TMT Sprain

- Pain in the foot
- Swelling in the foot
- Point tender to the tarsometatarsal ligament
- Unable to stand on tip toe
- Loss of ROM

- Axial load sustained with foot plantarflexed and slightly rotated
- High-energy trauma
- Fall
- Motor vehicle accident

- Period of immobilization
- Progress to ROM and stretching
- Soft tissue massage
- Foot intrinsic muscle strengthening
- Lower extremity strengthening
- Gait program
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