The best way to treat this initially is to tape or strap the toe in a plantarflexed position. No fiberglass cast is necessary for the plantar plate surgery. The plantar plate contains cartilage, which means that it has a very hard time healing on its own. This prevents them from being overstretched and damaged further. Read more about plantar plate repair in the Podiatry Today article: " Expert Insights On Treating Plantar Plate Tears" written by UFAI's Dr. Baravarian. This depends on which foot was operated on. A ligament attaches a bone to a bone, and the Plantar Plate is a strong ligament that spans across the forefoot connecting to the joint capsule of each metatarsal head. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". The plantar plate complex is essential for foot mechanics. At the Foot and Ankle Center of Washington we strongly believe that plantar plate tears can be managed with conservative treatment options and surgery for a plantar plate tear should always be the last resort. A type of custom made orthotic, called a total contact foot orthotic will tightly hug your foot and evenly distribute your weight over the surface of your foot when you walk or stand. This means you may not be able to drive for at least 4-6 weeks after surgery. Download free guide to the shoes recommended by our doctors with newsletter subscription. It is probably best to see the doctor when: Which foot cream for dry and cracked skin? To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. J Foot Ankle Surg. You will most likely not need physical therapy after your plantar plate surgery, however if your surgeon feels that you may benefit from physical therapy they may refer you to a physical therapist for a short period of time. If you have a seated, office type job where you do not put weight on your foot and you can elevate your foot all day, you may be able to return as soon as 1 week after surgery. Guidance from the clinician on footwear is vital as a stiff, low-profile shoe can reduce the amount of extension of the toes through the gait cycle. Sometimes that thickened ligament can get strained, which typically gets called plantar . Swelling of the entire MTPJ with a deviation of the toes and potential subluxation of the joint. Cheers, Kevin. How to tape a plantar plate tear Maybe because it's been . [1] It comprises the plantar aspect of the first metatarsophalangeal joint (MTPJ). Once your condition improves, your surgeon will Too tight and your toes turn purple and it gets uncomfortable fast! The result is a significant increase in success rates. Although steroid injections can be helpful, they can weaken soft tissue structures, including the plantar plate. not dorsiflexed enough). Read our pre-operative advice page and bring any questions you might have to your doctor. Plantar plate damage also belongs under the blanket term of metatarsalgia because a tear in a plantar plate can produce symptoms identical to those caused by capsulitis, bursitis, synovitis, and Morton's neuroma.
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