Posted on May 28, 2021
How to manage a plantar plate tear?
Metatarsalgia is a widely used term that does not mean much. The metatarsals are the long bones behind the toes in the foot and the suffix -algia signifies pain, so metatarsalgia simply means pain in the metatarsals area. That is certainly somewhat useless as a diagnosis on the grounds that the pain could be due to, practically, 100’s of various things. To make use of the phrase metatarsalgia is like using the phrase ‘sore knee’. This isn't a diagnosis and is just a non-specific word for pain in the ball of the foot. This is important as having the diagnosis correct is very important and the initial step to get the treatment right. There's no treatment for metatarsalgia. There is treatment for the various conditions which cause pain about the metatarsals.
Probably the most frequent cause of symptoms in this region is a ailment termed as a plantar plate tear. The plantar plate is a strong ligament under the joints in the ball of the feet that give stableness to the joint and guard it. When there is too much a level of exercise and the toes get retracted or dorsiflexed too much, then that ligament will get stretched causing is what is known as plantar plate dysfunction. If that strain remains then a small tear could happen in the ligament. Another cause for pain is this area could be what is called sesamoiditis which is some soreness of the tissue around the small sesamoid bones at the base of the big toe. This is usually because of too much weight on those sesamoid bones, causing the inflammation. Just from these two examples it should be obvious that they're two totally different problems that gets lumped under that worthless phrase, metatarsalgia. The therapy of these two problems are completely different, therefore it ought to be obvious why that term should really not be made use of.