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Overlapping Toes

Causes: An overlapping pinkie toe occurs when the toe is extended at the metatarsophalangeal joint and rotated to rest on top of the fourth toe. Overlapping pinkie toes are usually congenital deformities, meaning they are present at birth but can become more obvious later in life. The overlapping pinkie toe is equa lly common in men and women and usually occurs on both feet. About half of patients become symptomatic because of pressure from footwear, according to

Symptoms: Wear wide shoes with broad tips. This is the main treatment for adults; it reduces friction and pressure on the toes. Consistently wearing shoes that are too narrow can squeeze the toes together, exacerbating the issue. Shoes should be roomy with lots of toe space.

Prevention &a mp; Care: Research the relevant medical devices available, based on your symptoms. One common product used is a silicone toe cap, which slides over the toe to reduce friction and pressure. Another product used is a toe separator or comb, which is inserted between each toe to keep them separate, ultimately minimizing pressure and friction.


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The information listed on is a recommendation for Foot Care Guidelines and internet self-diagnosis treatment. If you are experiencing persistent pain, and symptoms that do not improve with treatment of a non-prescription product and consult a podiatrist.  A foot doctor can correctly diagnose the condition and make appropriate recommendations. Dr. Mark T. Lewis, DPM