This is a patient who complained about pain at the tip of her second toe. She had bought one pair of half size bigger shoes, which even felt too big, yet her second toe remained sore. She brought in 3 pairs of shoes at her visit and, after removing the shoe insert, I could definitely tell her that the 2nd toe had plenty of room. She had a hammertoe on the 2nd toe and a large callus at the end of the second toe. I felt the 2nd toe was not painful for running into the end of the shoe, but gripping the floor. I fit her for a small right toe crest to lift the tip of the toes off the ground and she felt instantaneously better.
