- Ice Pack for 15 minutes 3 times per day on the bottom of the foot, and change the last icing to contrast bathing as the symptoms improve each evening.
- Avoid barefoot and active push off or going up onto the ball of the foot.
- Purchase Budin Splints, small longitudinal medial arch Hapads, and small metatarsal Hapads to experiment with immobilizing and off weighting the sore area.
- Mark the sore area with lipstick, transfer to the shoe padding, and try to accommodate the sore area. You can purchase 1/8th inch adhesive felt from Moore Medical to achieve this well.
- Analyze your shoes to see which types feel the best and stick with these. Stiffer the better is a general rule but may not apply to you.
- Experiment with buddy taping the most involved toe to the toe next to it (not to the first toe however), or do a version of spica taping for those two toes to restrict dorsiflexion.
- Use activity modification principles to keep fit. Ride a bike with the pedal on the heel or arch. Use an elliptical without raising the heel off or using any elevation. Swim without pushing off the wall or walking in the shallow end of the pool.
- Purchase an Anklizer removable boot if symptoms are not controlled in shoe gear.
- If the injury was traumatic, like with a fall, or if there is a marked amount of swelling, or an inability to bear weight, seek advice on getting an MRI and baseline x rays.
- If the toe involved has moved to a different position, it is the sign of a displaced fracture or torn ligament, and you should immediately seek advice of a podiatrist or orthopedist.
2nd MPJ Plantar Plate Tear: Email Advice
Hapad used for metatarsal support with an extra piece to the side of the sore area. When you use these Hapads, I use the right on the left and the left on the right. Go to www.hapad.com for ordering.
Besides hapads for metatarsal support, accommodative padding of various forms and amounts can help off weight the metatarsal head.
Here a single loop budin splint is seen which can be put over the 2nd alone, or both the 2nd and 3rd toes combined. You can try tape first. Please check out www.amazon.com
To prevent the toe splint from moving place a small piece of tape between the elastic band and the toe.
Even though this shows taping of the first toe, you can easily do the same for the 2nd. Use Kinesiotape, Rocktape or 3M Nexcare Waterproof tape.