Turf toe is an injury to the ligament at the base of the big toe. It is a painful condition which usually results from jamming of the toe into the ground or excessive backward bending of the toe. As it is more common in athletes playing on artificial turf, especially those involved in field sports such as football, baseball and soccer, it is known as turf toe.
Turf toe is usually caused by a sprain of the ligaments surrounding the big toe joint that aid in the movement of the big toe. Walking, running, jumping, dancing or any sudden movement involving a hyperextension of the big toe may cause a sprain of the surrounding ligaments and an injury to the joint capsule. This may also result in dislocation of the big toe. Another important cause of turf toe includes improper footwear which may lead to jamming or hyperextension of the big toe due to lack of friction between the foot and the surface. A stiff shoe with limited forefoot flexibility is recommended to reduce the incidence of injury.
The predominant symptom of turf toe is pain at the base of the big toe which is sudden in onset. The pain may also be associated with swelling and limitation of movement of the big toe. The joint may be predisposed to arthritis due to limitation of movement as a result of pain. A direct injury to the bone may result in sudden pain which exaggerates within 24 hours. If left untreated, it can result in a chronic injury.
Turf toe is a soft tissue injury diagnosed by the evaluation of presenting symptoms, history of the injury and physical examination of the injured toe joint. In some cases X-rays or CT scan may also be used to rule out any other internal pathology.
The immediate treatment of turf toe is aimed at reduction of the swelling and inflammation of the affected joint. The RICE therapy (rest, ice, compression, elevation) can be used for the management of pain, swelling and inflammation. In addition to this, anti-inflammatory medications may also be given to relieve the symptoms. The joint may be immobilized by strapping to prevent further injury to the joint.
Surgical treatment is rarely recommended for turf toe. However, it may be considered in cases of any bone spur formation, to remove the extra growth.
Once the pain has been treated, a recurrence can be prevented by following a few simple measures which include:
- Wear shoes specifically designed for the particular sporting activity
- Follow physical therapy for improvement of gait and strength.
- Perform warm up exercises before any physical activity.
To request an appointment, please enter the information on the form on the right and press the “Continue” button to start the appointment request process.
Houston Foot and Ankle Specialists
Physicians at Advanced Orthopedics and Sports medicine are trained in the treatment of most foot and ankle problems. They are trained in the treatment of complex foot problems, forefoot deformities (bunions, hammer toes, etc.), ankle injuries, fractures/dislocations, major and minor foot/ankle reconstructions, ankle replacements, minimally invasive surgery, arthroscopy, and non-operative management of foot and ankle problems, including treating the special populations, including diabetics and rheumatoid arthritis. In addition to common surgical options, advanced techniques include ankle arthroscopy, subtalar arthroscopy, deformity correction with internal or external fixation (Ilizarov/ring fixation) and ankle replacement.
Drs Elbaz and Brooks now perform Platelet-Rich Plasma (PRP) injections for the treatment of plantar fasciitis, shin splints, peroneal tendonitis, Achilles tendonitis or partial tears. PRP stimulates a more rapid healing of tendon, ligament, muscle and bone.
Contact us today to Schedule an Appointment or call us at 281-955-2650 to learn more about our Foot and Ankle Treatment options.
1Professional Building II At North Cypress Medical Center
2North Cypress Professional Building At Lakewood Crossing
3North Cypress Professional Building At Towne Lake
4Advanced Orthopaedics Memorial
What Our Patients Are Saying
Overall excellent experience with Dr Cubbage and his outstanding staff. I flew in overseas for a 2nd opinion and was accommodated by his office. My situation was not good and had lower lumbar surgery (METRx discectomy) for a herniated disc. I walked out after surgery and I am on my way to a quick recovery. I have a very small incision and was very well looked after. Thank you Dr Cubbage! Arrived in Houston in a wheelchair and will fly back overseas 10 days after surgery on my own 2 feet
Awesome! Highly recommend Dr.Matthew Cubbage . He is the best of the best Orthopedic Surgeon with special healing hands any patient will experience. He is highly knowledgeable, caring and confident since everything that he explained to me that would happen and what to expect is very accurate. Dr. Matthew Cubbage care and people skills are clearly seen and felt also by his team he selected-Tim and Karen. Courteous and promptly responds on you calls before and throughout your recovery. Reborn.
Each procedure done by Dr. Patel has been an improvement. Very pleased.
Dr. Patel has been a great Doctor for me. When I was referred to after discussion we decided to do injections in my back. The first two did not work so did two more in a different section of my back. These injections worked great. I’m now able to sleep at night and the numbness in my foot is almost gone. The tingling in my foot & leg is gone and I am very happy about that. I am extremely happy that Dr. Patel is my Doctor. She has been a good listener when I tell her where I hurt and talks to me about what she feels should be done. The final decision is always mine.
On Nov. 22, 2017, I had a spinal injection in my lower back and it was an instant miracle in my life! For the first time in 4 intolerable months of pain, I was finally pain free, and I am now getting a second chance to live again! I am so grateful to Dr. Patel for my new life, and to God for guiding me to her! Thank you so very much Dr. Patel – you are God’s gift to me, thank you for being so awesome at what you do.
Dr. Patel is one of the best Doctors I have ever had. She is pretty good at her job. She makes it plain and simple. She is also very thoughtful. I was very glad to have met her. In other words she is pretty good.
The surgery done by Dr. S. Patel (Actually injections) & the mild medications she has prescribed has surely made my lower back -hip-leg less painful. I have complete confidence in her medical judgement & advice. She will administer second injection in June.
Dr. Patel is a very good Pain Management Doctor. She is one of my favorite doctors.
Dr. Patel has been great at my pain relief. She doesn’t force me to take any meds I don’t want, or injections. She will give me the injection I want when I need it. Great friendly Doctor.
Thank you for the opportunity to express how pleased I am with the excellent care of Stacy A. Bacon, M.D. I have confidence in her ability to care for me as she successfully partially replaced a broken hip 10 years ago, 2007. I also want to compliment Cheryl who set up the appointment. She represents Advanced Orthopaedics & Sports Medicine very well.