The plantar plate is a location under the ball of the foot on the bottom of the joint capsule that surrounds the metatarsophalangeal joints of the lessor toes. It is a strong ligament system that gives firmness for the joint and acts as a connection region of various other ligaments which encircle the joint. In some cases this powerful ligament can get used too much, which typically gets known as plantar plate dysfunction. Sometimes this might develop to a minor rupture in the plantar plate and will come to be really uncomfortable to walk upon. This is called a 'plantar plate tear'. It's a reasonably prevalent musculoskeletal injury of the feet.
Commonly, it can be painful under and just distal to the metatarsal joints to walk on and when the spot is touched firmly. When standing the toe of the affected joint is generally somewhat raised. There are a few precise assessments or motions that doctors are able to do on the toe to examine the condition, biomechanics and strength of the plantar plate and also to decide exactly how bad the tear can be. The reason behind a plantar plate tear is not generally very clear, but there are a variety of risk factors that do increase the odds of getting it, but mostly it is because of too much use with too much dorsiflexion of the joint. A weird experience that some due to this ailment express is a feelings of their sock bunched up under the toes, however when they look at it's just not.
The ideal way to address a plantar plate tear is to get the diagnosis right. There isn't any doubt clinically. An ultrasound test can be used to decide the magnitude of your split and confirm the diagnosis. The typical primary treatment strategy is by using tape for a plantar plate tear that is made to hold the joint in a plantarflexed position to reduce the degree of flexing of the joint when walking. A forefoot pad that's positioned just posterior to the sore location may also be necessary to help relieve the strain. A stiffer or less flexible soled footwear or shoes that has a rocker could also be used to help reduce the stresses on the plantar plate. When this is performed correctly, this plantar plate tear should usually heal up eventually. In the event it is not going to help then a surgical fix with the tear is needed.