous sheath of the tendon of the peroneus longus.
Transverse head: plantar metatarsal ligaments and deep transverse ligaments.
Insertion: Lateral side of the base of the proximal phalanx of the great toe and the lateral sesamoid.
Action: Adduction of the great toe at the metatarsophalangeal joint, assists with flexion of the great toe at the metatarsophalangeal joint.
Innervation: Lateral plantar nerve (S2,3)
1. Adduction of the great toe at the metatarsophalangeal joint
- Agonists: None
- Antagonists: Abductor Hallucis
2. Assists with flexion of the great toe at the metatarsophalangeal joint
- Agonists: Flexor Hallucis Longus, Flexor Hallucis Brevis
- Antagonists: Extensor Hallucis Longus, Extensor Hallucis Brevis
3. Supports the medial longitudinal arch of the foot
Satellite Trigger Points: Neighboring deep intrinsic muscles of the foot