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Would like some advice on plantar plate tears, have never treated this condition before.
57 year old female client
6 month history of left forefoot pain
Nil history of trauma
Pain while walking and standing on feet for lengths of time.
Pain through 2nd/3rd/4th/5th metatarsals
irritation and swelling of dorsal surface of PIPJ
continued pain through metatarsal plantar surface
Ultra sound diagnosis of plantar plate tears at the level of head of 2nd/3rd/4th metatarsals.
I have no idea how to strap for plantar plate tears, wasn't too sure how effective it would be with multiple tears?
Was thinking of an orthotic - EVA post to sulcus to provide a dorsiflexory force to metatarsals but also allowing plantarflexion to the digits?
I have read some literature where this is the conservative treatment, not sure whether this would hasten the progression of the plantar tears?