Most people refer to all small toe deformities as hammer toes. In fact, there are four variations of small toe deformities which include hammer toes, claw toes, mallet toes and retracted toes. Each is determined by what is happening at the small joints in our toes. Deformities of the lesser toes can be attributed to inappropriate shoes, flat/high arched feet, bunions, systemic conditions (e.g. Rheumatoid arthritis), and a family history. These deformities can become painful in regular shoes and lead to corns, callus, blisters and even ulcers. At the Mount Joy Foot Clinic we take a conservative approach at accommodating these various toe deformities and treat any associated corns or callus that are present.