Turf toe is the name given to a sprained plantar (underneath) capsule of the big toe, typically due to a hyperextension injury where the toe is bent beyond normal limits. It can be either acute or chronic. An acute presentation is typically due to a sudden hyperextension injury following direct trauma, a trip or a fall. A chronic presentation is due to repetitive strain of the plantar capsule typically from wearing shoes that are too flexible or as a result of sports played on sand. Turf toe presents as first toe pain when the toe is bent backwards.