Morton's Toe

Definition:
Morton's Toe is a common forefoot disorder where the second toe is longer than the big toe (the hallux).

Cause

Morton's toe 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 met head due to this excessive pressure. Normal major weight bearing should be more at the first met joint.

Treatment and Prevention

Proper treatment of Morton's toe starts with selecting proper footwear. The arch length should be measured along with overall length of the foot. Proper arch fit is important. 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. Orthotics should include a raised pad under the first met joint to aid in even weight distribution across the ball of the foot.