Further information about hyperextension of the distal phalanx

Hyperextension of the distal phalanx, or over extension of the big toe, is often the body's way of compensating for the reduced movement in the main big toe joint area. The problem of big toe holes in your footwear is not the sort of topic brought up in conversation, so people are not aware of the number of the population that suffer from this problem. Experts estimate that as many as 1 in 5 people have this issue and it can be an annoying and expensive problem.

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A couple of points to check if you get big toe holes in your trainers / shoes are:

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Correct size - Is your footwear the correct size? it seems obvious but ensure they are not too long or too short.

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Laced / fastened securely - When walking or running, if footwear isn't laced / fastened securely enough, the foot can move down your footwear and the big toe can hit the end.