The plantar plate is a location underneath the metatarsal heads of the feet at the base of the joint capsule that surrounds the joints of the lessor toes. The plantar plate is a tough ligament system which offers firmness to the metatarsophalangeal joints and also serves as a connection portion of some other ligaments which encircle the joint. Occasionally this strong ligament could possibly get overused, which generally gets called plantar plate dysfunction. In some cases this may develop into a minor rupture within the structure and will come to be quite distressing simply to walk on. This is called a 'plantar plate tear'. It's a fairly common musculoskeletal injury of the feet.
Normally, it really is painful under and in front of the metatarsal heads to walk on and also when the area is touched firmly. When weight bearing the toe of the affected metatarsophalangeal joint is generally somewhat raised. There are many targeted checks or moves that podiatrists is able to do to the toe to examine the condition, function and strength of the plantar plate and to ascertain exactly how bad the tear is actually. The cause of a plantar plate tear is not really usually really evident, but there are a number of risk factors which do increase the prospects of having it, but mainly it is on account of an excessive amount of use with too much dorsiflexion of the toe. An odd experience that some due to this ailment refer to can be a feeling of their own sock bunched up under the toes, however when they look at its not.
The best way to deal with a plantar plate tear is to have the diagnosis accurate. There isn't any doubt clinically. An ultrasound evaluation could be used to decide the degree of the split and ensure the diagnosis. The typical initial therapy strategy is by using strapping for a plantar plate tear which is intended to hold the toe in a downward posture to reduce the degree of dorsiflexion with the toe when walking. A metatarsal pad that may be positioned just posterior to the painful region is usually helpful to help reduce the load. A stiffer or more rigid soled footwear or footwear that has a rocker could also be used to help you restrict the strains on the ligament. Assuming that is done right, the plantar plate tear should usually heal up with time. If this is not going to work then an operative repair of the tear is usually an option.