How to Treat Soccer Toe

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Soccer toe, or “turf toe,” is a term used to describe severely bruised toes or sprained ligaments in an athlete’s foot. This injury is caused either by repeated impacts against the soccer ball and or by extreme ligament contortions sustained during the game. Turf toe most frequently occurs when the ligaments behind the player’s big toe are hyperextended. This can be caused by falling on the field, constant running, or repeated impacts on the toe area from kicking the ball. [1] Soccer toe is one of the most painful injuries that can happen to a soccer player. It is also one of the most preventable and treatable. Although soccer toe is painful, it can be treated initially by ice and elevation, and in the long-term by altering the player’s footwear, game habits, and the fields on which they play soccer.

Part 1
Part 1 of 3:

Treating Soccer Toe

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  1. If you have soccer toe, the first symptoms the injured player will notice will be pain, swelling, and limited movement in the injured foot and toe. [2] It’s important for the player to rest the injured area so that the injury is not worsened and the body can begin to heal. [3]
    • Once the player is at home resting, they should elevate the injured foot (at least while ice packs are applied), to moderate blood flow to the foot.
  2. Ice should be applied immediately to reduce swelling in the injured area. Soccer toe is not only painful, but it also is usually accompanied by swelling. Ice will help minimize the swelling by constricting the blood vessels. Apply ice to the injured area for 15–20 minutes, several times a day.
    • The injured player should be completely off the foot for at least 3–4 days. Use crutches if necessary. [4]
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  3. After the initial ice pack, switch to a warm heat pack. The warm heat pack will dilate the blood vessels, rushing blood into the area, which promotes the healing process. After about 20 minutes, return to an ice pack to prevent swelling. Repeat the ice-heat therapy for a couple of hours.
    • This step is optional, as the application of heat is less important than icing the injury.
    • The application of heat to the injured toe/foot can also reduce pain. [5]
  4. Adhesive athletic tape exists for this purpose, and can be easily found in a pharmacy or athletic-equipment store. Tightly wrap the tape around the injured area of the player’s foot, but be careful not to wrap so tightly as to cause pain or restrict bloodflow. Compression is an important step when treating soccer toe; it limits further swelling and supports the injured toe and ligament, so that further strain will not be put on them. [6]
    • If the injured player is suffering from a more severe type of turf toe, a doctor may tape the injured toe to the adjacent toe, to further restrict the injured toe’s movement. [7]
  5. A painkiller such as ibuprofen will reduce swelling and combat the pain that the injured player will be experiencing. If over-the-counter medications do not provide enough pain relief, or do not adequately combat the swelling, your doctor may order a prescription-strength painkiller. [8]
  6. While you’re recovering from soccer toe, it’s important to keep the ligaments behind your big toe relatively immobile during daily life. [9] Find a hard soled boot, or even a hard-soled shoe with a Morton’s Extension under the toe and ligament. This prevents the toe from bending unnecessarily until it is completely healed.
    • It’s also common practice to tape the injured toe. This will restrict mobility and prevent the ligaments from being over-extended while healing.
    • Taping a player’s toe can also be done before a soccer game, as a preventative measure against turf toe.
  7. [10] Ligaments heal slowly, and a player can easily reinjure the area by returning to the field too quickly after sustaining an injury. Taking three weeks to recover will keep you from experiencing further pain while playing, and will let your joint capsule heal. [11]
    • To speed up your recovery, you can try the Tennis Ball Massage: sit in a chair with a tennis ball on the ground in front of you. Place your injured foot on top of the ball, and roll your foot back and forth. Do this for 5 minutes, once or twice a day, to keep your ligaments flexible and encourage healing.
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Part 2
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Talking to Your Doctor about the Incident

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  1. There are several stages of soccer toe, and the injury gets progressively worse as you move up through the stages. Only a doctor will be able to accurately diagnose the extent of the damage. [12] Turf toe is not particularly difficult to diagnose, but it’s important to find out quickly how serious your case of turf toe is.
    • Soccer toe, type 1: The ligament that attaches the big toe to the foot and its joint capsule has been stretched too far.
    • Soccer toe, type 2: The ligament that attaches the big toe to the foot and its joint capsule is partially torn. This will take more than the standard week to heal. This is more serious and more painful.
    • Soccer toe, type 3: The ligament and the joint capsule have been completely torn. This is very severe, very painful and will take weeks to heal. This can wreak havoc on a player’s season because it is the kind of nagging injury that doesn’t seem to ever go away.
  2. This will help with a proper diagnosis. An audible and painful “pop” or “crack” is usually heard and felt when a player suffers the soccer toe injury. When talking to your doctor, say something like: [13]
    • “I was turning quickly to run for the ball, and heard a sound like a ‘snap’ from near my big toe.”
    • “I kicked the ball wrong and hit it with my toe. It bent back too far, and I heard a sound like a crunch from my toe.”
    • Your doctor will also likely ask for a patient medical history, to find out if the feet or toes have been injured previously (including prior cases of turf toe). [14]
  3. These are uncommon, but in severe cases of soccer toe, you may need to sit for an x-ray or have surgery performed. [15] If the doctor suspects that your toe may be broken—a more serious injury than turf toe—they will take an x-ray to examine the bone.
    • Surgery is only performed in rare cases when the ligament has completely torn and needs to be repaired. Surgery may also be needed to remove any bone spurs that have developed from repeated injuries to the area. [16]
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Part 3
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Preventing Soccer Toe

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  1. [17] Soccer toe is usually caused from an ill-fitting soccer shoe: either a shoe is too small and does not absorb shocks to the player’s feet and toes, or the shoe is too large, and the player’s foot slides in the shoe, slamming the toes into the front of the shoe.
    • Wearing an athletic shoe with a stiff sole can prevent ligament hyperextension and cushion the player’s toes from contact with the soccer ball. [18]
    • Soft, flexible athletic shoes increase a player’s risk for turf toe, as the shoes do very little to limit the movement of the player’s big toe. [19]
  2. Artificial turf on soccer fields is made of a harder substance than grass, and consequently, players’ cleats are more likely to stick in the artificial turf. [20] This will place extra strain on the players’ feet and tendons.
    • Even if cleats don’t stick in the turf, the added friction from the artificial turf will cause players to use more force when running and will increase the likelihood of ligament hyperextension.
  3. Although a single occurrence of soccer toe is not considered medically serious, if a player contracts soccer toe multiple times, the ligaments and soft tissue in the player’s foot are at risk of serious damage. [21] Under these circumstances, turf toe can become a chronic condition, leading to joint pain and permanent loss of movement.
    • Players who suffer from chronic turf toe are also at a higher risk for arthritis in the area.
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Expert Q&A

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  • Question
    When can I return to normal activities after a foot injury?
    Mark Co, DPM
    Podiatrist
    Dr. Mark Co is a Podiatrist who runs his own private practice in San Francisco, California. Dr. Co specializes in treatments for bunions, ingrown toenails, toenail fungus, warts, plantar fasciitis and other causes of foot pain. He also offers custom orthotics for the treatment and prevention of foot and ankle issues. Dr. Co completed a Master of Business Administration (MBA) at New York University and an MA in Electrical Engineering and Computer Science at Johns Hopkins University. Dr. Co also completed his DPM at the California School of Podiatric Medicine and a residency and internship at the Kaiser Permanente Medical Center, Santa Clara, California. Dr. Co was awarded San Francisco's "Top 3 Podiatrists" in 2018, 2019, and 2020. Dr. Co is also a member of the CPMA (American Podiatric Medical Association).
    Mark Co, DPM
    Podiatrist
    Expert Answer
    People heal in different timeframes, so it depends. If you're feeling about 90% better, it's okay to start getting back to your usual activities on a gradual basis. To start, do about 25% of what you normally would do. Try lower impact activities like walking. After a few days, move up to 50%. Continue gradually increasing your activity on that schedule.
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      • If the toenail turns black, this indicates that blood is filling the nail bed and causing pressure beneath the nail. The toe it is likely going to remain very painful. A doctor can take a sterilized or heated needle and “drill” a hole through the nail to allow the blood to flow and relieve the pressure.
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      References

      1. ↑ http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1
      2. ↑ http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1
      3. ↑ Mark Co, DPM. Podiatrist. Expert Interview. 21 April 2020.
      4. ↑ https://www.medfriendly.com/turf-toe.html
      5. ↑ https://www.medfriendly.com/turf-toe.html
      6. ↑ https://www.medfriendly.com/turf-toe.html
      7. ↑ http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1
      8. ↑ http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1
      9. ↑ https://www.verywell.com/what-is-turf-toe-3120323
      1. ↑ Mark Co, DPM. Podiatrist. Expert Interview. 21 April 2020.
      2. ↑ https://www.verywell.com/what-is-turf-toe-3120323
      3. ↑ Mark Co, DPM. Podiatrist. Expert Interview. 21 April 2020.
      4. ↑ https://www.medfriendly.com/turf-toe.html
      5. ↑ https://www.medfriendly.com/turf-toe.html
      6. ↑ https://www.medfriendly.com/turf-toe.html
      7. ↑ https://www.medfriendly.com/turf-toe.html
      8. ↑ Mark Co, DPM. Podiatrist. Expert Interview. 21 April 2020.
      9. ↑ https://www.verywell.com/what-is-turf-toe-3120323
      10. ↑ https://www.medfriendly.com/turf-toe.html
      11. ↑ http://www.webmd.com/fitness-exercise/turf-toe-symptoms-causes-and-treatments#1
      12. ↑ https://www.verywell.com/what-is-turf-toe-3120323

      About This Article

      Article Summary X

      If you’ve got a bruised or sore toe from playing soccer, you can usually treat it at home. Apply an ice pack or a bag of frozen vegetables wrapped in a towel to your toe for 15-20 minutes. Repeat this a few times a day to reduce the pain and swelling. Keep your toe elevated above chest-height while you apply ice to moderate your blood flow. You should also wrap your foot in a bandage or athletic tape to reduce swelling and strain on your toe. Make sure you rest as much as possible so you don’t put any extra pressure on your toe. It will take around 3 weeks for your toe to heal on its own, but if you experience severe pain or you heard a cracking sound when you injured your toe, visit your doctor so they can take a look at it. For more advice, including how to avoid toe injuries while playing soccer, read on.

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      • Frederick Jacques

        Dec 1, 2017

        "My injury happened shortly after starting to play walking football. I am 67 years of age. My big toes are painful ..." more
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