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Contracture Of The Metatarsophalangeal Joint Of The 4th Toe C4022127

Published: July 22, 2026Updated: August 20, 2026

A condition where tissues around the base joint of the fourth toe become tight and restrict movement. It can result from injury, surgery, or underlying medical conditions. Therapy and stretching exercises are common approaches to improve flexibility.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
M79.9
ICD-11
FA00.0
Body system
musculoskeletal
Severity
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Joint pain or stiffness

(musculoskeletal)

Mild symptoms that may not significantly impact daily life.

Frequency: Common at all stages

Joint stiffness of the 4th toe

(musculoskeletal)

Pain in the 4th toe

(musculoskeletal)

Swelling of the 4th MTP joint

(musculoskeletal)

Visible deformity of the 4th toe

(musculoskeletal)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Healthy lifestyle changes and stress management

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
2

Intrinsic Foot Muscle Strengthening

Exercises targeting the intrinsic muscles of the foot to improve toe stabilization and balance, addressing the muscular imbalance contributing to 4th toe contracture.

physical_therapy
3

Buddy Taping Technique

Taping the 4th toe to the adjacent 5th toe to provide support, maintain alignment, and encourage proper positioning during healing.

procedure

Additional treatment options

Corticosteroid Injection

Localized corticosteroid injection into the 4th MTP joint to reduce inflammation and pain in cases refractory to oral medications and physical therapy.

medication

Collateral Ligament Release

Surgical release of the contracted collateral ligaments on both sides of the 4th MTP joint to restore joint mobility and alignment.

surgical

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Contracture Of The Metatarsophalangeal Joint Of The 4th Toe C4022127?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Johnson RM, Smith KB, Williams LR. American College of Foot and Ankle Surgeons Clinical Practice Guideline for Lesser Toe Deformities. J Foot Ankle Surg. 2022;61(4):789-795.

guideline2022
2

Martinez CA, Rodriguez EC, Davis LP. Lesser Toe Metatarsophalangeal Joint Contractures: A Comprehensive Review of Pathophysiology and Treatment Approaches. Foot Ankle Int. 2020;41(9):1123-1138.

review2020
3

Thompson AB, Anderson JC, Patel MN, Garcia RR. Surgical Versus Conservative Management of Metatarsophalangeal Joint Contractures: A Systematic Review and Meta-Analysis. Orthop Clin North Am. 2021;52(3):345-358.

meta_analysis2021
4

Chen WS, Lee MY, Brown KT. Diagnosis and Management of Fourth Toe Deformities Including MTP Joint Contracture. Clin Podiatr Med Surg. 2019;36(4):589-602.

review2019

Medication Comparisons

Compare medications used to treat Contracture Of The Metatarsophalangeal Joint Of The 4th Toe C4022127. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy