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A Princeton Orthopaedic Associates doctor examining a patients foot. Image shows lower half of Dr in white doctor's coat holding a bare foot of a patient wearing white pants sitting on an exam table. Leg visible from the knee down.

What is Turf Toe?

Turf toe, a prevalent injury plaguing athletes engaged in dynamic sports like football, soccer, and basketball, arises from the hyperextension of ligaments around the big toe joint, particularly on unforgiving surfaces such as artificial turf or hard grounds. This comprehensive guide navigates through the intricacies of turf toe, elucidating its causes, symptoms, diagnosis, treatment options, and preventive measures. As we unravel the nuances of this common athletic ailment, athletes and sports enthusiasts will gain valuable insights into understanding, managing, and, importantly, preventing turf toe for an uninterrupted and active sporting lifestyle. We will guide you through the intricacies of turf toe, covering its causes, symptoms, diagnosis, treatment options, and preventive measures.


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Meet our Podiatrists 

Understanding Turf Toe

Patient sitting on exam table on the left with Dr. Levine, Foot & Ankle Specialist at Princeton Orthopaedic Associates examines a patient's foot.

What is Turf Toe?

Turf toe transpires when the big toe joint undergoes forceful hyperextension, causing ligaments to stretch or tear. 

  • Athletes engaging in sports featuring sudden movements, stops, and turns are especially prone to this injury, impacting the plantar plate beneath the big toe.
  • Symptoms include pain, swelling, bruising, and instability at the base of the big toe, making walking and bending challenging.

Causes of Turf Toe

Understanding what causes turf toe is crucial for athletes. 

  • It results from intense, abrupt motions, such as forceful upward heel movement beyond designed limits during activities like quick turns, stops, and running. 
  • The toes and ankles endure immense pressure, leading to overstretching or tearing of the plantar plate.

Symptoms of Turf Toe

Recognizing turf toe symptoms aids in timely intervention. Common signs encompass:

  • Pain on hard surfaces 
  • Swelling
  • Bruising 
  • Instability at the big toe's base
  • Decreased toe movement
  • Difficulty bearing weight on the affected foot.

Diagnosis of Turf Toe

Accurate diagnosis ensures effective treatment. Our physicians conduct a detailed consultation, which may include the following: 

  • A physical examination
  • Order imaging tests, including X-rays or MRIs, to assess the injury's severity
  • A personalized and comprehensive treatment plan for your condition and goals
A patient sits on the left and Dr. Hasan, podiatrist at POA, examines his foot on the right side of the image.

Meet Our Specialists

This blog post is meant to be informative and should not act as a self-diagnosis tool. If you’d like to see one of our doctors, please contact us here.

Turf Toe Treatment

Effective turf toe treatment involves a multi-faceted approach

Preventing Turf Toe

While prevention can be challenging, athletes can minimize risks by:


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Are you suffering from turf toe??

Please contact us! We'd love to help.

If you have foot pain or turf toe issues, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


In Conclusion

Turf toe, a common injury with roots in forceful athletic movements, demands prompt attention. Employing rest, ice therapy, compression, and elevation can mitigate symptoms. Additionally, wearing appropriate footwear and engaging in muscle-strengthening activities are crucial for prevention. If you suspect turf toe, consult with the experts at Princeton Orthopaedic Associates for precise diagnosis and tailored treatment plans. Discover relief and regain your active lifestyle with our dedicated team.

Learn more about foot and ankle issues:

→ Our Foot & Ankle Team

→ Our Podiatrists

“We are active members in the community, so it is not uncommon for us to see our patients at the grocery store, at school meetings, or in the gym. We take pride in serving them, because when we do, we know we’re doing our part to take care of our community.”
- Dr. Jon Ark

Meet Our New Specialist: Dr. Levi - Your Expert in Foot and Ankle Care

We are thrilled to introduce the latest addition to our team of podiatrists, Dr. Levi, a highly skilled specialist in foot and ankle care. Dr. Levi brings a wealth of knowledge, experience, and a strong commitment to patient well-being, making her an invaluable asset to our practice. Whether you're experiencing foot and ankle issues or seeking expert guidance, Dr. Levi is here to provide you with exceptional care.

Dr. Levi | Princeton Orthopaedic Associates

Educational Excellence

Dr. Levi's journey to becoming a renowned podiatric physician began with her undergraduate education at Rutgers University. Her thirst for knowledge and dedication to healthcare led her to Temple University School of Podiatric Medicine, where she earned her Doctor of Podiatric Medicine degree in 2019.

Residency and Surgical Expertise

To further hone her skills and expertise, Dr. Levi completed an intensive four-year surgical residency program in foot and ankle surgery at Temple University Hospital, a level-1 trauma center known for its commitment to excellence. Her dedication and exceptional performance during her residency were recognized as she was voted chief resident by her peers.

Exceptional Opportunities

During her residency training, Dr. Levi had the privilege of serving as part of Temple's Limb Salvage team, where she played a vital role in preserving patients' limbs and improving their quality of life. She also had the honor of rotating through the prestigious Rubin Institute of Advanced Orthopedics in Baltimore, MD, gaining exposure to a wide variety of rare foot and ankle pathologies.

Passion for Education and Community

In addition to her clinical work, Dr. Levi obtained an associate professorship at Temple University School of Podiatric Medicine. This role allowed her to give back to student and resident education, reflecting her belief that community engagement and education are at the core of being a physician.

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Your Path to Better Foot and Ankle Health

Dr. Levi is dedicated to providing compassionate care and innovative solutions to address your foot and ankle concerns. Whether you're dealing with common podiatric issues, complex pathologies, or simply seeking guidance on maintaining optimal foot and ankle health, Dr. Levi's expertise is at your service.

You can learn more about Dr. Levi here. Don't hesitate to contact our office today to schedule your appointment with Dr. Levi. We look forward to helping you achieve better foot and ankle health.

Welcoming Dr. Horling: Your Expert in Podiatric Medicine

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We are delighted to introduce Dr. Horling, a highly skilled specialist in podiatric medicine. Dr. Horling joined our team earlier this year. Her impressive background and two decades of experience make her an invaluable asset to our practice. Whether you need foot care, treatment for sports injuries, or wound care, Dr. Horling is here to provide you with exceptional care.

Educational Excellence

Dr. Horling's journey to becoming a renowned podiatric physician began with her undergraduate education at Ursinus College, where she earned a Bachelor of Science Degree in Biology. Her passion for healthcare and dedication to improving patients' lives led her to the Temple University School of Podiatric Medicine, where she obtained her Doctor of Podiatric Medicine Degree in 2000.

Residency Training

To further enhance her skills and expertise, Dr. Horling completed a rigorous three-year residency program at Frankford Hospital (now Jefferson Health) in Philadelphia, PA. This comprehensive program focused on medicine for the first year and then two years of intensive foot and ankle surgery training. Her dedication and commitment to excellence set her on a path to becoming double board certified.

Board Certifications

Dr. Horling's commitment to the highest standards of care is demonstrated through her double board certifications. She is certified in Foot Surgery by the American Board of Foot and Ankle Surgery and in Podiatric Primary Care by the American Board of Multiple Specialties in Podiatry. These certifications reflect her dedication to providing comprehensive podiatric services.

Active Engagement in Podiatric Community

Dr. Horling is an active member of the American Podiatric Medical Society and the New Jersey Podiatric Medical Society. She currently serves on the Board of the NJPMS as the secretary for the Capital Division, further highlighting her commitment to advancing the field of podiatry.

Experience You Can Trust

With over 20 years of practice, Dr. Horling has a wealth of experience treating patients with various conditions, including podiatric medicine, sports injuries, and wound care. Her expertise was further showcased during her tenure as a panelist at the RWJ Wound Care Center in Hamilton for an impressive ten years.

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Your Path to Better Foot Health

If you're seeking compassionate care and advanced solutions for your foot and ankle needs, Dr. Horling is here to provide you with exceptional treatment. Don't hesitate to contact our office today to schedule your appointment with Dr. Horling. You can see Dr. Horling's bio here. We look forward to helping you achieve better foot health and overall well-being.

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