international journal of athletic therapy & training her left foot that had been steadily getting worse. She reported that she had suffered an injury to her extensor hallucis longus during a jump approximately 18 months earlier. Following the initial injury, the patient did not seek care, ignored the pain, and continued to compete. The pain lessened to a level that was only experienced during activity. She did not participate the following season. We saw her after a break from activity during the preseason period of the following track season, when significant pain had reoccurred. A moderate degree of hallux valgus was evident, but there were no other apparent anatomical abnormalities. Palpation of the dorsum of the left mid-foot elicited pain directly over the extensor hallucis longus tendon. On a pain scale of 1-10, the patient reported a pain level of 2-3 without movement. Pain worsened with active and passive flexion and extension of the great toe to a level of 7-8 out of 10. There was a decreased range of motion and weakness compared to the contralateral side. Radiographs were interpreted as negative. The nature of the injury, its location, the duration of symptoms, and pain with resistance and in response to palpation led to a diagnosis of tendinosis.