Bent middle joint
The toe may curl downward and may initially remain flexible when moved by hand.

Hammertoe treatment
A hammertoe can begin as a flexible bend and gradually become more rigid. Pain, corns, shoe pressure, and changes at the ball of the foot help determine the right plan.
Pressure and alignment
Hammertoes most often affect the smaller toes. The bend can create new pressure points where the toe rubs against a shoe or where the ball of the foot meets the ground.
The toe may curl downward and may initially remain flexible when moved by hand.
Repeated shoe friction can thicken skin on top of the toe, between toes, or beneath the forefoot.
A crowded toe box may produce redness, burning, pressure, or difficulty finding comfortable shoes.
Toe imbalance can accompany pressure beneath the forefoot or instability near the base of the toe.
More than appearance
The examination may assess which joint is bent, whether the toe remains flexible, skin pressure, tendon balance, the joint at the base of the toe, walking mechanics, and related bunion or arch changes. X-rays may be considered to define alignment and joint changes.
Check whether the toe can straighten and how much motion remains at each joint.
Review shoe fit, corns, calluses, and load beneath the ball of the foot.
Identify bunion, plantar plate, tendon, nerve, or other structural findings that may affect treatment.
Treatment matched to severity
The appearance of the toe alone does not determine treatment. Comfort, flexibility, skin safety, shoe fit, and walking function matter.
Protect the skin
Arrange prompt evaluation for an open sore, drainage, spreading redness, increasing swelling, rapidly worsening pain, or difficulty walking. This is especially important with diabetes, poor circulation, reduced sensation, or immune suppression.
Avoid cutting corns yourself or using acid-containing medicated corn removers without professional guidance, particularly if circulation or sensation is reduced.
Two New York locations
Choose the Gramercy office in Manhattan or the Brighton Beach office in Brooklyn. Both office pages include the complete address, schedule, and directions.