A plantar plate tear is a somewhat prevalent problem that produces pain plantar to the ball of the foot. It is considered the final stage of a tension on the ligament underneath the joint that progresses to a tear if there is no treatment used. The reason for this condition is merely overuse. If that ligament under the joint get used an excessive amount with high exercise levels, it may at first become painful after which progress to a tear. The signs and symptoms are commonly beneath and in front of the metatarsal head beneath the ball of the foot. They are worsened with larger levels of activity.
A sensible way to deal with a plantar plate tear is to use strapping to hold the toe in a plantarflexed placement hence the load is taken off the ligament and it is given a chance to recover. It might be a bit frustrating to keep taping the foot daily which could take months to fully heal. Because of this, there are a variety of unique types of splints that can be used. They are usually not really as good as the taping, however they could be more than effective if taping is needed in the early stages. This will likely need to be kept up for a few months to obtain a good result. Insoles in the shoes with metatarsal pads can also be used to help secure the toe plantarflexed. If standing is very painful, then pads on the orthotics enable you to maintain weight of the painful area and at least that will make it bearable while healing takes place. Generally this helps. Sometimes some anti-inflammatory medicines and also the use of ice may be needed if it gets too painful may be required. If this approach does not work, then surgical interventions need to be considered to take care of the tear, but most instances of a plantar plate tear do heal on their own.