Posts for tag: Turf Toe

By Affiliated Foot & Ankle Care
January 16, 2018
Category: Overuse Injuries
Tags: Turf Toe   sesamoiditis   fracture  

At the base of your big toe are two tiny bones known as sesamoids. Sesamoids are unique structures in the body in that they are bones that are embedded in tendons and not attached to other bones. When these little bones are injured or irritated, they can cause severe pain under the big toe. That’s when  Affiliated Foot & Ankle Care usually gets a call.

3 Common Sesamoid Injuries

The sesamoids can become inflamed due to excessive pressure and overuse brought about by many sports and activities, such as basketball, running, golf, tennis, ballet, and football. Acute injuries are also possible when there is a blow to that part of the foot or a sudden exertion and overstretching of the big toe joint. Common problems include:

  1. Sesamoiditis - this is an inflammation of the sesamoid bones or the tendons they are embedded in. It is characterized by a dull, aching pain beneath the toe joint that may come and go, depending on the activity or shoes you are wearing.
  2. Fracture - breaks in a sesamoid bone can be acute or chronic. Acute fractures are caused by a direct trauma or blow to the bone which causes immediate pain and swelling. A stress fracture is a crack in the surface of the bone and will produce an intermittent, aching pain.
  3. Turf Toe - the soft tissue around the big toe joint can be injured if the joint is overextended. Signs of turf toe include a sharp pain at the moment of injury (sometimes patients feel a “pop”) and swelling. The range of motion of the toe will be severely limited as well.

You can help reduce the risk of sesamoid injuries by limiting your time in high heels and avoiding repetitive stress on the big toe joint. If you feel you may have injured your sesamoids, contact our Edison, Monroe or Monmouth Junction office in New Jersey for an appointment by calling: 732-662-3050. Our podiatrists, Dr. Varun Gujral and Dr. Nrupa Shah, will examine your foot and determine the proper treatment to reduce pain and inflammation.

By Affiliated Foot & Ankle Care
April 29, 2016
Tags: Turf Toe  

Spring has sprung and as more athletes take to the field, we at Affiliated Foot & Ankle Care see an increase of the injury known as turf toe. Turf toe is an injury that occurs when the big toe joint bends upward beyond its normal range. This can happen suddenly, such as when you stub your toe or it “jams” or it can happen gradually over time with activities that require repeated pushing off with the big toe. The disorder gets its name because athletes who play on artificial turf are more prone to this injury due to the fact that the foot tends to stick to the surface, increasing the likelihood of the toe jamming and the turf toe injury occurring.


If you have turf toe, you will most likely feel pain in the big toe joint. There may also be swelling and stiffness and it may be difficult to bend the toe. When turf toe is the result of a trauma or sudden injury, the symptoms will come on immediately and get worse over the 24 hours following the injury. If turf toe is caused by repetitive motion, the symptoms will usually be intermittent and gradually get worse. Sometimes, because the pain is not so bad, a person will continue playing on the injured toe, making the injury more severe.

Healing Turf Toe

If you are having pain in your big toe joint, our foot and ankle doctors, Dr. Varun Gujral and Dr. Nrupa Shah will do a complete examination of your big toe and your foot. The podiatrist will also take your medical history and ask questions about your activities and when you noticed the symptoms. X-rays or other imaging studies may be ordered to make sure the toe is not broken.

The treatment of turf toe follows the RICE regimen: Rest, Ice, Compression and Elevation. Once the injury has healed, the foot doctor may recommend modifications to your sports shoes or your activities to prevent turf toe from recurring.

If you think you may have turf toe or are experiencing pain or swelling anywhere in your foot, contact our Edison, Monmouth Junction or Monroe office for an appointment. The sooner your discomfort is diagnosed, the sooner you will be on the road to recovery.

By Nrupa Shah
January 28, 2015
Category: Sports Injury

Every time your star player is sidelined it diminishes your team’s chances of moving forward. Fortunately for the Oklahoma City Thunder they have a deep bench and an even better starting five. One of those starters is 2014 MVP Kevin Durant. KD suffered a sprain to his big toe yesterday. A toe sprain, also known as ‘turf toe’ can actually be very debilitating to any athlete at any level.

Turf toe is caused by forced dorsiflexion of the big toe joint. Dorsiflexion is movement of the big toe in an upward fashion. When this happens to the toe, the tendons and the ligaments get strained which is where the majority of the pain comes from. Treatment options are fairly limited, however, so it needs to be instilled quickly. Treatments consist of the typical rest, ice, compression, and elevation or RICE. RICE is of utmost importance in these types on injuries. Additionally, anti-inflammatory medications (i.e., Motrin) can be used to help relieve some of the inflammation that may be associated with the injury. If all else fails, surgery is warranted. Surgery for turf toe is typically not needed but it depends on the severity of the injury at hand. If you have sustained this type of injury and don’t know whether or not you need surgery please do not hesitate to call your local podiatrists at Affiliated Foot and Ankle Care in Monroe and Edison, NJ.

Kevin Durant is one of the most versatile basketball players in the NBA so with him being out is detrimental to the team and to the entire NBA organization. Turf toe can be very detrimental but can also heal very quickly given the proper treatment. Again, please don’t hesitate to call our office if you have any questions or concerns.

 By Nrupa Shah



This injury got its interesting name because it is common to football players who play on turf or fake grass fields. James Starks, of the Green Bay Packers, battled with this injury leading into the 2012-2013 season, and it threatened to keep him from playing. I know you’re wondering how something so minor can keep a star NFL player from playing. This injury is more severe than one would think. Turf toe is caused by the ligaments around your big toe joint being sprained. This injury is most common on turf fields because the hard surface causes the toe to lie flat instead of bending while the player is running or getting hit. Even though this injury is named after football players it is common in other sports such as gymnastics, basketball and soccer.

The common symptoms of this injury include pain, swelling and limited movement of the toe joint. If the injury results over time the pain and swelling develop gradually and get worse over time. If the injury occurs suddenly the pain is immediate and gets worse over the first 24 hours. Sometimes a popping noise will be heard. A podiatrist will examine the toe joint and usually order and X-ray to rule out any other injuries. After turf toe has been diagnosed the recommended treatment is rest, ice, compression and elevation. Your podiatrist may also tape the toe to the toe next to it to relieve pressure and strain off of the big toe. This is recommended for two to three weeks, and sometimes physical therapy is required to help regain proper movement of the joint.

There are a few ways to help prevent this injury! One of the best ways is to wear supportive shoes, or you can have special inserts made to prevent the toe from extreme bending or force. Dr. Gujral of  Affiliated Foot and Ankle Care can help you in either of his offices in Edison or in Monroe, NJ.  He can help you with prevention and treatment of this injury!

By Varun Gujral