A sprain of the big toe joint is commonly called Turf Toe.
It is a hyperextension injury of the 1st Metatarsal phalangeal joint capsule and ligaments that connect the foot to the great toe.
Ball of Foot
Turf toe can occur in any sport or activity when the forefoot is fixed on the ground, the heel is raised, and a force pushes the big toe into hyperextension.
The big toe is made up of two joints. The largest of the two is the metatarsophalangeal joint (MTP), where the first long bone of the foot (metatarsal) meets the first bone of the toe (phalanx). In turf toe, this MTP joint is injured.
In the big toe and the ball of foot, there may be pain, tenderness, swelling, bruising, inability to push off on big toe, and reduced range of motion.
Using a functional custom orthotic, full length with Morton’s extension, as total contact is best for pressure relief.
Stiff soled shoe will limit range of motion of big toe and rocker bottom relieves pressure.
Orthotics with proper arch support will off-load the 1st metatarsal pressure of the big toe.