2nd Toe Capsulitis, Claw Toe & Hammer Toe RELIEF [Taping & Treatment]
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- Опубликовано: 11 июл 2024
- 🦶Do you have second toe capsulitis, a plantar plate injury or a second toe hammer toe?🦶
Video Guide links for the specific ball of the foot conditions:
Morton's Neuroma Nerve Pain Video: • 11 BEST Mortons Neurom...
Metatarsalgia Pain Video: • BEST Metatarsalgia Exe...
Ball of the Foot Pain Video: • Metatarsalgia Treatmen...
Hammer Toe Pain Treatment: • 2nd Toe Capsulitis, Cl...
Hammer Toe Exercises: • Hammer Toe Exercises, ...
Bunion Pain Treatment: • Bunion Home Cure [WOW]...
Capsulitis pain treatment: • Second Toe Pain TREATM...
Ball of the foot padding: • Ball of the Foot Pain ...
We have you covered with our second capsulitis taping treatment, second toe plantar plate treatment, and second toe hammer toe treatment guide!
This can also be known as second toe predislocation syndrome. We will show you the best home treatment for this second toe capsulitis and second toe predislocation syndrome taping. Focus on 2nd toe exercises, second toe massage & 2nd toe stretches!
👉-- Shoes --👈
Our Recommended Shoes:
www.michiganfootdoctors.com/p...
Our Recommended Products: www.michiganfootdoctors.com/r...
👉-- LINKS --👈
(With some links, we use affiliate links and may earn a commission. Check with your doctor before using any product!)
Hammer toes:
Yoga Toe Stretcher: geni.us/YogaToeStretcher (Amazon)
Hammer Toe Gel Support: geni.us/BLuBAY
Toe Separator (Can work with sock): geni.us/ToeSeparator (Amazon)
Less Budget Friendly Bunion Socks (Combine with Socks): geni.us/BunionSocks2 (Amazon)
Budget Bunion Variety Gel Pack(See which one works best): geni.us/BunionGelPack (Amazon)
Best Orthotics:
Best Overall Orthotic: geni.us/PowerStepOrthotics (Amazon)
Best Heavy Duty Orthotic: geni.us/HeavyDutyOrthotics (Amazon)
Best Women’s Orthotic: geni.us/BestWomensOrthotic (Amazon)
Best Affordable 3/4 Orthotic: geni.us/ShortLengthOrthotics (Amazon)
Best sub $25 Soft Orthotic: geni.us/BudgetSoftOrthotic (Amazon)
Best sub $25 Budget Orthotic: geni.us/BudgetOrthotic (Amazon)
Best Carbon Insole(For Broken or Stiff Toes) geni.us/CarbonInsole (Amazon)
Bunion:
Best Budget Bunion Socks: geni.us/BunionSock (Amazon)
Less Budget Friendly Bunion Socks: geni.us/BunionSocks2 (Amazon)
Budget Bunion Variety Gel Pack: geni.us/BunionGelPack (Amazon)
Best Bunion Gel Pad: geni.us/BestBunionPad (Amazon)
Bunion Night Splint: geni.us/BunionSplint (Amazon)
Adhesive Bunion Dr. Scholl’s Pads: geni.us/BunionGluePads (Amazon)
How to Stretch Shoes:
Best Budget Shoe Stretcher: geni.us/6HKrL (Amazon)
Best Budget Shoe Spray: geni.us/RqBBIg (Amazon)
Best Heavy Duty Shoe Stretcher: geni.us/VDKcse (Amazon)
Best Leather Shoe Spray: geni.us/5VSTW (Amazon)
Gel Pads & Thin Socks:
Best Heel Gel Pad: geni.us/fMCAXW (Amazon)
Best Bunion Gel Pad: geni.us/BestBunionPad (Amazon)
Best Compression Socks: geni.us/vpayb (Amazon)
Ultra Thin Women’s Socks: geni.us/R4dksV9 (Amazon)
Ultra Thin Business Black Socks: geni.us/RnpOf (Amazon)
📢Disclaimer:📢 This video and description contain affiliate links, which means that if you click on one of the product links, we may receive a commission. We will specifically indicate if we have received any sponsorship.
This is opinion only:
For the viewer or reader: Do not consider this video as a substitute for professional medical advice, diagnosis or treatment. We strongly urge you to contact your own physician with any questions you may have regarding your medical condition. If you are having an emergency, call 911 immediately or see your physician. Do not allow this information to let you disregard your professionals medical advice or delay seeking based on information from this content. Do not rely on information provided by this general education video.
Healthcare practitioners: The content here is for education purposes only. The authors have done their best to provide the most up to date evidence-based information, but this content should definitely not be considered any type of medical standard. It does not reflect individual practices in other geographic areas.
This is strictly for medical education purposes only, it is not intended for diagnosis or treatment. The information in these videos is the opinion of the author only and is not an official opinion of any organizations that the authors may be a part of. The authors or speakers are not associated with any of the above products.
All images and additional video segments contained in the Thumbnails and/or B-roll segments are used in strict compliance with the appropriate permissions and licenses required from Techsmith LLC, Adobe Stock, Envato Elements Stock and Shutterstock.com. These are all license photos and stock media. 
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![Claw Toe & Hammer Toe Treatment [Straighten Your Toes] NO SURGERY!!!](http://i.ytimg.com/vi/FmTScgSZTb8/mqdefault.jpg)
![Second Toe Pain TREATMENT [Capsulitis, Taping & Freiberg Disease FIX]](/img/1.gif)
POLL QUESTION: Do you have Ball of the Foot or Plantar Plate Pain? Let us know!
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For the shoes and orthotics recommended in the video: wp.me/p9imRX-54n
Can you get this condition bc of peripheral neuropathy?
❤❤❤
I want to follow up on my original post I did 2 years ago.
I started searching for help on youtube as a last ditch effort for a major foot problem I had.
It felt like a was stepping on a pebble, it was achy and discomforting, and it had a chain effect, went up from my foot to my back. I'd also experience knee problems like it was weak and unstable. Lower back problems and sciatica. I dealt with this for a long time at least a year.
I was messed up to say the least.
I won't go into details on how the injury occurred bc it doesn't matter. I got an xray that came up negative. I shouldve got an MRI, but never did.
So I dont know exactly what was wrong.
That was long winded, sorry, but here comes the success story.
This video introduced me to ribbon taping.
The very first time I ribbon taped my toe (second toe was all my problems) I noticed an immediate improvement.
I stuck with it.
It hurt at times, im not sure if I was too extreme with the taping or it was my foot bones and ligaments rejoining.
Stayed with the ribbon taping for over a year, changing it when necessary.
My foot is now healed! Pebble sensation completely gone and the strength in my foot and leg is completely back.
So if anyone out there is dealing with the same problem and is in despair, TRY RIBBON TAPING.
Use and anchor piece of tape as well to hold the ribbon tape together and keep it from moving. I became a master with the taping technique.
Sorry for the long post.
Anyone out there in the same boat give it a shot and expect to tape for a while, its not a one week thing.
Know how you feel. Been going through that "chain effect" for a couple of years now. Hopefully this will help 🙏
the toe taping... genius and so low cost. thank you.
Just finished the video. Very informative. Really well done. I was originally diagnosed at an urgent care by a DO with a neuroma. Prednisone and metatarsal pads with new insoles seemed to help. Second flare up last Friday, but this time I noticed the pain started under the second toe knuckle. Found this video today. Seems more likely to be capsulitis, but I won't pretend to be a doctor. I do have an appointment with a podiatrist, but not for six weeks.
Great video! Thx! 🙂✌️
You’ve taught me so much about my foot issue. Thank you so much!
Thanks for the great response!
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Thanks again for watching!
This was so wonderful and informative, thanks so much
Wow, we appreciate the kind words and your watching Janean, we hope you are feeling better!
If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us!
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Thank you for being such a great fan, and we appreciate you watching!
Awesome Doc! 61 male Morton’s toe. Right foot second toe , tight calf’s. You spoke precisely to me!
I realize now I need to get out of my zero drop shoes and introduce some heal height.
Thank you! ❤
This was super helpful thank you!
@SureNuf, we appreciate you watching and contributing!
Glad it was helpful!
Let us know if we can cover any future topics for you.
If possible, we would appreciate a quick rating (hopefully good), as it makes a HUGE difference!
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We are working hard every day to make better and more meaningful content! This is what keeps us going, for sure.
My left foot has been in pain, like it is broke for all most 2 years. My regular doctor, and foot doctor just keep doing x-rays. Then they say its still not broke. The foot doctor keeps saying he is going to do an ultrasound, but he never does. I am trying to get time to get a new doctor, but I have to work all the time. Now I have a lump on the joint on the bottom of my second toe closer to my foot, and between my second toe and big toe. The top of my foot is in so much pain, and now I have a lump in front of my heal. The pain radiates up to my knee. I have went to too other doctors, and they push on my leg, and say they dont think I have a blood clot. I really get worried I am going to loose my foot. Watching you youtube channel helps me learn things to help. Thank you.😁⭐️⭐️
I just want to say I find your videos so informative.
I injured myself like 4yrs ago. Felt a pop doing burpees and collapsed.
The pain I felt had me wanting to chop my leg off.
I got an x-ray a couple days after and nothing showed up!
So ever since then I have been rehabbing by myself (no insurance).
I have suffered back, hip, knee , and most of all ball of foot pain.
Feels like pebbles under my foot.
Things have gotten better, but like I said this happened yrs ago.
I still have lingering issues, I'm a red blooded American male but it's breaking me down to the point of crying lol.
I want my right leg to feel like my left, healthy.
Anyway, I digress.
Your tip about the ribbon taping has had a profound effect, my foot feels the best it has in years.
I've done everything else you recommended, the tape proves to be the most effective.
Thank you great channel.
You are a great fan and we really appreciate you!
Thank you so much for you amazing feedback and help growing our channel.
Great fans like you are really what keeps us working hard and motivated to make better videos!
If possible we would really appreciated a review from a great fan like you!
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how is your foot now
@@noorulhuda4729 thanks for asking, ribbon taping HEALED my toe/foot.
Mind you, I wore the ribbon tape for over a year. Reapplied fresh tape of course.
Day one of ribbon tape i immediately noticed a difference, things weren't shifting around i suppose.
Look up how to to a proper ribbon taping. An anchor piece of tape is necessary.
Fyi, I never was properly diagnosed with my foot injury. I got an xray done after it happened but nothing showed up. MRIs is what I needed, they are expensive.
It felt like I was stepping on a pebble, my leg stability was weak. Pain radiated from my foot to lower back and everything in between.
So if this sounds familiar definitely try ribbon tape.
Yes, its a conservative measure, non surgery. You have to keep with the tape bare minimum 6 months.
Like I said my foot is healed. I thought it was going to be with me forever.
Best of luck, apologies for the long reply.
Cheers
Thank you so much for this video. I've been suffering with this condition for about 10 years. I've been to 4 different podiatrists and they all give me a different diagnosis. One of them did mention Capsulitis! I'm going to try the things you've shared here and will let you know how it turns out. Thank You!
I have had the same issue for the past four years. It is frustrating.
Thank you so much 💞
I'll try this massage and exercise.
I do you yoga what helps a lot ,but I need more attention ......
I have always had flat feet but until March of this year I was able to run on a treadmill 3 times a week. In March a shooting pain began as I was walking. Emanating around the second toe of my right foot. Foot pain turned quickly into ankle and shin pain also.
It is a long road back and some of these treatments are new so thank you very much doctor
Hope you feel better!
Another great video. What do you call the angled wood stretcher? Any links you can share to purchase.
Thank you, Thank you, Thank you, Thank you,
Thank you for watching.
If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us!
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I got my 2nd toe capsulitis after a year of playing Table Tennis (ping pong). In one of your clips you suggest not to continue applying pressure but I really don't want to stop, it's the only activity I love doing. What options do I have? I bought Astra shoes, added a pad and recently I bought a $600 orthotic but don't want to use it as Dr. Angela Walk is saying that orthotics are the worst thing you can do. What other options do I have to continue this great activity? It's my 2nd capsulitis in 6 months, and last time the entire foot was swollen.
I was diagnosed with capsulitis synovitus of my second toe. I went to a Podiatrist who injected it with Cortisone. It ruined my toe and it is now almost completely torn. I tape it daily now for support.
I stubbed it when taking care of my bedridden father. The ankle sprain was so bad I did not notice the toe. But this foot many years before had a neuroma that was painful for a year or so but stopped hurting once a bunuionette formed off the little toe. I just do a lot of stretching.
Do you have any videos on finding footwear if you have a rotated pinky toe or multiple toes? I’ve had such a horrible time finding any decent footwear that I end up wearing shoes that caused the problem in the first place.
Hi, will this treatment help if the "injury" happened 5 years ago ? Thank you !
My podiatrist told me to wear neutrals rather than stability trainers. I have custom made orthotics but think I now have second toe capsulitis. Looking to replace my trainers. I don’t run anymore, just for everyday and walking around. Thanks
I originally injured my left second toe during a jog years ago. My sock got too tight, I lost my toenail, and my toe has been bent ever since (dislocated it?). In 2019 I had a really bad fall landing hard on my left knee. Since that time I have been having burning pain on the bottom of my left foot. I am thinking that the fall set something off on my original injury. Looks like I might have to go to a podiatrist at some point in the near future as standing merely causes me pain.
I actually got my second-toe capsulitis from swimming. I swim on a team. I practice several days per week. I strained my toes by hitting the pool wall during turns and flip turns. The action is similar to jumping. (It doesn't help that I have long toes, and my second toe is longer than my big toe). Do you have any advice on how I can continue to train in the pool while protecting my foot? I have tried to slow down during turns, but this doesn't work very well. Is there a type of protective equipment I could wear on my foot while swimming?
I will try your stretching recommendations. Thanks for the clear instructions on stretching and toe taping. I will do all of this before I invest in $500+ orthotics recommended by the podiatrist.
Reminder of a snapped bicep that was so big when it broke the muscles recoil was stomach shock static!!
Thank you for this video! I got a plantar injury from a pair of the new carbon plated shoes that have these energy rods in them that mimics your metatarsals… never had any foot issues and those shoes injured me! Look up the adidas Adizero Pro 2 and the images of those energy rods. I’ll be interested to hear if you guys have seen injuries from these.
We appreciate you watching and contributing!
If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us!
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Hi Michigan, I have not dislocated my toe or anything however, my second toe's angle is fat, I dont remember how it happend or when. It was just there and it did not really care as it was not giving me any pain however when i look at my feet, it looks abnormal. Do you know what it would possibly be?
My third toe got stepped on by someone's cleat and it is in a moderate amount of pain on top of the joint on the phalange. Hurts when running/ playing soccer. Do I just tape it with the 2nd toe for now? Ice isn't doing too much to it.
After water aerobics the other day the base of my 3rd toe started hurting… a LOT! Upon watching your video I examined my foot and there’s a bump that’s like a bruise but hard at the joint. A picture is worth a thousand words but I can’t upload a photo so I’m trying to describe as best I can. I injured that foot 3 years ago from wearing a new pair of 3” heels to the theatre the first day I got them. Walking a lot in those shoes seemingly ruined my right foot. Been to 3 podiatrists each of which says something entirely different back then but this knot is brand new. The joint is flexible and each moves independently. Can you try to help me identify this thing so I get the proper treatment? Maybe I should do a teledoc appointment with you! That way you can at least “see” what I’m trying to describe 😕
I work in a factory and need to wear steel-toed shoes can you recommend what steel toed shoes are good
I suffered from hammer toes all my life and I had surgery on my feet in 2016. I had at least 8 toes total that needed to be fixed. The best advice I would give anybody is to keep stretching your muscles and toes, and if you get the surgery, keep stretching, because I noticed my toes are starting to arch again.
How much cost?
I tripped and landed with my second toe bent completely forward. It was very quick but I feel pain on the top of the foot and a little in the bed too.
I have mallet toe on my second toe and hammer toe on my 3,4&5 toes. I have no pain but I do want them to be straight. My 2,4&5 toes are comply seized starting at the 2nd and 3rd joint. Is there anyway I can un-seize them????
I dislocated my great toe on a pogo stick. Went to the emergency room and got it relocated back in place. It's been 4 weeks and still pains a little. Any advice?
I had an old classroom TV fall on my foot and break a lot of bones. 25 years later having all these problems ...
Am having pain in my left leg second toe casualties. Pl. Advice.
I am having forefoot issues which I will be getting surgery for and anything over a 5 mm drop is too much . Brooks hurts,
hello doctor: I am 57 year old Male from Australia. 20 month ago I had an iscemic stroke. which left me Hemiplgic. my lwfet side is weak.
I can walk now short distances bu my toes tend to flex snd bend. causing pain when I walk . especially the big toe and 2nd toe. It has benn deamed a neurological problem and I've been injected with botox in my foot and calf. A Podiatrist "concured" eith that diagnosis bu I am no entirly happy - I feel i isn't all Neurological.
Any thoughts?
I just had pain started in my second toe three days ago it's very painful.
What happened when you went to see 2 different podiatrist and they fixed a little bit but never told me what was going on with my foot never told me that I need wide4 shoes besides orthotics they just told me I needed to buy new shoes no explanation and I spent a lot of money buying normal as always now I can’t wear then beside I had and still have a blister for more than 6;months and they told me it will never heal, could you please tell how I can help myself thank you
My middle toes keep swelling in the top tip behind the neil?
I was running to catch a child from falling off steps and I whacked it on a terra cotta hose holder. It did heal...but I think wrong. Now it curls up a bit and hurts on the top. It rubs on the top and irritates. I am Not happy. As a child I was a foot model!!! I modeled sandals !!!! I liked my toes!!!! Would it be an out patient surgery?
I have 2 planter plate tears, mortens neuroma and bursitis. This was discovered through ultrasound although my podiatrist predicted it. I have had this issue undiagnosed for at least 15 years. Not sure if l have many options other than surgery and orthotics. I walk between 1 or 2 hours a day and just want it fixed. The pain is too much.
were can u buy
Just came across this video. Super helpful. I have had this issue for a couple of years. They have given me shots for the pain to no avail. I injured my plantar plate walking in heels and when stepping up on a curb, I stepped on a small jagged rock that came up and hurt me just under my second toe joint, just as I put weight down on the ball of my foot. Since then, my second toe has been numb at the tip and I have pain where the second toe meets the foot. It snaps all the time. I am hoping with your suggestions, I can strengthen my ankle and relax the Achilles to help heal this toe. I have bought orthopedic shoes and they all seem to aggravate this toe. Relief is all I seek and to be able to walk without pain in that toe joint.
Wow, we appreciate the kind words and your watching Andrea!
If reasonable, we would appreciate a quick rating from you, and a good rating makes a MASSIVE difference for us!
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I feel your pain. I injured myself - both feet unfortunately and have been suffering for about 2 months now. I went to see the top specialist in plantar plate injury in the UK and an currently undergoing a rehab course. I would be happy to connect and share our experiences. Alex :)
I have second toe hammertoe, and I’m 31. I started having issues about 2 years ago, after running in Vibram 5 finger toes shoes for 10 years. My podiatrist also recommended shoes with a 10mm+ heel drop, stiff back, and orthotics. It still hurts to walk in them though and while I’m at home, I prefer to go barefoot because it feels better. Do you think there are issues with walking around at home barefoot? I no longer run at all and only do cardio on the Peloton bike.
Add YIN yoga .
I had a forklift driver at work run a pallet into my feet. The left foot was closer so the 2nd and 3rd toes are stuck curled up. Dr took xrays and said no break and it will be fine. 2 years later if I soak in hot water it has a burning sensation. Never got better.
Thanks a lot for your comment !
Thank you!
Where are you located
You want Hoka Clifton 9s....Pass on the Gaviota 5, it's too bendy in the front if you have second toe injury.
Duct tape fixes EVERYTHING!!!!!
Haha for sure!
@@DrTomBiernacki I made an incremental improvement on your duct tape design. Instead of folding it over 1/2, cut small flaps on each side and fold those over. Then it doesn't twist and is easier to apply in a way that prevents the toe from rising but doesn't put pressure on it.
👏 👍 Duct tape and Epsom salts 😉
It’s still wild to me that a podiatrist recommends Hokas. I tried them and had knee and hip pain like no other. Switched to my zero drop shoes and all the problems were gone.
In my experience 25% of people hate the hoka shoes and 75% love the hoka. Healthy young people don't need maximalist support, but older stiff and significantly painful older people/diabetic/neuropathic patients tend to love the Hoka shoes. They are not for everyone!
I had a big bump on my big toe and underwent surgery. As a result of the surgery my second toe got damaged, it dislocated. The surgeon shrugged it off and claimed that further surgery on the second would not help. It is nit painful but really unsighly and bothers me. What do you think I could do further?
Is the big toe pushing into the 2nd toe?
I had a bilateral bunionectomy and toe shortening on 2nd 3rd and 4th toes 8 weeks ago. My 2nd toe is stiff and sticking up and I’m taping it down and trying to do physical therapy on it but the joint at the base is inflamed and bigger. What else can I do??
Check with your doctor, but realistically every single patient is still going to be really stuff and swollen at 8 weeks
I had a bunionectomy done alone with the 2nd metatarsal shortened. Now the scar over the 2nd toe is forcing it up. Is there something I can buy or make to force the 2nd toe down without having to constantly hold my toe down by hand? Need something to keep it down for a long time to get the scar to stretch til the toe stays down.
Have you tried a budin splint? You can buy them online. I think the taping method would work well too.
I have a question. How do you know if yo have a broken rib cage???
Sorry we can only help with the feet, go see a doctor to get checked out if worried!
I have a pain in my right foot ankle and down part of the ankle (in the talus and medial malleolus) , I can't play foot ball and every time I kick the ball make that pain again. I have taken an x-ray report and they sad no fractures in the bone How can I get recover from this?
Consider our ankle sprain guides for possible information, good luck!
ruclips.net/video/0yBrkVUgMkY/видео.html
Consider watching this ankle pain video for options
I had 3 big toe bone fusion and now both my 2nd toes are turning into hammertoes. Fast. I need advice. Please
OMG! This Doctor is heaven sent!
All of my toes except the big one are hammer toed. I've had it since I was a child.
Possible you could do a dislocated toe guide?
If the toe is truly dislocated then it can be a end stage plantar plate tear, beyond this guide a visit with a doctor would be recommended. A dislocated toe may require a specialist or surgery.
Always check with a doctor with a severe injury
@@DrTomBiernacki oh no! I’ll set off now
This isn't specific to you, but we just can't give specific diagnosis online!
what is a difference between the Freiberg’s infarction and Capsulitis in the second toe?
We appreciate you watching!
Freiberg Capsulitis is the destruction of the actual bone due to lack of bloodflow. It is much less common.
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@@DrTomBiernacki sorry your answer is not clear! The question is: What is the difference between Freiberg’s infarction in the second toe AND Capsulitis in the second toe?
The difference is that Freiberg infarction the bone is actually breaking down, but in capsulitis the tissue around the bone is just irritated. thank you and have a happy new year! 😊🙏
@@DrTomBiernacki okay, it’s less good news but thanks a lot for explaining!! I appreciate it 🙏
OMG! I just called your office and you don't except my insurance. 😭
👍🏼👍🏼👍🏼👍🏼
We appreciate you watching and contributing. We hope your 2nd toe feels better Angela.
If possible, we would appreciate a quick rating (hopefully good), and it makes a HUGE difference for us!
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We are working hard every day to make better and more meaningful content! This is what keeps us going for sure.
Skateboarding ruined my feet. I have such a hammertoe on my second toe. Now I have a corn on it and it hurts so bad.
My third toe is the problem and looks just like that???
Generally for most people other toes are possible as well, we find the second toe is the most common, but always get evaluated by your own personal doctor!
Crocs
From a hevey ice fish
Hope you feel better soon!
i was playing a game then accidently kicked my btos knee
I have nice feet but I enjoy all about feet. And in my life I have seen many types of feet of everywhere in the world and u have taught me a lot, besides urs are yummy 😋
Hahaha great toe hear!
Ωραία όμως παρακαλώ μετάφραση ελληνική!!!!!!
I have brach metarsis on both Feet I was born with hammertoes and the podiatrist said I'm going to need surgeries on both Feet and he wants me to get x-rays so he can look at them 😏 and decide if I'm going to need the surgeries
Or not but I been using medical tape and moleskin
Why us this QUACK WHISPERING
Как хочется на русском языке все слушать.
The translation still doesn't work very well unfortunately, apologies 😔
Roberta. Anthony Hello
hello!
Just slid down a rock ledge and sure enough my 2nd toe turned into a claw toe instantly. Tried to tape it for a while but then made an appointment with my podiatrist and he said that the claw toe will not go back to normal. I thought it would. He made me a bottom cast and gave me a shoe to keep my foot absolutely flat. I thought the claw would go back to normal