Toe deformities can be hereditary or as a result of trauma/injury or indeed from wearing ill-fitting footwear over a period of time.  Conditions such as diabetes or arthritis can also lead to deformity in foot structure as the disease progresses. Hammer, mallet and retracted toes can all cause discomfort, especially when there is pressure from footwear or when adjacent toes are affected leading to corns, callous and ulcers.  Surgery is sometimes advised if regular treatment is not sufficient.  The most common deformity is Hallux Valgus more often referred to as a ‘bunion’.  The toe rotates towards the second toe and can cross over it causing a lot of discomfort.  Orthoses (devices made to keep toes straight) can be used to help limit its progression.