The plantar plate is a ligament within the joints at the base of the toes in the feet. A plantar plate tear happens when there's a tiny tear of this ligament. In the past this condition may have been known as metatarsalgia, however that is a pretty generic term for almost any pain within the feet linked to the metatarsals. When more become understood in relation to the anatomy with the region and the role of the structure in various painful disorders the phrases plantar plate dysfunction and plantar pate tear become better understood to clarify this disorder. The condition ordinarily starts off with an ache under the metatarsal head in the foot which comes on gradually. Later on it can also be really painful to the touch. In some instances, the toe may possibly become raised because the tear means that the ligament has difficulties holding the toe plantarflexed that is one of the functions of this ligament. An ultrasound assessment can be used to check the diagnosis.
The reason behind this condition is just not obvious but it is related to overuse and overstretching of the ligament. Several foot types also seem to get this more frequently. The typical initial treatment for a plantar plate tear is often taping to hold the toe lower to minimize the stress on the ligament which has the tear. A metatarsal pad is often used as well or rather than the taping to further minimize force on that plantar plate. Occasionally cushioning to offload the sore region can provide lots of comfort. In addition, a stiff soled shoe are often used to even more stop the toe from dorsiflexing can certainly be added to the above mentioned. Typically, this treatment has to be utilized for at least several months to find out if it will help. Commonly, this is beneficial in the majority of cases. However, if this does not help, then surgical alternatives should be considered to fix the rupture.