People often blame the common foot deformity claw toe on wearing shoes that squeeze your toes, such as shoes that are too short or high heels. However, Claw Toe is actually a toe that is contracted at the PIP and DIP joints (middle and end joints in the toe). Often the result of nerve damage caused by diseases like diabetes or alcoholism, it can which can weaken the muscles in your foot and lead to severe pressure and pain.
Claw toes can occur in any toe, except the big toe. They 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.
Occasionally Claw Toe can be related to neurological problems. Therefore, a trip to the doctor will be time well spent.
Treatment and Prevention
Changing the type of footwear worn is a very important step in the treatment of claw toes. As with most feet and toe problems, choosing a well fitting shoe can make a lot of difference. Always 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 pain is too much or your daily activities are limited by the pain, surgery may be considered. Unfortunately surgery may not help or the claw toe may come back. Talk to your doctor about the options available.