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Toe Sprain


Presentation

  • Patients with medial ankle sprains will often present with swelling and discoloration on the medial aspect of the ankle and unwillingness to bear weight.[ncbi.nlm.nih.gov]
Pain
  • Pain levels will be aggravated by any toe movements making weight bearing and walking very painful.[clinic-hq.co.uk]
  • Pain and swelling for a grade 1 sprain are often mild and seldom debilitating. After initial management for pain and swelling of the grade 1 sprain, rehabilitation can often be started immediately.[ncbi.nlm.nih.gov]
  • Article Summary X If your toe hurts when you put pressure on it, and your pain is persistent, your toe may be broken.[wikihow.com]
Swelling
  • Compression, try and keep the elastic bandage on during the day to limit the swelling and ensure you take it off at night. Elevation, keep your foot raised on cushions or a stool to help limit the swelling.[clinic-hq.co.uk]
  • Pain and swelling for a grade 1 sprain are often mild and seldom debilitating. After initial management for pain and swelling of the grade 1 sprain, rehabilitation can often be started immediately.[ncbi.nlm.nih.gov]
  • If the pain, swelling, and discoloration persist for more than a couple of days, see your doctor to verify the break with an x-ray and get treatment. To get advice from our Medical reviewer on how to care for a broken toe, scroll down![wikihow.com]
Inflammation
  • The overstretching and tears cause high levels of inflammation to gather around the ligament and joint causing the huge levels of swelling you notice after the injury.[clinic-hq.co.uk]
  • As pain and inflammation decreases, machine weights, lunges, and sport specific exercises can be added.[ncbi.nlm.nih.gov]
Falling
  • Often, the injury occurs when someone or something falls on the back of the calf while that leg's knee and tips of the toes are touching the ground. The toe is hyperextended and thus the joint is injured.[en.wikipedia.org]
Fatigue
  • Having the patient perform toe raises to fatigue will show a deficit compared to the uninvolved limb. Inspection of the area may feel warm to the touch and pain, tenderness and crepitus may be felt with palpation.[ncbi.nlm.nih.gov]
Joint Deformity
  • In severe grade 3 cases there will possibly be visible joint deformity. Pain levels will be aggravated by any toe movements making weight bearing and walking very painful.[clinic-hq.co.uk]
Joint Swelling
  • This mechanism of injury may occur on natural or synthetic surfaces. 19 Athletes with turf toe will present with pain at the 1 st metatarsophalangeal joint.[ncbi.nlm.nih.gov]
Lordosis
  • Often planar fasciitis is a result of chronic running with poor technique, poor footwear, or because of lordosis, a condition in which the increased forward tilt of the pelvis produces an unfavorable angle of foot-strike when there is considerable force[ncbi.nlm.nih.gov]
Arthritis
  • If left untreated, turf toe can lead to permanent decrease in range of motion and osteoarthritis arthritis. 19 Rehabilitation concerns Patients suffering from turf toe respond best with rest and an adjustment made to their shoes.[ncbi.nlm.nih.gov]

Treatment

  • What treatment options are available for a sprained toe? Your GP will most likely prescribe anti-inflammatory medication to reduce any swellingand painkillers for pain relief.[clinic-hq.co.uk]
  • If the pain, swelling, and discoloration persist for more than a couple of days, see your doctor to verify the break with an x-ray and get treatment. To get advice from our Medical reviewer on how to care for a broken toe, scroll down![wikihow.com]
  • However, without proper treatment and patient compliance, plantar fasciitis can linger for months or even years. Initial treatment of plantar fasciitis starts with pain control.[ncbi.nlm.nih.gov]
  • You can help by adding to it. ( November 2017 ) Treatment [ edit ] The injury can be debilitating for athletes of many sports who need to accelerate, quickly change direction, or jump.[en.wikipedia.org]

Epidemiology

  • Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42 (2):311–9. [ PMC free article ] [ PubMed ] [ Google Scholar ] 2. Prentice WE.[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Pathophysiology

  • Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002; 37 (4):364–375. [ PMC free article ] [ PubMed ] [ Google Scholar ] 5. Bergfeld J, Cox J, Drez D, et al.[ncbi.nlm.nih.gov]

Prevention

  • Make sure the ice pack is covered to prevent any ice burn and for best results use the ice pack regularly for 10-15 minutes with intervals of 30 minutes.[clinic-hq.co.uk]
  • Without prevention of excessive extension of the great toe, symptoms of turf toe may disappear with rest just to return once the athlete returns to activity.[ncbi.nlm.nih.gov]

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