How I Manage Turf Toe

In brief: Jamming or forced hyperextension of the hallux at the metatarsophalangeal (MP) joint in athletes can produce a painful condition known as turf toe. To treat this problem, the author recommends restriction of motion, ice, a compression dressing, and elevation. Taping the hallux restricts hyperextension of the MP joint. Rehabilitation consists of exercises done at home, and in some cases, whirlpool and ultrasound treatments. The author also offers advice about the type of shoe that athletes should wear to avoid turf toe, and discusses the differences between natural and artificial turf as they relate to turf toe.