There's a bizarre sensation that may happen beneath the forefoot which is commonly described as a sense that a sock is bunched up under the toes, but if you looked at it, it is fine. The feeling is frequently explained and it is typically puzzling. Most probably the impression is because of an issue with a ligament on the base of one or more of the metatarsophalangeal (toe) joints of the foot named plantar plate dysfunction. About every joint, there is a strong covering known as the joint capsule. Parts of each joint capsule are thicker which are the ligaments that protect and stabilise the joints. Below the base of the metatarsophalangeal joints, that joint capsule is thicker to create what is known as the plantar plate. You possibly can strain or perhaps get a small tear in that plantar plate, that creates that experience of a sock which feels as though its bunched up below the toes.
The symptoms of a plantar plate tear usually starts off slowly beneath the ball of the foot and could be preceded by that peculiar scrunched sock feeling. The common characteristic of plantar plate dysfunction is soreness on palpation of the region of the plantar plate. A skilled clinician can move the joint in a manner to detect if the plantar plate is injured. A conclusive diagnosis can be achieved with a diagnostic ultrasound, however it's very clear to a expert clinician on examination. Generally the first treatment methods are strapping to hold the toe pointing downwards to ease the pressure on the ligament. A metatarsal pad can also be commonly used to reduce the stress on the ligament. This often helps most cases of plantar plate dysfunction and get rid of that weird experience of a scrunched up sock below the ball of the foot. If those conservative steps don't help, surgical repair of a partial or complete split of the plantar plate is normally carried out.