Windlass Test

Purpose

Screen for Windlass findings.

Execution

1. 1Sit or stand with the foot relaxed
2. 2Extend the big toe passively
3. 3Observe arch formation and symptoms
4. 4Note pain at the medial heel or arch
5. 5Compare sides

Key Observations

• Passive hallux extension
• Pain reproduction indicates a positive test

Views

• medial

Protocol

1. 1Observe from: medial.
2. 2Standardize start position and instructions.
3. 3Perform 2-3 trials per side when applicable.
4. 4Record key observations and any positive indicators.
5. 5Compare left vs right when applicable.

Reference

John Hicks