• Chronic repetitive stress from the metatarsal head pounding on the plantar soft tissues causes the plantar soft tissue, also known as the plantar plate to weaken, become painful and eventually to tear causing dislocation of the toe.
  • Conservative treatment involves protecting the prominent structure and joint capsule with padding, cushions, orthotics, and low heal shoes. This treatment is not expected to correct the position of the toe if it is out of place, but can prevent continued stress and reduce chances of further damage or dislocation.
  • Cutting Edge Laser MLS Therapy: MLS Laser Therapy is a focused therapeutic treatment given 3 times per week for 4 weeks. The applied wavelengths of electromagnetic energy, stimulate blood flow to the area, stimulate healing of the cells within the tissue and has an analgesic effect.
  • Surgical treatment includes incision of the soft tissue above the joint, cutting and repair of the joint with a McGlammery spoon type elevator, and pinning of the toe in the correct position for a period of 4-6 weeks to allow the plantar plate to heal in a normal position.
  • Steroid injections into the area should be avoided as cortisone weakens the joint capsule and may hasten the dislocation of the joint.
  • Recommend diligent protection with cam boot, aperture innersoles, or any other appropriate off-loading device for several weeks to several months followed by Cutting Edge Laser Therapy to stimulate healing if it does not occur spontaneously.
  • Printed material dispensed to the patient.

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