Morton's Toe

Morton's Toe is a common forefoot disorder where the second toe is usually longer than the Big Toe (the Hallux). However, the distinctive feature of a long second metatarsal, or short first metatarsal, on the second toe does not always result in a longer second toe.

Cause

Morton's toe leads to excessive pressure on the second metatarsal head (behind the second toe at the ball- of-the-foot) resulting in pain similar to the discomfort associated with metatarsalgia. The constant pressure placed on the longer second toe while walking or standing can lead to callus formation under the second metatarsal head due to this excessive pressure.

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Treatment and Prevention

Proper treatment of Morton's Toe starts with selecting proper footwear. Footwear with a high and wide toe box (toe area) is ideal for treating this condition. It may be necessary to buy footwear a half size to a size larger to accommodate the longer second toe.  Training shoes may be particularly suitable. 

Orthotics that feature arch support to keep the foot aligned, and a metatarsal pad to reduce stress on the ball-of-the-foot are often recommended when treating this condition. Proper footwear combined with a effective orthotic will provide relief from pain associated with Morton's Toe.

If problem persists, consult a clinician.

Images courtesy of Aetrex Worldwide, Inc.