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Lesser Toes

Problems with the small toes

Some questions answered

What are the small toes for?

The small toes are important in walking, especially when pushing off with the foot towards the next step. They share the pressure with the big toe and the ball of the foot.

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Why do they become deformed?

Toes become deformed when the pressures on the toe are stronger than their joints can resist. This may because the joints are weak or the pressures strong, or both.

The joints may be weak because they have been damaged by injury or arthritis. The muscles that control them may become unbalanced, so that one set pulls harder than others and causes the toe to bend. In some people the tissues in the lower part of the joint at the base of the toe (metatarso-phalangeal joint or MTPJ) become weak, allowing the base of the toe to drift upwards and unbalancing it.

The main pressures which cause toes to become deformed come from shoes which press on the tip of the toe, either because the shoe is tight or because it has a high heel, which tends to force the toes into the tip of the shoe.

Pressure on the toe may be because the toe (usually the 2nd toe) is naturally longer than the others, or because the big toe has been shortened by surgery or injury. The pressure from the shoe gradually causes the toe to buckle and this weakens the tissues in the metatarso-phalangeal joint further. The metatarso-phalangeal joint bends up and the next joint to it (proximal inter-phalangeal joint or PIPJ) bends down. The end joint of the toe (distal inter-phalangeal joint or DIPJ) may bend down (usually called a claw toe), stay straight or bend up (usually called a hammer toe).

As the MTPJ bends up, the toe may curve over the next toe and rub on it. This is especially common in the 2nd toe, particularly if the big toe bends towards the second toe (hallux valgus, or bunion).

Sometimes the whole toe does not bend. The DIPJ may just bend downwards itself while the rest of the toe remains straight (usually called a mallet toe).

Other toe deformities mainly occur in children and are due to abnormalities in the growth of the toes.

  • the 5th toe may curve over the other toes
  • the 2nd, 3rd or 4th toes may curl and curve under neighbouring toes - this is because one of the tendons is "too short" for the toe
  • various other toe deformities may occur in children, sometimes together with other foot or leg abnormalities, often on their own.

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What problems do deformed toes cause?

The main problem with deformed toes is that they tend to rub on shoes, either on top of the PIPJ or at the tip, or both. This rubbing may simply be uncomfortable, or the skin may be rubbed raw.

If the MTP joint is bent upwards, particularly if it is stiff, the toe may press down and cause pain in the ball of the foot ("metatarsalgia").

Bent toes may rub on one another or on the big toe, especially if the big toe is bent towards the second toe (hallux valgus or bunion).

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My toes are curled and rub on my shoe. Is there anything simple I can do?

The most important thing is to buy shoes which have enough room in the toe area for your toes to fit comfortably. Avoid high heels, which tend to force the toes down into the tip of the shoe. Small pads on the top or end of the toe may improve the discomfort.

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I get pain in the ball of my foot. Is this caused by my deformed toes?

The toes are probably contributing to the pain at least. There are a lot of causes of pain in the ball of the foot (metatarsalgia). Another page on this site gives more information about metatarsalgia, including advice about self care and when to consult your doctor or chiropodist.

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Can chiropody help with deformed toes?

A chiropodist can give advice about shoes and insoles, and can treat the hard or raw skin that develops over some deformed toes. Chiropodists in Britain and most parts of Europe do not operate to straighten toes.

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Do I need an operation?

If your toes are interfering with your daily activities and the problem is not helped by the simple measures outlined above, it may be best to have an operation to straighten the toes.

Your GP can refer you to an orthopaedic foot and ankle surgeon who will listen to your problems, examine you and advise you on the best method for straightening your toes.

There are a number of different operations which can be used, depending on the shape of your toes and how stiff they are:

  • the MTP and PIP joints may be freed up to allow them to come straight
  • on of the tendons which curl your toes may be brought up to the top of the toe to help keep it straight
  • a small piece of bone may be removed from the MTP, PIP or DIP joint, or more than one, to allow it to come straight
  • occasionally, the tip of a mallet toe may be removed to shorten the toe and stop it rubbing

Any of these operations may be held stright with a metal pin inserted into the toe, which is later removed.

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I've heard the results of toe surgery are terrible. Is this true?

No. Over 90% of toe operations correct the problem for which they were done. A number of problems can occur:

  • the deformity can recur
  • the toe may be swollen for several months, or in a few cases permanently
  • stretching of the nerve in the toe can cause tingling, numbness or over-sensitivity in the toe - this usually gets better after a few weeks, but can be permanent.

Most people are satisfied with their toe surgery and "terrible" results are rare. Toe surgery is not easy, however, and it is important to have it done by someone with proper training and experience.

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Best CBD Oil UK: The 9 top CBD brands in the UK (2020)

CBD products are making a lot of noise in the market, and it makes complete sense judging by the slew of health benefits that they bring. We’ve gathered the best CBD oils currently available in the UK market to help you narrow down your search.

What is CBD?

CBD or Cannabidiol is a chemical compound extracted from the cannabis plant. We know what you’re thinking. How is this any different from marijuana? The answer is in their THC (tetrahydrocannabinol) content. Weed contains a lot of THC, which is a psychoactive compound that gives the user mind-altering effects. CBD, on the other hand, cannot get you “high.” CBD is widely used for its pain relieving properties. It can be used to minimize the symptoms of conditions like epilepsy, anxiety, diabetes, cancers, among others. 

Whether you have crippling anxiety or you have been dealing with chronic pain for a long time, CBD oil can offer you some relief. With plenty of scientific research emerging to back up anecdotal claims, the UK CBD market shows no signs of slowing down. CBD is 100% legal in the UK as long as its sold as a food supplement and contains less than 0.2% THC content.

If you’re ready to jump on this very promising train, take a look at the best CBD oils in the UK that we’ve tried and recommend. 

The UK's 9 Best CBD Brands (2020 Updated)

1. Blessed CBD

If you don’t want to muck around, the first CBD oil you should try should be the UK’s number one CBD oil brand. Blessed CBD is a family-run operation in the UK. It’s their goal to provide their customers with the very best CBD products, and it’s safe to say that they have been succeeding in the United Kingdom.

Their hemp extracts come in a 10ml bottle and in full-spectrum form, meaning they’re rich in all cannabinoids (CBD, CBDA, CBG, etc) and terpenes. Unlike broad-spectrum oils, full-spectrum CBD oils are extremely effective in relieving pain and inflammation (due to the entourage effect). It’s also worth noting that the hemp plants used in their products are 100% vegan and organically grown. 

cbd oil

What we love about Blessed CBD is their commitment to educating the UK public about CBD. They cater specifically to the UK market, as their products are not available elsewhere else. All their products come with an informational booklet to get you started and customer reviews are majorly positive.

They were also voted the #1 CBD oil UK by leading publications, such as Mirror, Observer, HerbMighty, Manchester Evening News, Liverpool Echo, Birmingham Mail, LA Weekly, Readers Digest, Glasgow Live, Improb and Luxury Lifestyle Mag.

Plus, each batch of oil they produce comes with its own certificate and third party lab reports, so you know exactly what you’re putting into your body and the amount of CBD in each product. 

If you're looking to truly experience the benefits of CBD, give Blessed CBD a try.

For more information, visit BlessedCBD.co.uk.

2. Bud & Tender CBD

Bud & Tender is a British company that’s relatively fresh in the market. However, they’re getting quite the praise because they produce some decent CBD oils. 

A premium CBD oil (with a premium price), it’s a bit more palatable than your average CBD tincture. It has a distinct floral note, which makes it easier to swallow. Using a CO2 extraction process/technique, all their oils are guaranteed to be of the purest quality. 

They only use non-GMO, organic hemp so you’ll know that what you’re getting is an all-natural remedy. If you want to find out more about their products, they’re very transparent about what’s in them. Comprehensive lab results are regularly published on their website. 

3. Jacob Hooy CBD

If you like to frequent Holland & Barrett on the high street, you might have come across this hemp CBD oil from Jacob Hooy. Because it’s so affordable, it’s a viable choice if you’re taking the first steps of your CBD journey. It’s not the most potent oil in the CBD industry, so it's important to have realistic expectations.

It’s also not the most palatable, but you can always wash it down with a generous drink of water. Overall, it’s a reliable starter CBD oil for those who don’t need higher potencies just yet. 

4. Hempura CBD

Hempura is an up-and-coming brand that offers a wide range of quality CBD oil products. Aside from oils, they have edibles, e-juices (for vaping devices/vape pens), and capsules. Even though it’s not full-spectrum, the oil contains a decent amount of cannabinoids. It’s by no means ineffective. 

They also use the CO2 extraction method, which is considered the most efficient and safest technique of getting CBD out of hemp plants. We also love Hempura’s packaging, which is important to some folks. 

Hempura is also part of the Cannabis Trades Association, which shows their commitment to creating high-quality products for their customers.

5. Endoca Raw CBD

Endoca Raw is the CBD oil of choice of those who want make more environmentally sound choices. Endoca Raw’s operations all happen in Northern Europe. It’s worth noting that they use supercritical CO2 extraction, which is the best way to isolate cannabinoids and flavonoids.

The growing process of the hemp crops used in their products all pass strict regulations. They’re non-GMO, vegan, gluten-free, pesticide-free, herbicide-free, and 100% natural. 

Their range of products include CBD tinctures, CBD capsules, gummies, CBD vapes, CBD e-liquid and skincare options.

6. Medterra CBD

Medterra dominates the worldwide CBD oil products market (especially in the USA) and they have only just made their products available for UK residents. Their oils comes in 500mg to 3000mg potencies, so you have a decent range to choose from depending on the symptoms that are ailing you. 

Best CBD Oil UK: The 9 top CBD brands in the UK (2020) Best CBD Oil UK: The 9 top CBD brands in the UK (2020)

Best CBD Oil UK: The 9 top CBD brands in the UK (2020)

One thing that we love about the Medterra's CBD range is its tastelessness. It doesn’t smell like anything either, making it extremely easy to consume. Plus, the dropper cap of this product has marked measurements, so you can measure out your dose every time you take it. 

7. Holistic Herb CBD

If you’re a stickler for quality and always want to go for the premium, look no further than Holistic Herb. They offer strong straightforward potencies of CBD, at 4.2% or 8.2%. If you think you’re going to need higher doses to treat your ailments, then by all means go for this oil. Just so you know, it’s very hard to overdose on CBD oil anyway. You would have to consume gallons of it for it to become detrimental. 

Every batch of their CBD oil sprays are so pure and contain no amount of THC whatsoever. You’re guaranteed to get only the holistic goodness of the crop and not its psychoactive side effects. Since it’s a premium product, it’s the most expensive one on this list, but it’s never really a bad idea to splurge on quality. 

8. NeoHemp

Hemp oil is not exactly the same as CBD oil, but it’s a good place to start if you’re on the fence about using pure CBD. Hemp oil is considered a superfood because of its high amount of fatty acids and bioactive compounds. Unlike CBD oil, Hemp oil is extracted particularly from the crop’s seeds and nowhere else. 

With a 4000mg potency, you can take this oil as is or mix it in with your creams and serums. It’s more affordable than the other picks on this list, but it is also slightly less potent. 

9. Health Hemp Holland

This is another hemp oil. As mentioned above, hemp oils are not to be confused with CBD oils. It’s extracted from the seeds of the hemp plant, while CBD oil is extracted from the leaves, flowers, and steams. 

Hemp oils are mainly used to treat skin problems like acne and visible signs of aging. A lot of folks combine them with their sunscreens and moisturizers to get evenly toned clear skin. Hemp has anti-inflammatory properties which help reduce the appearance of spots. 

This is also a great starter oil for those who only looking to get their feet wet in the wonderful pool of CBD products. 

CBD oil UK: final thoughts and takeaway

There you have it, our top picks for the best CBD oils to buy in the UK.

As a friendly reminder, its best to work your way up if you’re unsure about dosing. Start with a lower potencies and check if it relieves your symptoms. There is some trial and error involved in this. But when you find that sweet spot, you’ll soon realize that CBD oils may work wonders on your physical and mental health.

If you're looking for the best and most reliable CBD oils and CBD creams in the UK, look no further than Blessed CBD.


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