Turf toe is the common name for metatarsophalangeal joint sprain, or a sprain of the main joint in the big toe. It’s caused by hyperextension of the ligament under the toe, like a forceful upward push on the big toe while the rest of the foot remains stationary. It can be an acute injury or you can get it from repetitive strain. Lots of athletic fields use artificial turf. It affords many benefits, like a soft, even playing surface and year-round use. But despite these advantages, it comes with its own potential problems. Cleats can lock your foot into the surface and prevent proper movement, which is how turf toe earned its name. However, any activity that requires pushing off or landing on the toes can cause turf toe. Movements like jumping on a balance beam, hard soccer kicks, or even that game-winning layup can cause the condition. Hard surfaces, poor mechanics, and improper footwear also increase your risk factors.