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What is a big toe joint sprain?



The big toe joint (or first MTP joint) is commonly known as the ‘ball’ of the foot. A sprain of this joint is an over extension of the joint, where the toe is extended or bent beyond its normal ranges of motion. Physiotherapy is a successful treatment for a big toe joint sprain.


How does a big toe joint sprain happen?



A big toe joint sprain occurs when the big toe is extended or bent beyond its normal ranges of motion. Vigorous bending forces or stubbing of the toe can cause a sprained big toe joint.


Soft tissue massage and mobilisations of the bones and connective tissues in the foot by an experienced therapistAbove: Soft tissue massage and mobilisations of the bones and connective tissues in the foot by an experienced therapist



What are the symptoms of a big toe joint sprain?



When the big toe joint is sprained there is pain with movement of the joint and when weight is put through the forefoot. There is usually tenderness around the joint, localised swelling and sometimes bruising. Other symptoms may include:

What should I do if I have a big toe joint sprain?



If you have or suspect you have injured your big toe, you should ice the area and reduce weight-bearing for the first 72 hours. If pain has not settled in this time, you should arrange a physiotherapy appointment.


What shouldn’t I do if I have a big toe joint sprain?



If you have sprained your big toe you should not walk on the injured foot and you should avoid putting heat on your toe in the initial 72 hours after the injury.


Mobilisations and stretches of the foot and ankle by specialised therapistAbove: Mobilisations and stretches of the foot and ankle by specialised therapist



Physiotherapy treatment for a big toe joint sprain.



Your physiotherapist will be able to diagnose and manage your injury appropriately. Your physiotherapist will devise a treatment plan to allow you to recover from your injury as soon as possible. Treatment may include:

Could there be any long-term effects from a big toe joint sprain?



If the injury is not treated appropriately, and range of movement does not return to normal, there may be irreversible degenerative changes in the big toe joint causing ongoing pain and stiffness.


Mobilisations and stretches of the foot and ankle by specialised therapistAbove: Mobilisations and stretches of the foot and ankle by specialised therapist



To arrange a physiotherapy assessment call Physio.co.uk on 0330 088 7800 or book online.


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