Plantar Plate Tear

Plantar plate tear is described the pain and swelling in the ball of foot, commonly affecting the 2^nd toe joint. The plantar plate is to protection the ball of the foot from pressure and prevent from over extending toes. It tends to affect middle-age women who have pronated feet. It also related to hammer toes and bunions.

Symptoms:

• Localized pain under the ball of feet
• Pain aggravated when bend the affected toe
• Swelling on the top of foot

Risk Factors:

• Poor biomechanics (eg. excessive pronation)
• Excessive forefoot loading
• Longer 2^nd metatarsal bone

Assessment:

The podiatrists at toe-tal may diagnose the condition through clinical tests (including A-P drawer test) and biomechanical assessment, and go through all the necessary treatments listed below to help get you on the right path.  As it is complex anatomical region, if necessary, further investigations such as ultrasound and MRI are required to assess the severity of the condition.

Treatment:

1. REST until all pain has resolved (could become permanent damage) – talk to Podiatrist about when you can return to activity (will be gradual and initially activity may be modified)
2. Plantar flexion strapping of the digit
3. Take non-steroidal anti-inflammatory drugs (NSAIDs) for pain, maximum 7 days
4. Accommodative padding to offload area
5. Orthotic therapy
6. Wear stiff-soled or rocker- bottom shoes
7. Correct biomechanics
8. Corticosteroid injection
9. Surgery to repair tear