Treatment of Lesser Toe Deformities Based on Physical Therapy.

Forefoot problems are highly relevant in the general population. It leads to a loss of autonomy and increases the risk of falls. Treatment needs to consider the underlying cause, and conservative measures are generally instituted before surgical intervention. Nonsurgical approaches must be focused on pressure relief and deformity correction. Corrective devices may be indicated for reducible deformities. Physiotherapy based on exercises and the use of specific orthoses are indicated. The new concept with an emphasis on strengthening the intrinsic muscles of the foot appears to be quite effective in correcting less severe deformities and preventing the deformities from worsening.