Excessive rubbing of the mallet toe against the top of the shoe can lead to pain and the development of a corn. The tip of the toe is often turned down against the shoe causing pressure and discomfort. The development of mallet toes is often caused by bone and muscle imbalances. These imbalances become exaggerated in people with active life styles. For example, people who are constantly on their feet or participate in athletic activities, are more likely to develop mallet toes.
Arthritis can also lead to many forefoot deformities, including mallet toes.
Mallet toes can cause extreme discomfort, and can be aggravated if restrictive or improperly fitting footwear is worn for a prolonged period of time. Any forefoot problems that cause pain or discomfort should be given prompt attention. Ignoring the symptoms can aggravate the condition and lead to a breakdown of tissue, or possibly even infection. Conservative treatment of mallet toes is started with accommodating the deformity. The goal is to relieve pressure, reduce friction, and transfer forces from the sensitive areas.