The plantar plate is a thickening of the joint capsule on the plantar surface of the metatarsophalangeal joint of the lessor toes in the foot. The plantar plate is also part of the foot’s windlass mechanism. There is a condition known as plantar plate dysfunction or sometimes a plantar plate tear that can affect the joint. The symptoms of plantar plate dysfunction are normally pain plantar and distal to the metatarsal head, most commonly the second. The initial treatment for plantar plate dysfunction is to use a metatarsal pad or strapping to plantar flex the toe to avoid strain on the plantar plate. If that is not successful, than a surgical repair is indicated.