Hammertoe and related deformities are another common problem that our offices frequently encounter. Hammertoes, are a contracture or bending of one or both of the joints of the second through fifth toes (lesser toes). This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop. The deformity and related toe deformities can also cause painful corns or calluses to develop. Often patient has the misperception that they can have the corn removed. Usually a painful corn is a result of pressure from the bone underneath. Hammertoes usually start out as mild deformities and get progressively worse over time. What causes hammertoe? The most common cause of hammertoes is a muscle/tendon imbalance. This imbalance, which leads to a bending of the toe, results from mechanical (structural) changes in the foot that occur over time in some people. Often a flatfoot deformity can cause painful hammertoes to develop later in life. Hammertoes are offered aggravated by shoes that don’t fit properly, especially shoes narrower across the toes (narrow toebox). Treatment involves nonsurgical and surgical approaches. Please call our office to come in for an evaluation.