TURF TOE | TOE INJURY

Introduction

Turf toe is a significant concern for athletes, particularly those engaged in sports requiring sudden acceleration, deceleration, or directional changes. The diagnosis and treatment of turf toe is our specialty at Elite Physiotherapy and Sports Injury Centre, guaranteeing a quick and secure return to optimal performance. ​

Understanding Turf Toe

Turf toe refers to a sprain of the metatarsophalangeal (MTP) joint of the big toe. Usually, this injury happens when the toe is forcefully twisted upward, causing the soft tissues and ligaments around it to stretch or rip. ​

Causes and Mechanism of Injury

The primary cause of turf toe is hyperextension of the big toe, often resulting from:​

  • Sports Activities: Because artificial grass has less traction, playing sports on it might cause the foot to slip backward while the toe stays planted. ​
  • Inappropriate Footwear: The danger might be increased by wearing shoes with flexible soles or inadequate support. ​
  • Repetitive Stress: The disorder may be exacerbated by constant push-off motions, which are typical during running and leaping. ​

Signs and Symptoms

Individuals with turf toe may experience:​

  • Pain and Tenderness are located at the base of the big toe, intensifying during movement.​
  • Swelling and Bruising: Visible around the MTP joint.​
  • Limited Joint Movement: Difficulty in bending or straightening the toe.​
  • Instability: A sensation of looseness in the toe joint.

Diagnostic Methods

At Elite Physiotherapy and Sports Injury Centre, our diagnostic approach includes:​

  • Clinical evaluation: Entails reviewing the patient’s medical history and performing a physical examination to detect limitations in the range of motion, edema, and soreness. ​
  • Functional assessment: Involves tracking weight-bearing and walking patterns to identify any irregularities. ​
  • Special Physiotherapy Tests: Making use of certain evaluations to assess the MTP joint’s and the surrounding structures’ integrity. ​
  • Imaging Studies: Making a referral for MRI or X-rays when required to evaluate soft tissue injury or rule out fractures. ​

Advanced Physiotherapy Management

Our centre offers a comprehensive, individualized treatment plan focusing on:​

Initial Care

  • Rest and Activity Modification: Helping patients cut back on activities that make their symptoms worse. ​
  • Cryotherapy: Using ice packs to relieve pain and inflammation. ​
  • Compression and Elevation: To reduce swelling, apply bandages and raise the foot.

Therapeutic Modalities

  • Shock Wave Therapy: Using acoustic waves to promote healing and reduce pain. ​
  • High-Intensity Class 4 Laser Therapy: This method reduces inflammation and promotes cellular healing by penetrating tissues with laser light. ​
  • Super Inductive System (SIS): Using electromagnetic fields to improve neuromuscular function and reduce pain. ​
  • Hydrotherapy: Performing regulated aquatic activities to increase mobility without putting undue strain on the toe.

Manual Therapy

  • Joint mobilization: It is the process of restoring normal joint mechanics with mild movements. ​
  • Soft Tissue Manipulation: Applying pressure to the surrounding muscles and ligaments to ease stress and increase blood flow.

Exercise Rehabilitation

  • Range of Motion Exercises: Using motions to preserve and improve joint flexibility. ​
  • Strengthening exercises: Targeting the lower leg and foot muscles to improve MTP joint support. ​
  • Proprioceptive Training: Improving balance and coordination through proprioceptive training can help avoid further injuries.

Education and Prevention

  • Advice for Footwear: To safeguard the toe joint, shoes with the right amount of support and stiffness are advised. ​
  • Activity Modification: Advising on methods and approaches to reduce the chance of re-injury when playing sports and going about daily tasks. ​

Conclusion

Although common among athletes, turf toe requires prompt and effective treatment to prevent long-term issues. At Elite Physiotherapy and Sports Injury Centre, we provide customized treatment using cutting-edge modalities and research-proven techniques. We want to ensure that you can quickly and safely resume your active lifestyle.