What is it?
Turf toe is a sprain of the joint at the base of the big toe, caused by the toe being forced upwards. The sesamoids are two small bones beneath this joint that can become inflamed, crack or break.
What causes it?
- Playing sport on artificial surfaces.
- Forceful pushing off.
- Repeated pressure on the ball of the foot, as in running and dance.
Common symptoms
- Pain under the big toe joint.
- Swelling and stiffness.
- Pain when pushing off.
How is it diagnosed?
Your surgeon will examine the joint and arrange X-rays, often with an MRI or CT scan.
Things you can do now
- Rest from running and jumping
- Tape the big toe to limit bending
- Use a stiff insole, or a stiff or rocker-soled shoe, to limit bending at the big toe
- Use a cushioned pad under the ball of the foot
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include rest, taping, a stiff insole or plate in the shoe, a boot, padding, physiotherapy and surgery for severe tears or sesamoid fractures that do not heal.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Pain at the base of the big toe after an injury or sport
- You can't push off the big toe
- Pain under the ball of the foot persists
What to expect
Most injuries settle with rest, taping and a stiff insole. Severe tears or a sesamoid that fails to heal may need surgery.
Common questions
Where can I see a specialist about turf toe & sesamoid injuries in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with turf toe & sesamoid injuries at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.