What problems can happen to the small toes?
The three main problems that can happen are deformity, pain in the toe joints and metatarsalgia. Toe deformities such as claw toe and hammer toe happen when the tendons that move the toes get too tight or out of balance. The affected toe can rub on other toes and on the inside of your shoe, causing pressure and pain (see figure 1). Inflammatory arthritis such as rheumatoid arthritis can damage the toe joints and this may make them come out of position (dislocate). What are the benefits of surgery? Your toes should be straighter, so your foot should fit more comfortably in a normal shoe. Are there any alternatives to surgery? Putting padding between your toes and strapping them in place can help to stop pain caused by the toes rubbing. Custom-made insoles for your shoes will help to take the pressure off any painful areas. Special shoes that are wider and deeper than normal can stop your toes rubbing. What does the operation involve? A variety of anaesthetic techniques are possible. The
