21/02/2023
What is a Plantar Plate Tear
The plantar plate is a thick ligamentous structure that is located on the bottom of the foot, near the ball of the foot. It is responsible for stabilizing the metatarsophalangeal (MTP) joint, which is the joint between the bones of the toes and the long bones of the foot. A plantar plate tear occurs when the ligament becomes damaged, usually due to repetitive stress or trauma to the foot.
Plantar plate tears can cause pain and inflammation in the ball of the foot, especially when walking or standing. Other common symptoms include swelling, redness, and stiffness in the affected area. In some cases, the toe may also begin to drift upward, which can cause further discomfort and affect the foot's overall structure and function.
Plantar plate tears are typically diagnosed through a physical examination and imaging tests, such as an Ultrasound or MRI. Treatment options may include rest, ice, and elevation to reduce pain and inflammation, as well as physical therapy to improve strength and flexibility. In more severe cases, surgery may be required to repair the damaged ligament.
How do you treat a Plantar Plate Tear
1. In the early stages of a plantar plate tear, your podiatrist may recommend RICE therapy to reduce pain and swelling. This may involve resting the foot, applying ice to the affected area, wrapping the foot with a compression bandage, and elevating the foot to reduce swelling.
2. Footwear Modifications: Your podiatrist may recommend wearing shoes with a lower heel, a wider toe box and a stiff forefoot or a rocker sole as this can help reduce pressure on the plantar plate and alleviate symptoms.
3. Orthotics: Custom orthotics can help redistribute pressure on the foot, taking the load off the plantar plate.
4. Stretching and strengthening exercises may be prescribed to improve flexibility and strength of the foot muscles.
5. Medications: Pain relievers and anti-inflammatory medications may help manage pain and reduce inflammation.
6. Injection Therapy: Corticosteroid injections may be used to reduce inflammation and alleviate pain.
7. Surgery: In more severe cases, surgery may be recommended to repair the torn plantar plate.
It's important to note that the appropriate treatment approach will depend on the specific circumstances of the patient and the severity of the injury. Your podiatrist will work with you to develop an individualised treatment plan that takes into account your specific needs and goals.
Our podiatrists are available at multiple locations follow the link below to arrange an appointment with one of our podiatrists
https://bookings.nookal.com/bookings/location/ZFJMD?_ga=1.1.1770753981.1640316946