The plantar plate is a region under the ball in the foot on the bottom of the joint capsule that surrounds the joints of the lessor toes. The plantar plate is a robust ligament system that gives stability for the joint and is an attachment section of additional ligaments that surrounds these joints. At times that thickened ligament might get overused, which generally gets labelled plantar plate dysfunction. From time to time this may well develop to a small rupture within the plantar plate and might turn out to be rather distressing simply to walk upon. This is known as a 'plantar plate tear'. It's a relatively common musculoskeletal injury of the feet.
Usually, it is painful plantar to and in front of the metatarsal joints to walk on and also when the spot is touched firmly. When weight bearing the toe of the affected joint is usually somewhat elevated. There are several particular tests or motions that podiatrists are able to do on the toe to test the integrity, biomechanics and strength of the plantar plate and also to identify precisely how extensive the tear can be. The main cause of a plantar plate tear isn't often really clear, however there are a variety of risk factors which do raise the odds of getting it, but mainly it is on account of too much use with too much dorsiflexion of the joint. A bizarre discomfort that quite a few due to this ailment describe is a feeling of their sock bunched up underneath the toes, but when they check it's just not.
The right way to deal with a plantar plate tear is to get the diagnosis accurate. It is obvious clinically. An ultrasound assessment could be used to ascertain the level of the split and ensure the diagnosis. The typical initial treatment approach is to apply taping for a plantar plate tear that's meant to hold the toe in a downward pose to restrict the level of dorsiflexion of the joint when walking. A metatarsal dome that's placed just posterior to the uncomfortable location will also be helpful to help reduce the strain. A firmer or less flexible soled shoes or shoes having a rocker can also be used to help limit the forces on the joint. When this is done properly, this plantar plate tear will generally heal up after a while. If this approach won't help then a surgical procedure with the tear can be advised.