Several years ago I experience serious pain and swelling in the balls of my feet at the end of a 2,600 mile thru hike. In retrospect, I suspect a plantar plate injury (tendons under the toes). I was lucky that it just seemed to resolve itself when my hike was over.
Recently however a similar pain has returned. It is not at the intensity I felt several years ago, but I want to try and get ahead of it if possible. I presently hike around 75 miles a week in PA, where the trails are typically very rocky. I wear either Altra Lone Peaks or LaSportiva Wildcats with a thin Darn Tough mesh running sock.
My questions:
First, are there better footwear choices I should be making to protect the balls of my feet? I have tried Superfeet, but the plastic plate terminates right at the ball of my foot, and seems to make matters worse. Are there better inserts, socks or shoes I should consider?
Second, are there specific stretches or exercises I can do to prevent a plantar plate injury? My google-fu yield only ways to tape my toes.
I tried the search function here, but most relevant results seem out of date. I know there are a lot of people who get a lot of trail time here, as well as experts like Jen, so I figured I’d ask the question out loud.
Thanks in advance!


