Claw Toes

A claw toe is a toe that is contracted at the PIP and DIP joints (middle and end joints in the toe) and can lead to severe pressure and pain. Ligaments and tendons that have tightened cause the toe’s joints to curl downwards. Claw toes may occur in any toe, except the big toe. There is often discomfort at the top part of the toe that is rubbing against the shoe, and at the end of the toe that is pressed against the bottom of the shoe.

Claw toes are classified based on the mobility of the toe joints. There are two types – flexible and rigid. In a flexible claw toe, the joint can move. This type of claw toe can be straightened manually.

A rigid claw toe does not have the same ability to move. Movement is minimal and can be extremely painful. This can sometimes cause foot movement to become restricted, leading to increased stress at the ball of the foot and possibly causing pain, as well as the development of corns and calluses.

Cause
Claw toes result from a muscle imbalance that causes the ligaments and tendons to become unnaturally tight. This results in the joints curling downwards. Arthritis can also lead to many different forefoot deformities, including claw toes.

Treatment and Prevention
Changing the type of footwear worn is a crucial step in treating claw toes. When choosing a shoe, make sure the toe box (toe area) is high and broad and can accommodate the claw toes. A shoe with a high, wide toe box will provide enough room in the forefoot area so that there is less friction against the toes.

Other conservative treatments include using forefoot products designed to relieve claw toes, such as toe crests and hammer toe splints. These devices will help hold down the claw toe and provide relief to the forefoot. Gel toe shields and gel toe caps are also recommended to eliminate friction between the shoe and the toe while providing comfort and lubrication.

If the problem persists, consult your foot doctor.