Polydactyly is a congenital condition in which a person is born with one or more extra toes on one or both feet. This condition develops during early fetal growth when the structures that form the fingers and toes do not separate in the typical pattern. Polydactyly may appear as a fully formed extra toe with bone and joints or as a smaller soft tissue projection. The location, size, and structure of the extra toe can vary and may affect balance, footwear comfort, and foot function.
From a podiatric perspective, polydactyly is evaluated based on how the extra toe impacts walking, stability, and overall foot development. Some individuals experience no symptoms and function normally, while others may develop pain, pressure points, difficulty fitting into shoes, or abnormal gait patterns. In children, untreated polydactyly may influence how the foot grows and how weight is distributed during walking. In adults, the condition can contribute to calluses, skin irritation, or joint strain due to altered mechanics.
A podiatrist plays a key role in diagnosing polydactyly through physical examination and imaging to understand bone structure and alignment. Treatment depends on symptoms, age, and functional impact. Conservative care may include shoe modifications, padding, or custom orthotics to reduce pressure and improve balance. When the extra toe interferes with walking or causes pain, surgical correction may be recommended. Surgery aims to remove the extra toe and restore proper alignment while preserving function and appearance.
Post treatment care is essential to ensure proper healing and long-term foot health. A podiatrist monitors recovery, guides rehabilitation, and addresses gait changes to prevent future problems. Early evaluation is especially important for children, as timely care can support healthy foot development and mobility.
If you or your child has an extra toe or concerns related to polydactyly, our podiatry office is here to help. Contact our team today to schedule a consultation, receive a thorough evaluation, and learn about personalized treatment options designed to support comfort, function, and confident movement.
