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Turf Toe Protocol



Turf Toe is a general term for inflammation or damage to the metatarsophalangeal joint (MTP joint). This is the joint between the metatarsal bones of the foot and the proximal phalangeal bones. Simply, this is referring to the first joint of the toes.


Turf Toe typically affects the Hallux or big toe. This is also referred to as the "ball of the foot"


This can be a devastating injury simply because it is an area of the body that experiences massive relative forces and can be very difficult to rehab and treat.


Turf Toe can be an acute injury, but also a chronic condition due to overuse and in many cases, improper mechanics of the joint and foot.



The injury can occur when a large amount of force is placed on the heel, driving the foot downwards with the big toe dorsiflexed which can hyperextend and damage the joint.


More common however are overuse injuries and improper mechanics. Drastic increases in training volume or intensity can lead to turf toe as can restricted range of motion of the big toe, which is often due to weakness. Modern lifestyle and footwear are often the culprit! Also, bunions are often a precursor for issues and pain.