Curly toes

  • Initial pre-referral workup

    Clinical history

    • one or more of the lessor toes curves medially
    • usually affects one or more of the outer three digits
    • may push 2nd toe up and cause it to bend laterally
    • may be familial

    Physical examination

    • usually passively correctable
    • may look worse when standing
    • look for redness or callosities


    • nil
    • X-rays are of no use

    GP management

    • benign toe condition
    • usually cosmetic
    • reassurance
    • many cases resolve with growth

    Indications for specialist referral

    This condition is not accepted for referral UNLESS:

    Routine referral

    • over the age of five years
    • significant deformity causing rubbing and callosity