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Practitioners

Find a practitioner trained in FHL

Functional Hallux Limitus is still rarely identified: its diagnosis rests on a precise clinical examination of the flexor hallucis longus tendon. The practitioners listed here have published or lectured on this condition. The list will grow country by country.

Why a dedicated list

FHL is not a stiffness of the big toe in the usual sense. It is a mechanical conflict between a tendon, the flexor hallucis longus, and the bony tunnel it passes through behind the ankle. That distinction is decisive: it changes the clinical examination, the treatment, and therefore the practitioner to turn to.

The practitioners listed below have a demonstrable link with this specific condition: a scientific publication, a congress presentation, or a dedicated consultation. This is not a directory of foot surgeons in general.

This list is not exhaustive

Other practitioners diagnose and treat FHL without appearing here. This page lists those whose work on the condition is publicly documented. Are you a practitioner who would like to be included? Write to us.

Switzerland

The center where the condition was described, and two Geneva practitioners who have published on the tendon conflict.

Dr Jacques Vallotton

Orthopedic surgery and traumatology · sports medicine

Centre Orthopédique d’Ouchy
Av. d’Ouchy 41
1006 Lausanne

Author of the description of FHL and of the diagnostic maneuver (JAPMA, 2010).

Dr Nils Reymond

Orthopedic surgery · foot and ankle

Centre ASSAL, Hirslanden Clinique La Colline
Avenue de Beau-Séjour 6
1206 Genève

Co-author of a 2023 MRI study on the excursion of the FHL tendon within the retro-talar pulley.

PD Dr Mathieu Assal

Orthopedic surgery · foot and ankle

Centre ASSAL, Hirslanden Clinique La Colline
Avenue de Beau-Séjour 6
1206 Genève

Senior author of the 2023 MRI study on the FHL tendon; Medicol Congress 2023.

France

The Centre du pied in Marseille is the French hub for FHL tenolysis, with several publications on the subject.

Dre Barbara Piclet-Legré

Orthopedic surgery · foot and ankle

Centre du pied
68 rue du Commandant Rolland
13008 Marseille

Co-author of the study on ultrasound-guided tenolysis of the FHL (2023); co-organizer of the Medicol Congress 2023.

Dre Solenne Frey-Ollivier

Orthopedic surgery · foot and ankle

Centre du pied
68 rue du Commandant Rolland
13008 Marseille

First author of the AFCP 2023 presentation on arthroscopic tenolysis of the FHL pulley.

Dre Marianne Hélix-Giordanino

Orthopedic surgery · foot and ankle

Centre du pied
68 rue du Commandant Rolland
13008 Marseille

Co-author of the AFCP 2023 presentation on tenolysis of the FHL pulley.

Australia

The first practitioner outside Europe to refer explicitly to the FHL approach.

Mr Naveen Nara

Consultant Orthopaedic Surgeon · lower limb

The Glen, Glen Waverley
Shop L-022, 235 Springvale Road
Glen Waverley VIC 3150

Dedicated FHL consultation and tenolysis by posterior arthroscopy; refers his patients to fhl.science.

What a trained practitioner looks for

FHL is not diagnosed on an X-ray: the diagnosis rests on a clinical test that compares the mobility of the big toe according to the position of the ankle. A trained practitioner knows that normal mobility on palpation does not rule out the condition, and that the blockage occurs at a precise moment of the foot roll-through.

If you are seeking advice for unexplained pain in the foot, knee, hip or back, mentioning FHL can usefully guide the examination.

Are you a practitioner?

Appear on this page

You diagnose and treat FHL and would like to appear on this page? Contact us, describing your practice and your work on the condition.

The reference center

Center

Centre Orthopédique d’Ouchy

Telephone

+41 21 510 33 48

Email

centre@medicol.ch

Address

Av. d’Ouchy 41, Lausanne