Proper toe position is essential for a good functional gait and overall posture. Toes that mal-align, deviate or retract are often associated with bone, joint or tendon problems.

Poor biomechanics resulting in compensations, hereditary, and systemic factors such as diabetes and arthritis.  Also related to trauma or changes that occur over time due to repetitive use. Over time, these mal-positioned and poorly functioning toes can subsequently lead to other problems involving inflammation, infection and pain in the adjacent or surrounding skin and nails.