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.