What is a plantar plate injury?

The plantar plate is a tough fibrocartilaginous structure which attaches the proximal phalanx of your toes to the metatarsal head. The role of this structure is to prevent over extension of digits and stop them from drifting out of alignment. 

The plantar plate also acts as an attachment site for the plantar fascia. When the foot is loaded, the medial longitudinal lengthens, the plantar fascia tightens, and this engages the plantar plate to plantarflex the proximal phalanx to reach the round - this is known as the reverse windlass mechanism.

An injury occurs when this connective tissue becomes overstretched or damaged.

Causes of injury

• Improper or tight footwear such as narrow shoes or high heels can injure the plantar plate.
  

• High impact activities such as running, dancing, hopping or sports such as squash and badminton. 

Symptoms of plantar plate injury 

• Aching pain on dorsal and plantar aspects of the metatarsophalangeal joints - in the ball of the foot

• Mild oedema in the forefoot 

• Pain aggravated by weightbearing activities - especially high impact activities

• Pain is relieved by rest

• ‘Floating toe ‘ or ‘Churchill Sign’ may be present in later stages

• Pain on palpation usually just distal to metatarsophalangeal joints

• Dorsiflexion of digits aggravates pain - eg wearing high heel, weightbearing on when crouched down.
  

Diagnosing and Treating a plantar plate injury

Here at South Dublin Podiatry we are experienced in carrying out the relevant clinical tests during your Biomechanical Assessment in order to diagnose a plantar plate injury. From there, we will come up with a tailored action plan to get you back to the activities you enjoy. 

We may recommend some of the following treatments

• A change to more suitable footwear such as a rocker bottom shoe.

• Rehabilitation and home exercises to improve stability, function and flexibility.

• Temporary padding and strapping will support the joints while you work through rehabilitation exercises.
  

• An orthotic may be required to improve foot function during gait and ensure the metatarsophalangeal joints are not overloaded. 

Next steps?

If you think you are struggling with a plantar plate injury or similar foot pain, do not hesitate to get in contact and we can book you in for an assessment.

If You Are Suffering With Foot Pain Call Us Now On:

📞01-9012009

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