Turf toe refers to a sprain of the the ligaments of the big toe.  It is called turf toe, because as the use of artificial turf for sporting fields has increased, there has been an increase in injuries to the metatarsophalangeal joint.  This is in part because of the lack of ‘give’ of the turf, and subsequent increase in forces transmitted through the joint and ligaments. The primary structure injured is the plantar ligaments (ligaments on bottom side of joint) as the toe is forced into hyperextension.  This can be a nagging injury if not treated appropriately, as even the repetitive stress from walking can further damage the ligaments and slow the healing process. 

There are three types of sprains: grade I overstretching with possible micro tears, grade II partial ligament tear, and grade III complete ligament tear.  Depending on the injury, immobilization may be necessary for a short period of time to allow the tissues to heal, then a progressive return to sport program can be implemented to ensure our athletes are able to play again symptom free. Our early phases of rehab focus on reducing swelling and pain, while improving range of motion and strength.  We then progress to more dynamic exercises to make sure the joint/ligaments are able to tolerate the stresses of running, cutting, and jumping. 

 Associated Symptoms:

• Pain
• Swelling
• Reduced range of motion
• Pain with walking
• Inability to generate adequate forces during push-off for running