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Claw
Toes
Definition
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 has the ability to move. This type of claw toe can
be straightened manually.
A rigid claw toe does not have that same ability to move. Movement
is very limited and can be extremely painful. This sometimes causes
foot movement to become restricted leading to extra stress at the ball-of-the-foot,
and possibly causing pain and the development of corns and calluses.
Cause
Claw toes
result from a muscle imbalance which 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 very important step in the treatment of
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, broad 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.
Back
to List of Foot Conditions
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