The plantar plate is a region plantar to the ball in the foot at the base of the joint capsule that surrounds the joints of the smaller toes. It is a sturdy ligament system that offers stableness to the joint and serves as a connection portion of various other ligaments which encircle the joint. Quite often this thickened ligament could possibly get overused, which typically gets known as plantar plate dysfunction. At times it might develop to a small split inside the structure and can turn out to be quite distressing to walk upon. This is called a 'plantar plate tear'. It is a reasonably frequent orthopedic injury of the feet.
Usually, it is painful plantar to and just in front of the metatarsal joints to walk on and when the area is touched firmly. When weight bearing the toe of the affected metatarsophalangeal joint is sometimes a bit raised. There are some targeted examinations or moves that podiatrists is able to do on the toe to examine the condition, function and strength of the plantar plate and also to identify precisely how bad the tear is. The explanation for a plantar plate tear is not generally very clear, but there are a variety of risk elements that do increase the possibility of having it, but generally it is on account of too much use with excessive flexing of the joint. A weird discomfort that some due to this disorder describe can be a feelings of their sock bunched up below the toes, but when they check it is not.
The best way to treat a plantar plate tear is to get the diagnosis accurate. It is obvious clinically. An ultrasound test can be used to ascertain the level of the tear and ensure the diagnosis. The typical primary therapy strategy is to apply taping for a plantar plate tear that's meant to hold the joint in a downward pose to reduce the level of dorsiflexion of the joint when walking. A metatarsal pad that could be placed just posterior to the sore joint can certainly be necessary to help relieve the strain. A stiffer or more rigid soled footwear or shoes having a rocker can also be used to help control the stresses on the joint. Should this is done correctly, this plantar plate tear will typically heal up eventually. If this approach won't improve it then an operative fix with the tear could possibly be an option.