Small Foot Orthoses.

Accurate assessment and correct diagnosis of digital deformities aids clinicians to develop a specific conservative management plan. Evaluation of the progression toe pathologies make over time, provides the clinician with adequate information to decide whether to improve muscle function during gait or offload and deflect pressure when required. Improved muscle function can be achieved with intrinsic foot exercise specifically for the flexor muscles, which can change the dynamics of the toes. Simple insoles with metatarsal pads have a similar effect on muscle function and can alleviate digital pain. Off-loading digits with specific splinting can be used to provide patients with comfort and support when hyperkeratotic skin lesions become irritable. Splinting can also be used to prevent ulcers from forming. When conservative measures no longer pacify patients symptoms a surgical alternative should be considered.