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What is Curly Toe?

Published in Foot Deformity 2 mins read

Curly toe, also known as curled toe or flexed toe, is a condition where one or more toes, typically the third, fourth, and fifth toes, curl under. This happens because the tendons responsible for bending the toes are excessively tight, pulling the toe underneath the adjacent toe and towards the sole of the foot. The condition can affect one or both feet.

Understanding the Mechanics of Curly Toe

The primary cause of curly toe lies in the imbalance of forces acting on the toes. Specifically, the tendons that flex (bend) the toes are shorter or tighter than normal. This tightness exerts a stronger pull than the extensor tendons (which straighten the toes), resulting in the characteristic curled appearance.

Potential Contributing Factors (While not explicitly stated in the reference, common contributing factors include):

  • Genetics: A family history of curly toes can increase the likelihood of developing the condition.
  • Footwear: Tight-fitting shoes or high heels can exacerbate the problem by constricting the toes and worsening the tendon tightness.
  • Muscle imbalances: Underlying muscle imbalances in the foot and lower leg can contribute to the development of curly toes.

Symptoms of Curly Toe

The main symptom is the noticeable curling of the affected toe(s) towards the sole of the foot. This can cause:

  • Discomfort: Mild to moderate pain or discomfort, especially with prolonged standing or walking.
  • Calluses: The pressure from the curled toe can lead to the formation of calluses on the affected toe and the adjacent toe.
  • Ingrown toenails: Curling can increase the risk of ingrown toenails.
  • Difficulty with footwear: Finding comfortable shoes can be challenging due to the altered shape of the toes.

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