Crossover Toe – A second toe that rides up and over the first toe

Crossover toe is a condition where the 2nd toe moves toward and eventually rides over the big toe (first toe).  A crossover toe can occur at any age however it is more common in older patients.

Photograph of a crossover toe

Pain in the plantar forefoot and difficulty fitting into footwear are 2 of the most common problems that patients report.  Symptoms of crossover toe can often mimic a morton’s neuroma and it is important to differentiate the two conditions with a careful examination.

Abnormal foot mechanics (such as over pronation) lead to an increase in pressure in the plantar area of the forefoot.  The area beneath the 2nd metatarsal head is often overloaded due to over pronation.  This overloading strains the plantar ligaments of the 2nd metatarsal phalangeal joint (toe joint) weakening them.  Over time these supporting ligaments will no longer stabilize the joint and the toe will begin to drift towards the first toe.  If untreated a crossover toe will progress with eventual dislocation of the joint.

Conditions that will cause increased pressure beneath the 2nd metatarsal are over pronation, a long 2nd toe, poor footwear, tight calf muscles and bunions.

Treatment for crossover toe is best initiated early and is aimed at stabilizing the foot and normalizing pressure in the plantar metatarsal area.  Conservative measures such as orthotics, calf stretching and strengthening, triggering of plantar musculature, icing, anti inflammatory medications and properly fitted supportive shoes are all helpful in the early stages.  It is worth noting that once the 2nd toe has started to drift towards the first conservative measures are unlikely to restore the alignment of the 2nd toe.

If the crossover toe has progressed then surgical intervention may be necessary.

 Below are products from our range that will help to stabilize the foot and limit the progression of crossover toe.

 

THE KEY STEPS TO GETTING THE RIGHT SIZE DOCPODS:

FULL LENGTH INSOLES 

NON FULL LENGTH INSOLES 

1. Measure your existing shoe insole:

 1. Measure from your heel to ball of foot:


 

2. Then compare your measurements from above to match the product size charts below:
(you can trim to fit the insoles by approximately 1cm)


Docpods Regular Size Guide - for Slimline, 3 Quarter, Sports


  US UK EURO SLIMLINE 3 QUARTER  SPORTS 
Size  cm cm cm
Small  4-7  4-8  3-6.5  4-7.5  35-40 16  16.3  25.8
Medium  7-9   8-10  6-9  7-10  39-43  17.4 17.2  27.4
Large   9-13  10-14  8-12  9-13  42-47 19.3   18.2 29.4

Docpods Ultra Size Guide - for Ultra Soft

  XXS XS S M L XL
EURO  34  35.5-37.5  38-40  40.5-42  42.5-44  44.5-46.5
UK  2.5  3-4.5  5-6.5  7-8  8.5-9.5  10-12
US MENS  4-5  5.5-6  6.5-7.5  8-9  9.5-10.5  11-13.5
US WOMENS  3.5-5  5.5-7  7.5-9  9.5-10.5  11-12  13-14
LENGTH (cm) 23.2cm 24.9cm 26.2cm 28.8cm 30cm  31.2cm

Docpods Kids Size Guide - for Docpods Kids Fit only

  Size SPORTS  SLIMLINE
XXS 12-1  19.5cm 13cm 
XS 2-3 22.4cm  15.3cm 

Docpods Foot Pillow - Trim to Fit

  S L
US MENS  4.5 - 9  9 - 13
US WOMENS  6 - 10  10 - 14
LENGTH (cm) 26.5cm 29.2cm



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