Table of Content
- Can a plantar plate tear get worse if it’s not treated?
- What’s the difference between plantar fascia tear and plantar fasciitis?
- Enjoy life again without pain or surgery. Find out if you are eligible for our treatments
- Sudden Plantar Plate Tear
- Plantar Plate injuries can be mild but become severe
- Surgery Options
CPR offers the suture passing approach to restore the normal alignment of the joint with the anatomic repair. This procedure allows the surgeon to perform a dorsal approach to the second toe joint which aids in visualization of the injured joint structures. The Arthrex CPR system is a unique device for correcting a plantar plate rupture and dislocation of the metatarsal phalangeal joint. UFAI patient Kathy discusses her plantar plate repair surgery and how it significantly improved her quality of life. Though x-rays are very helpful, magnetic resonance imaging can directly show us the quality of the plantar plate, something x-rays simply cannot do.
A toe splint keeps the toe in its proper position while healing occurs after partial tears. While toe splints maintain the alignment of the toes and prevent deformity, toe pads reduce physical irritation and pressure on the ball of the toes, easing pain and discomfort. Non-steroidal anti-inflammatory drugs can help in managing pain.
Can a plantar plate tear get worse if it’s not treated?
If the foot lowering becomes too easy, increase the resistance by pulling the band tighter. Michelle Meyer has several years of experience in the publishing industry. She draws on her education, editing and proofreading expertise, and deep-seated love of the English language to ensure the quality of all content before publication. Babafemi Adebajo, a qualified physiotherapist, writes about the intersection of tech, health and education. Plantar Fasciitis Custom OrthoticsProviding strength and support to the foot’s arch.
For cardio, I am able to use the elliptical for about 15 min at a time before the pressure is too great. Fortunately I can still do some weight lifting, although still modifying. I splint my 2nd toe at all times but when I remove the splint, the toe almost immediately crosses the 3rd toe.
What’s the difference between plantar fascia tear and plantar fasciitis?
The MRI will show the plantar plate ligament and if it has any joint effusion, thickening, and partial to complete plantar plate ruptures. Bunions can also put increased pressure on the plantar plate. Large bunions that push on the 2nd toe can eventually under-lap the toe, causing it to dislocate.
Always seek the advice of your physician or other qualified health provider before starting any new treatment or with any questions you may have regarding a medical condition. The plantar plate protects the bottom of the foot and the ball of the foot. The plantar plate complex encompasses the ligaments that run over the ball of the foot and the fat pads on the balls of your feet. These absorb the apex forces when your foot is pushing off the ground. If the plantar plate region absorbs too much force it can rupture or tear.
Enjoy life again without pain or surgery. Find out if you are eligible for our treatments
Curl the toes over the edge of the book, holding each repetition for 10 seconds. This may be an easy exercise to do when watching TV and does not require a lot of concentration to perform it correctly. I got ingrown toenail surgery with Dr. Carter and it was great!!!

After patients no longer have to protect the surgical site , physical therapy will also include gait retraining to normalize the patient’s walking pattern. There is also good evidence that strengthening the muscles that curl the toes can alleviate forefoot pain. When the toes lose the ability to functionally push off of the ground due to weakness, there is a large increase in the pressure on the metatarsal area under the foot. Repetitive overloading in the MTP area can contribute to forefoot pain in this area. Your doctor will move and manipulate the troubled toe joint into several different positions to evaluate the amount of deformity and the location of the pain.
This article is all about plantar fascia tear and the various degrees that it can show up with. The plantar plate degeneration involves the weakening below your metatarsal phalangeal joint. It is caused by continual force on the ball of your foot, dorsiflexion injury, and extended metatarsal. A plantar plate tear can be diagnosed through several physical examinations. MRI is considered the basic for the diagnosis of plantar plate condition. However, sewing the tear together can treat grade 2 and 3 plantar plate tears.
An injection is generally in the form of a corticosteroid injection, ultrasound–guided into the joint to reduce inflammation levels. Following the injection, a period in a walking boot before weaning out of this into stiff shoes and orthotics can be effective. Home treatment for a Plantar Plate Tear should include offloading the foot, icing, anti-inflammatories, no barefoot walking and non-impact exercise. Some patients may need physical therapy to get the toe back to full function and strength. Even when you are fully recovered, it is likely that the toe will feel stiffer than it did before.
Reduce wearing high heels or too narrow shoes to a minimum and if you need to, find some orthotics, inserts or insoles to minimize the pressure on your feet. Compression socks or sleeves may be a good product to look into. They can reduce swelling and help with better blood circulation and faster recovery times. Plantar fascia tears can occur either partially or completely.
Plantar plate tears are caused when the normal ligament that connects your big toe and the metatarsal bones of the foot gets damaged and micro tears form. When this happens you will notice the big toe has moved towards the second toe on your right foot or vice versa depending on which foot the injury is on. Many athletes find that their metatarsals become raised towards the sky.
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