The plantar plate is a location plantar to the ball in the foot on the bottom of the joint capsule that surrounds the metatarsophalangeal joints of the smaller toes. This is a sturdy ligament plate that provides stableness for the joint and also is an attachment region of additional ligaments which encircle these joints. In some cases this strong ligament may get used too much, which typically gets known as plantar plate dysfunction. From time to time this will develop to a partial rupture inside the structure and will come to be very painful just to walk on. This is known as a 'plantar plate tear'. It's a fairly common orthopedic problem of the feet.
Typically, it can be painful plantar to and just in front of the metatarsal heads to walk on and also when the location is touched firmly. When standing the toe of the affected metatarsophalangeal joint is sometimes slightly elevated. There are several specialized tests or motions that health professionals are capable of doing on the toe to evaluate the condition, function and strength of the plantar plate and to decide precisely how extensive the partial tear is. The reason behind a plantar plate tear isn't typically really evident, but there are a number of risk elements that do increase the chances of getting it, however mainly it is because of a lot of use with a lot of flexing of the joint. An odd feeling that quite a few with this problem refer to is a sense of their own sock bunched up underneath the toes, however when they check out its not.
The right way to take care of a plantar plate tear is to have the diagnosis correct. There isn't any doubt clinically. An ultrasound assessment enables you to determine the extent of your rupture and confirm the diagnosis. The usual initial treatment strategy is by using strapping for a plantar plate tear that is meant to hold the toe in a downward position to restrict the degree of flexing of the joint when walking. A forefoot dome that could be positioned just behind the sore joint may also be useful to help decrease the strain. A stiffer or less flexible soled shoes or shoes that has a rocker can also be used to help reduce the strains on the joint. When this can be done correctly, the plantar plate tear will commonly heal up gradually. If this approach doesn't work then an operative fix with the tear will be indicated.