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What are crab toes?

Published in Foot Health 3 mins read

"Crab toes" is not a recognized medical term. However, it likely refers to claw toe, a common foot deformity where the toes bend into a claw-like shape.

Here's a breakdown of claw toe:

  • Description: Claw toe causes the toes to bend abnormally at the middle joints (proximal interphalangeal joint - PIP) and sometimes at the joint closest to the toenail (distal interphalangeal joint - DIP). This results in the toes digging into the sole of the shoe.

  • Appearance: The affected toes curl downwards, resembling a claw.

  • Symptoms:

    • Pain in the toes, especially when wearing shoes.
    • Calluses or corns on the top of the toes, where they rub against shoes.
    • Pain on the tips of the toes, due to pressure.
    • Difficulty walking or standing for long periods.
  • Causes:

    • Poorly fitting shoes: Shoes that are too short, narrow, or have high heels can force the toes into a cramped position, leading to claw toe.
    • Nerve damage: Conditions like diabetes can cause nerve damage (neuropathy) in the feet, weakening the muscles that control the toes.
    • Muscle imbalances: Weak muscles in the feet can contribute to the development of claw toe.
    • Arthritis: Arthritis can affect the joints in the toes, causing them to become stiff and deformed.
    • Heredity: In some cases, claw toe can be inherited.
  • Treatment:

    • Conservative Treatment:

      • Proper footwear: Wear shoes with a wide toe box that allows the toes to move freely.
      • Padding and orthotics: Use pads or cushions to protect the toes from rubbing against shoes. Custom orthotics can help correct muscle imbalances.
      • Stretching and exercises: Regularly stretch and exercise the toes to improve flexibility and strength.
      • Medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce pain and inflammation.
    • Surgical Treatment:

      • If conservative treatments are not effective, surgery may be necessary to correct the deformity. Surgical options include releasing tendons, removing bone spurs, or fusing joints.

In summary, while "crab toes" isn't a clinical term, it likely describes the symptoms and appearance of claw toe, a foot deformity characterized by bent and curled toes. Addressing this condition involves wearing proper footwear, using padding, and potentially considering medical intervention.

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