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(Metatarsalphalangeal Joint Sprain; Sprain Big Toe)
|Turf Toe Swelling|
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- Standing on the balls of your feet as another person falls onto you, causing your big toe to become hyperextend
- Stopping suddenly when running, causing your big toe to slide into the end of your shoe and bend up and backward as you go forward
Sports such as:
- Poor coordination
- Increased ankle dorsiflexion
- Wearing athletic shoes with flexible soles
- Playing sports on artificial turf
- Pain and tenderness in the ball of the foot and the big toe
- Swelling and bruising of the ball of the foot and the big toe
- Inability to bear weight on the ball of the injured foot
- Inability to push off on the big toe
- Reduced range of motion in the big toe
- Rest—Do not try to run or play sports until you can walk without pain. Do not return to your sport until you can run, jump, and push off from your injured foot without pain.
- Ice—Apply ice or a cold pack to your toe for 15 to 20 minutes. Do this 4 times a day for 2 to 3 days or until the pain goes away. Wrap the ice or cold pack in a towel. Do not apply ice directly to your skin.
- Compression—Wrap an elastic bandage around your big toe. It is important not to cut off blood circulation to your toe or any body part when using such wraps. Do not make them very tight. Put several wraps around the big toe and then include the rest of the forefoot within the bandage. This will limit swelling and support your toe.
- Elevation—Keep the injured foot raised above the level of your heart for 48 hours using a pillow. This will help drain fluid and reduce swelling.
- Wear a metatarsal pad to cushion the area under the toe as directed.
- Stiff-soled shoes or rigid orthotics—Wear stiff-soled shoes or rigid orthotic inserts in your shoes to keep your toe from hyperextending.
- A walking boot or cast may be needed for more severe injuries.
- A small piece of bone has been broken off by the injury to the ligament
- A ligament is torn completely
American Academy of Orthopaedic Surgeons http://orthoinfo.aaos.org
American Academy of Physical Medicine and Rehabilitation http://www.aapmr.org
British Columbia Podiatric Medical Association http://www.foothealth.ca
Achilles Foot Health Centre http://www.footdoc.ca
Chou LB. Disorders of the first metatarsophalangeal joint. Phys Sportsmed . 2000;28:32-45.
Churchill SR, Donley BG. Managing injuries of the great toe. Phys Sportsmed ; 1998.
Foot sprain. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated November 3, 2012. Accessed May 1, 2013.
Mullen JE, O'Malley MJ. Sprains—residual instability of subtalar, Lisfranc joints, and turf toe. Clinics in Sports Medicine . 2004;23(1):97-121.
Pommering TL. Ankle and foot injuries in pediatric and adult athletes. Prim Care . 2005;32(1):133-161.
Renstrom P. Sports Injuries: Basic Principles of Prevention and Care . Boston, MA: Blackwell Scientific Publications; 1993.
- Reviewer: Michael Woods, MD
- Review Date: 02/2014
- Update Date: 02/19/2014