The plantar plate is a location plantar to the metatarsal heads of the foot at the base of the joint capsule that encapsulates the metatarsophalangeal joints of the lessor toes. This is a tough ligament plate that provides stableness for the joint and also acts as an attachment portion of various other ligaments that are all around these joints. At times that strong ligament could get overused, which typically gets termed plantar plate dysfunction. From time to time this may progress to a partial split in the plantar plate and can become quite distressing to walk on. This is whats called a 'plantar plate tear'. It's a relatively common musculoskeletal injury of the foot.
Typically, it is painful plantar to and in front of the metatarsal heads to walk on and when the region is palpated. When standing the toe of the affected joint is generally slightly elevated. There are several distinct assessments or movements that podiatrists are able to do to the toe to test the stability, biomechanics and durability of the plantar plate and to figure out precisely how extensive the partial tear can be. The cause of a plantar plate tear isn't usually that obvious, however there are numerous types of risk factors that do enhance the chances of having it, but mainly it is as a result of a lot of use with excessive flexing of the toe. An uncommon sense that a few due to this ailment describe can be a feeling of their sock scrunched up under the toes, however when they check out it's just not.
The obvious way to handle a plantar plate tear will be to have the diagnosis right. There isn't any doubt clinically. An ultrasound test may be used to decide the level of your tear and ensure the diagnosis. The typical initial therapy strategy is to use tape for a plantar plate tear that is designed to hold the joint in a downward pose to limit the level of dorsiflexion of the joint when walking. A forefoot dome which can be placed just behind the painful region will also be necessary to help relieve the load. A stiffer or less flexible soled footwear or footwear having a rocker could also be used to help you limit the strains on the plantar plate. Should that is performed correctly, this plantar plate tear will usually get better eventually. In the event it doesn't help then an operative fix of the partial tear is usually considered.