An apparatus and associated methods for preventing and treating toe curl, a condition where the toes of a patient curl toward the bottom of the foot, are provided. The apparatus provides a pad operable for engaging the bottom of the foot, a foot sleeve for surrounding the foot and pad, and a strap that surrounds the foot sleeve and pad for applying a flexion force against the foot. The pad engages and supports at least one toe and prevents the toe or toes from curling toward the bottom of the foot. The device can be worn by a patient at night or during the day to treat or prevent toe curl. The apparatus is especially useful for treating toe curl in spinal cord injury patients. Additionally, the strap can include an elastic material for providing a tension force required for flexion stretching, and the strap can be attached at one end to a removable leg band that can be securely and releasably positioned about the leg. In some embodiments, the pad includes multiple layers having similar or different material properties. A method of preventing toe curl is also provided.
