TURF TOE - CAUSES AND TREATMENT
posted: Aug. 08, 2018.
The simplest definition of turf toe is that it is a sprain of the main joint of the big toe. It happens when the toe is forcibly bent up into hyperextension, such as when pushing off into a sprint and having the toe get stuck flat on the ground.
This injury is a type of metatarsophalangeal (MPJ) joint sprain. This means that the tissue and one or more of the joints that connect the toes to the rest of the foot have been injured.
Symptoms include:
- tenderness or sensitivity around the toe and nearby joint
- swelling around the big toe and the joint
- not being able to move the toe around normally
- stiffness in the toe joint
Most cases of turf toe are treated without surgery. Nonsurgical treatment is usually recommended for this type of injury.
The RICE protocol is recommended for this type of injury: Rest, ice, compression, and elevation. Taping the big toe to the smaller toes will restrict motion. Non-steroidal anti-inflammatory medications may relieve pain and swelling.
Pain is usually tolerable and an athlete can continue sports participation using a stiff-soled shoe. Orthotics, such as a thin, graphite shoe insert with a rigid forefoot component, can reduce stress on the plantar plate and provide stability.
