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MORTON’S TOE (MORTON’S FOOT OR LONG 2^ND TOE)

Morton's Toe is a common forefoot disorder where the second toe is longer than the Hallux (big toe), due to a shorter metatarsal bone on the big toe. The forefoot can bend as it would when the first metatarsal bone is a more optimal 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

Solutions:

Arch Supports:

• Bio-Orthotics Winstep or Sundance exercising support with metatarsal lift

• Lower and thinner arch support with longitudinal and metatarsal support, such as the Bio-Orthotics Journey or Silhouette, for use when shoes cannot accommodate the Winstep or Sundance exercising support

• Shoes at correct length and width (use the 2^nd toe, the first as the longest point on the foot)

• Check for proper break point in shoe

• Extra depth shoes with firm heel counter and rocker soles

• Use titanium shoes for exercise

• MBT physiological footwear

• 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 bedding to be sure it is pulled tightly at the foot of the bed as this can create stress at the 1^st 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 Carole Romig

Sources  Image:  SupportYourFeet.com  Text:  SupportYourFeet.com, B. Meanwell, CPed, Foot.com