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Hello,
I am in 3rd year podiatry school HELB Ilya Prigogine in Brussels, Belgium.
I currently writing a TFE (work year-end) on the treatment of turf toe syndrome (sprain of the first metatarsophalangeal joint).
This condition occurs most often in the United States, according to my research on many documents , but in Europe, I can hardly find athletes who have this syndrome. In Europe, artificial pitches are still few.

Would it be possible to help me in developing my file I transmitting clinical cases encountered in your patients.

In addition, my TFE always, I look different opinion podiatrist on developing a treatment for the syndrome of turf toe (sprain of the first metatarsophalangeal joint).

I understand that my application may surprise you, but seeing the approach of the date of delivery of this work in May 2013, I would contact you.

Thank you kindly help me in my research and spend a little of your time.

Franck

 

Hi Franck,

I have a few articles, what are you are after treatment, symptoms???

I am away at present back on my PC next week, let me know what you what to know.

Thanks,

Nick

 

Hi Frank,

The treatment depends on whether it is a first, second, or third degree sprain of the ligaments.

For third degree sprains (a complete tear), immobilization or surgery is indicated.

For second degree sprains (a partial tear) immobilization is indicated. Rocker platform shoes (or modified foot gear to include a rocker) will act to immobilize the foot.

For first degree sprains (a stretch), ice and rest is indicated, along with exercises to maintain strength and flexibility. Orthoses to let the first metatarsal drop will help prevent recurrences. Rocker platform shoes are helpful in the initial phase.
You may want to do some fascial work either by rubbing the plantar fascia from the insertion in the first interspace proximally for about 3cm. Additionally, Spleen 4 and Pericardium 6 on the opposite wrist should be stimulated. If you don't use acupuncture needles, then 1st rub distally on SP 4 and then proximally on PC 6 (if it is a male, reverse order for a female) to stimulate the Ruffini corpuscles which cause relaxation.

Remember that if you are dealing with a second or third degree sprain, you also have components of a first degree sprain that needs treatment.

Regards,
Stanley

 

You may also look into orthotic additions such as Morton extension to help reduce force applied to 1st mpj and also carbon foot plates or simply increasing the rigidity of the sole for lower grade chronic sprains. But rocker bottoms (met bars or full sole rocker) have worked best in our clinic. Hope this helps!

-Jeff