Claw Toe

Patient Information

https://www.bofas.org.uk/Patient-Information/Lesser-Toes

GP Information

Background Information

• Abnormal lesser toe MTPJ hyperextension with IPJ flexion due to muscular imbalance.
• Patients typically complain of pain at the MTPJ or metatarsalgia.
• Examination may reveal a depressed MTP head with callus formation and tenderness.

Investigation Guidelines

• Investigations are not required for diagnosis, management, or referral.

Management Recommendations

Conservative measures include

• Patient education.
• Shoe wear advice – avoid totally flat, high, or tight shoes. Trainers are appropriate.
• Silicone / foam toe sleeve.

Referral Indications;

• Diagnostic uncertainty.
• Chronic pain / disability not responding to conservative management.
• Unable to wear normal shoes.