How long does it take to recover from a plantar plate tear?
Restoring the plantar plate can take time, with the majority of patients pain-free within 3-4 months. The initial symptoms do improve faster, allowing most people to return to regular activity within one month.
How serious is a plantar plate tear?
A plantar plate tear is very serious. If left untreated the metatarsal phalangeal joint can become completely dislocated and with time progress to DJD or degenerative joint disease.
What shoes are best for plantar plate tear?
Use a sandal or slipper with an arch support to wear around the house. This will act to decrease pressure on the ball of your foot and can help with plantar plate injuries. We usually recommend the Vionic Sandals and Slippers to our patients .
What does a torn plantar plate feel like?
Symptoms of a plantar plate tear can include: A dull ache or sharp pain in the ball of the foot. The feeling that there is not enough cushion between the foot bone and the ground. Possible swelling and/or redness on the foot near the toe. Pain worsening when flexing the toe upwards.
How successful is plantar plate surgery?
On the physical exam, the patients had alleviation of pain and restoration of stability to the second MPJ. Flint and colleagues recently published a dorsal approach outcomes study. This is a prospective case series of 138 plantar plate repairs in 97 patients. Eighty percent of patients had good to excellent results.
What causes 2nd and 3rd toes to separate?
If two of your toes resemble more of a ‘V’ shape between them instead of being immediately next to one another, this is for you. A plantar plate tear is the most common cause for this kind of toe separation – and some people may not realise that it had even occurred until they see this sign.
When can I walk after plantar plate surgery?
By 4-6 weeks you can begin wearing wide or open shoes and should be comfortable walking around your house. By 3 months you should be back to most activities and wearing your normal shoes. Swelling can take up to 6 months to resolve.
How does a plantar plate tear heal?
Treating Plantar Plate Tears An acute injury tear might be treated by taping the foot or casting might be necessary. A chronic injury is often treated using arch supports, modifying footwear for more support and more toe room, or custom foot orthotics. Toe splints, pads, and taping can help realign the toes as well.
What happens during a plantar plate tear surgery?
What happens during the surgery? During a plantar plate tear surgery, the surgeon must sew together the tear of the plantar plate with strong thread or in some cases transfer your flexor tendon to pull the toe downwards.
How to prevent a blood clot after a plantar plate repair?
PLANTAR PLATE REPAIR. You can help prevent a blood clot by keeping your knee and ankle and toes moving. Keeping yourself hydrated is also helpful to prevent a DVT. Finally elevating your leg to the level of your heart will minimise the amount of swelling you have which will also help to prevent a DVT.
What causes pain and swelling in the plantar plate?
The plantar plate is susceptible to injury due to repetitive overload and typically results in pain and swelling of the affected MTP joint. injuries are graded from 0-4. Injury of the plantar plate causes instability of the MTP joint.
Can a plantar plate sprain cause the second toe to deviate?
Typically the second toe will deviate towards the big toe in severe cases of Plantar Plate Sprains. This is also called Pre-Dislocation Syndrome. A common but ineffective taping procedure tapes the second toe to the third and is called “Buddy Taping”. This is not recommended as it pulls the third toe towards the second.