Morton’s Toe is a common forefoot condition where the second toe is longer than the Hallux (big toe) due to a shorter metatarsal bone on the big toe. The forefoot cannot bend as it would when the first metatarsal bone is a more optimum length. It leads to excessive pressure on the second metatarsal head 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.
Other names or similar foot conditions:
- Capsulitis
- Royal toe
- Hammer toe commonly develops in the second toe
Symptoms:
- Pressure and pain on metatarsal heads (ball of the foot)
- Callus formation on ball of foot
Signs to look for:
- Pressure and pain on metatarsal heads (ball of the foot)
- Callus formation on ball of foot
Possible Causes:
- Heredity
- Traumatic injury to big toe so that metatarsal bone is shortened
Goals:
- Take pressure off metatarsal heads
- Control motion so all of foot is evenly used in step
- Reduce friction on the forefoot
How We Help:
Arch Supports:
- BioOrthotics exercising support with metatarsal lift
- Lower and thinner arch support with longitudinal and metatarsal support for use when shoes cannot accommodate the BioOrthotics exercising support
Shoes:
- Shoes at correct length and width (use the 2nd toe, not the first as the longest point on the foot)
- Extra depth, double or triple depth shoe with high toe box, firm heel counter, rocker sole and connecting shank
- Smart footwear, such as heel to toe rockers, negative heel shoes or shoes with titanium springs
- If regular flip-flop wearer, wear only the Orthaheel, Alegria or Aetrex brand
- Wear pumps and high heels only as long as absolutely necessary
- Avoid going barefoot or on a minimal basis only
Other:
- Morton’s plate may be necessary if symptoms continue after using arch supports and shoes
- Check bed sheets to be sure they are not pulled too tightly at the foot of the bed as this can create stress at the 1st metatarsal
Activities:
Rotate weight-bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling
This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care. The information has been compiled from sources available to the general public and referenced below. Copyright 2005-2010 Carole Romig
Sources Image: SupportYourFeet.com Text: SupportYourFeet.com, B. Meanwell, CPed, Foot.com