Abstract

Claw toe is a common foot deformity characterized by abnormal bending of the toes at both the middle and distal joints, often leading to pain, difficulty walking, and the development of corns or calluses. The condition is frequently associated with muscle imbalances, neurological disorders, or improper footwear, and can significantly affect a person’s quality of life. Effective management of claw toe typically involves a combination of conservative treatments, with orthotics and footwear modifications being key components in alleviating symptoms and improving foot function. This article reviews the role of orthotic devices, such as custom insoles and braces, in correcting abnormal foot mechanics, as well as the importance of appropriate footwear in providing relief from pressure and improving toe alignment. The benefits of soft, flexible shoes with a wide toe box, low heels, and cushioning are discussed, along with additional modifications such as toe spacers and metatarsal pads. By addressing the underlying biomechanical issues and reducing external pressures on the affected toes, orthotics and footwear modifications can help alleviate pain, slow the progression of the deformity, and enhance mobility in individuals with claw toe.