(Metatarsalphalangeal Joint Sprain; Sprain Big Toe)
|Turf Toe Swelling|
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- Standing on the balls of your feet as another person falls onto you, causing your big toe to hyperextend
- Stopping suddenly when running, causing your big toe to slide into the end of your shoe and bend up and backward as you go forward
Sports such as:
- Poor coordination
- Increased ankle dorsiflexion
- Wearing athletic shoes with flexible soles
- Playing sports on artificial turf
- Pain and tenderness in the ball of the foot and the big toe
- Swelling and bruising of the ball of the foot and the big toe
- Inability to bear weight on the ball of the injured foot
- Inability to push off on the big toe
- Reduced range of motion in the big toe
- Rest—Activities may need to be restricted at first. Normal activities will be reintroduced gradually as the injury heals.
- Ice—Ice therapy may help relieve swelling.
- Compression—Compression bandages can provide gentle pressure to help move fluids out of the area.
- Elevation—Keeping the affected area elevated can help fluids drain out or prevent fluids from building up.
- A metatarsal pad may be advised to cushion the area under the toe.
- Stiff-soled shoes or rigid orthotics may be advised to keep the toe from hyperextending.
- A walking boot or cast may be needed for more severe injuries.
- A small piece of bone has been broken off by the injury to the ligament
- A ligament is torn completely
American Academy of Physical Medicine and Rehabilitation http://www.aapmr.org
OrthoInfo—American Academy of Orthopaedic Surgeons http://orthoinfo.aaos.org
British Columbia Podiatric Medical Association http://www.foothealth.ca
Achilles Foot Health Centre http://www.footdoc.ca
Chou LB. Disorders of the first metatarsophalangeal joint. Phys Sportsmed. 2000;28:32-45.
Churchill SR, Donley BG. Managing injuries of the great toe. Phys Sportsmed; 1998.
Foot sprain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 30, 2015. Accessed March 2, 2015.
Mullen JE, O'Malley MJ. Sprains—residual instability of subtalar, Lisfranc joints, and turf toe. Clinics in Sports Medicine. 2004;23(1):97-121.
Pommering TL. Ankle and foot injuries in pediatric and adult athletes. Prim Care. 2005;32(1):133-161.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014 -
- Update Date: 02/19/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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