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Unlocking the Essentials of Turf Toe Causes, Symptoms, Diagnosis, Treatment, and Prevention

by Princeton Orthopaedic Associates

Unlocking the Essentials of Turf Toe Causes, Symptoms, Diagnosis, Treatment, and Prevention

by Princeton Orthopaedic Associates


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.


Why you can trust us:

  • We believe in the power of specialization. What that means is that we have multiple orthopaedic ankle and foot specialists who treat foot and ankle orthopaedic injuries daily.
  • We have Ankle and Foot Physical Therapy- our orthopaedic ankle and foot team sees it every week, so you can trust the care you'll receive at POA.   

Want to know more? Visit our website.


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

  • Rest and Ice Therapy: Resting the foot and applying ice to alleviate inflammation.
  • Compression and Elevation: Using compression bandages for swelling and elevating the foot.
  • Pain Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) provide pain relief.
  • Footwear and Orthotic Inserts: Wearing stiff-soled shoes with orthotic inserts reduces strain.
  • Surgery (in severe cases): Surgical intervention may be considered for significant injuries.

Preventing Turf Toe

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

  • Regular Stretching Incorporating pre-exercise stretches.
  • Building Foot Strength Strengthening foot muscles to enhance resilience.

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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
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