Morton's Toe

Lots of people think they have a weird foot because it looks like the second toe is longer than the big toe. It is actually quite common, so common in fact that the Statue of Liberty's feet are modeled after the Greek foot, another name describing the Morton's Toe.

The correct term for Morton's Toe is Morton's Foot Syndrome, named after Dr. Dudley Morton who was a foot doctor of some fame back in the 1930's. He authored several books on the subject including a book named Oh, Doctor! My Feet! where he talks about some of the problems associated with this foot shape.

Recognizing Morton's toes?

Identifying Morton's Toe

Morton's toe is a little misleading, because this condition isn't really a long toe, meaning the phalanges (toe bones). It is the relative length of the Metatarsal foot bones, specifically the relative length difference between the first and second that defines this foot shape. Morton's Toe aka. Morton's Foot Syndrome is a short first metatarsal relative to the second metatarsal.

You don't need an x-ray to determine if you have Morton's Toe.

If the space between your first and second toe appears to be deeper, not wider, but deeper than the space between your second and third toes, you have Morton's Toe which is also sometimes just called Morton's Foot.

Does Morton's Toe cause problems?

This foot structure is known to cause and perpetuate musculoskeletal problems. Problems start with the feet and the list is long.

Foot Pain

  • Metatarsalgia (ball-of-foot pain)
  • Morton's Neuroma
  • Metatarsal Stress Fractures
  • Plantar Fasciitis
  • Calluses
  • Bunion
  • Hammer, Claw and Mallet toes

Lower Extremity Pain

  • Ankle Pain - Weak Ankles
  • Shin splints
  • Tight, Sore and Tired Calf Muscles
  • Knee pain
    • Tight IT Bands
    • Runner's Knee (Chondromalacia)
    • Fractured Meniscus
    • ACL Tears
  • Sciatica Pain
  • Arthritis

Back and Neck

  • Scoliosis & Kyphosis
  • SI Joint Pain
  • Sciatica (Piriformis Syndrome)
  • Low-Back Pain
  • Upper Back and Shoulder Pain
  • Neck Pain (head forward posture)

Morton's Toe impacts the whole body because it changes your posture and the way you walk and run.

aka. Morton's Foot
aka. Morton's Foot Syndrome
aka. Greek Foot

Morton's toe x-ray imageThe x-ray from Dr. Morton's book shows the first metatarsal being shorter than the second metatarsal. Dr. Morton also observed a thicker second metatarsal shaft and hypermobility of the first metatarsal.

How can Morton's Toe influence the whole body?

Dr. Dudley Morton observed that people who had Morton's Toe experienced profound changes in their gait. He noticed many people rotated their feet outward. He observed postural changes. His solution to the problem was to make what he later patented, called a Morton's extension. It was a rigid plate placed under the inside of the foot that extended beyond the length of the first metatarsal to approximately the same length as the second metatarsal. In addition Dr. Morton thought the first Metatarsal was hypermobile, but what he missed was that the first metatarsal was also elevated, so that when a person tried to walk with their legs and feet in proper alignment, the first metatarsals and the big toes were not properly weight bearing.

As has later been established, the Elevated First Metatarsal affects many more people than does Morton's Toe. About 80% of the population has an elevated first metatarsal. Although accurate statistics are hard to find it is estimated that 20-30% of the population has Morton's Toe.

Is there a cure for Morton's Toe?

Some doctors might propose surgery to make the first and second metatarsal more equal in length. What Dr. Morton considered a hypermobile first metatarsal often manifested in a splayed first metatarsal that pointed away from the foot. Changing the metatarsal length would not affect its orientation, and problems like bunions would still be a likely result.

As it turns out, the correction for an elevated first metatarsal also greatly improves the mechanics of the Morton's Toe foot. This correction consists of a small pad placed underneath the head of the first metatarsal - thickness up to 1/4 inch. This approach was suggested by Dr. Morton himself as well as Dr. Janet Travell who wrote the recognized text books on myofascial pain. She considered correcting the Morton's Foot problem essential to treating muscle pain.

A pad like Dr. Travell proposed can easily be fashioned from moleskin, and should be placed underneath the first metatarsal only. Instead of fashioning these pads yourself, www.mortonsfoot.com makes special insoles to correct the gait and posture caused by Morton's Toe.

Morton's Toe and Ageing

This is probably the most overlooked part of this syndrome. Young people, because they are stronger and more active, may have fewer symptoms from Morton's Toe, but faulty body mechanics it tough on both joints and ligaments. Knee osteoarthritis can be traced directly to torque in the knee caused by Morton's Toe and internal rotation of the tibia, and so can Meniscus tears and tens of thousands of arthroscopic knee surgeries.

For someone with this foot structure, athletic activities can accelerate and aggravate wear and tear on joints and ligaments causing you to give up your favorits sports prematurely. Correcting the Morton's Toe leads to better body alignment and stronger athletic performance.