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Abductor Hallucis Muscle: Foot and Ankle Pain

The abductor hallucis is located on the inner edge of the bottom of the foot below the big toe. Trigger points in the muscle refer pain to the inside of the heel and the inside ankle. The pain can be severe enough to cause you to limp while walking.

Contents of Article

    Where Is The Abductor Hallucis Muscle?

    Abductor Hallucis Muscle Showing Trigger Point Locations

    The abductor hallucis muscle is located on the bottom of the foot, under the big toe. It connects the heel (calcaneus) to the big toe (proximal phalanx).

    What Movements Does It Control?

    • Moves the big toe outward and away from other toes
    • Bends the big toe down

    For detailed anatomy information:   Abductor Hallucis Muscle Anatomy: Origin, Insertion, Action, Innervation


    Abductor Hallucis Muscle Trigger Points Symptoms:

    Abductor Hallucis Referred Pain Pattern
    • Pain on the inside of the heel
    • Pain in the inside ankle
    • Pain will often cause a limp
    • Sometimes causes numbness in the big toe and the area just under the big toe.
    • Deep aching pain while resting.

    TWD Recommends

    Yoga Toes Gems are highly recommended for anyone dealing with foot and lower leg pain. The separators not only stretch the muscles of the feet but also many muscles of the lower leg. Used regularly, Yoga Toes do help straighten and align your toes. They can also be helpful for some cases of bunions, hammertoes, and claw toes. It can also help with issues of plantar fasciitis. I prefer the Yoga Toes Gems because they are more supple, comfortable, and easier to use. To increase therapeutic treatment, relax while wearing Yoga Toes and then use the massage balls (below) to further massage and relax the muscles of your feet.

    For Men’s shoe size ten and over or women shoe size 12 and over consider Yoga Toes For Men

    Activities that cause abductor hallucis muscle pain:

    • Walking or running on uneven ground
    • High heels
    • Shoes that are too small
    • Weak ankles

    Abductor Hallucis Trigger Point Treatment

    To treat trigger points in the abductor hallucis muscle, use massage balls. Put the ball on the floor and roll it around with your foot to massage the muscle. Search for tender areas on the inside of the foot beneath the big toe down to the heel. Roll your foot a couple of times a day until the pain and soreness are gone.

    TWD recommends the Flex Fixx Massage Balls, a set of 3 varying-sized balls that provide different pressure and depth. The balls can be heated to use on tired, sore feet or chilled for trigger point therapy. They can be used on multiple areas of the body to provide self-massage and trigger point treatments.

    TWD also recommends The Trigger Point Therapy Workbook. The book is a must-have for those who are interested in treating muscle pain throughout the body.

    TWD Recommends

    The NatraCure Cold/Hot Therapy Wrap is just the right size to use on the bottom of your foot. You can use cold therapy throughout the day to reduce sharp stabbing pains during the day. At night you can use it for heat therapy to ease the pain so you can rest.

    The wrap is made of neoprene with a velcro closure that allows you to adjust compression. The wrap can also be used for the ankle, wrist, elbow, and other areas of the body.

    Clinical diagnoses to which the abductor hallucis muscle symptoms may contribute:

    • Plantar fasciitis
    • Plantar wart
    • Bone spur
    • Flat feet
    • Fallen arches
    • Bunions
    • Charcot’s Joint
    • Morton’s foot syndrome
    • Diabetic neuropathy
    • Sprain/Strain
    • Tarsal tunnel syndrome


    Other muscles that should be considered and examined:

    • Soleus
    • Gastrocnemius
    • Peroneal Muscles
    • Long Flexor Muscles of the Toe
    • Long Extensor Muscles of the Toe

    Satellite trigger points associated with the abductor hallucis muscle:

    Trigger points in the muscle will cause TrPs to develop in other muscles. These are known as satellite trigger points. You will need to check these muscles for additional TrPs.

    • Gastrocnemius
    • Deep intrinsic foot muscles

    Sombra Warm Therapy Gel is recommended for relaxing muscles and relieving pain. It warms without the burning heat of other gels. An excellent choice for pain caused by trigger points, muscle/joint over-use and stiffness, and arthritis. If you have reoccurring leg or foot cramps, you should keep Somba on hand; it provides almost instant relief. (Not sold in stores)

    Biofreeze Pain Relieving Gel is an excellent pain-relieving gel recommend for those who have sudden onset muscle pain or recent injuries.  It is better to use than warm therapy gels and creams for muscle pain caused by inflammation as it cools the area much like ice. If your pain is from a recent injury, use Biofreeze. It is excellent to use on sprains, strained and sore muscles.

    Muscles That Contributes To These Conditions:

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    Muscles With Similar Pain Patterns

    Tibialis Posterior
    Soleus Muscle