What should you know about turf toe middle toe?

Turf toe is a sprain of the joint and supporting tissues at the base of the big toe. The middle toes are the second, third and fourth toes, and pain there can have other explanations, such as a stubbed toe, a stress injury, irritation from footwear or a problem involving a nearby joint. Location, timing, swelling and the way the injury happened help guide an examination.

Pain can spread across the forefoot, so pointing to the most tender spot is useful. Do not force a painful toe into movement to identify the cause. A clinician may examine the bones, joints, skin, circulation and sensation and decide whether imaging is appropriate.

Pause running, jumping and narrow footwear. Choose a roomy shoe with a supportive sole, elevate the foot if swollen, and use a wrapped cold pack briefly when appropriate. Avoid taping a toe that is crooked, numb, discoloured or suspected to be fractured unless a clinician has shown you how.

A rigid support or Splinting may help some injuries, but the correct method depends on the toe and tissue involved. Physiotherapy can help when stiffness, weakness or altered walking continues after the acute problem has been assessed.

Seek prompt assessment for a middle toe that looks bent, cannot bear weight, becomes numb or cold, or has an open wound. Arrange a review when swelling or pain persists despite protecting the foot, especially after a direct blow or a sudden increase in exercise.

Ask which toe and structure are affected, whether the big toe joint is involved, what footwear or support is suitable, and when activity can increase. Ask what changes should lead you to return sooner.