Curly Toes in Kids: 6 Things Parents Should Know

It’s common for babies to be born with curly toes, and as they grow, the toes often straighten out on their own. If that doesn’t happen, don’t be alarmed. If you ask your doctor, they’ll probably tell you that unless the child has pain or discomfort, blisters, trouble walking, or difficulty fitting into shoes and getting around, you can simply watch and wait. 
 

2. Curly toes runs in families.

This condition is likely hereditary and, based on what the medical community has seen, runs in families. So most likely, your child inherited curly toes somewhere down the line.

3. Curly toes is different than metatarsus adductus.

Metatarsus adductus is when the entire foot curves inward, not just the toes. It’s possible to have both metatarsus adductus and curly toes, but the two conditions are different. If you think your child might have a foot deformity, but aren’t sure, ask your pediatrician for a referral to a pediatric orthopedic expert. 
 

Because kids are usually born with curly toes, there’s no proven way to prevent the condition entirely. But as kids grow, choosing shoes with enough toe room, avoiding overly stiff or tight footwear, and encouraging foot mobility can reduce any discomfort that could happen down the line. If blisters or calluses occur, small bandages or foam blister tape can be placed over the painful area temporarily.

5. Most kids with curly toes have no symptoms or issues, but there are things to look out for.

Many children with curly toes never feel a thing—and walk or run normally. But for some, especially as they grow and become more active, symptoms can pop up. Keep an eye out for:

• Redness or irritation where toes rub inside shoes
• Calluses or pressure spots on the curled toes
• Frequent tripping or balance issues
• Complaints of discomfort or pain while playing
• Other toes starting to curl that were previously straight 

If you notice any of these signs, check in with a pediatric orthopedic expert. Often, simple solutions like stretching exercises, toe spacers, or shoe modifications can make a big difference. Your doctor will know the best approach for your child. 
 

In rare cases where curly toes are rigid, painful, or affect daily life, surgery could be an option. A procedure to release the tight tendon (called a flexor tendon release) can help the toes lie flat. It’s typically only recommended for older children or teens who haven’t improved with time and lifestyle changes.

Most kids, though, don’t need surgery at all. With observation and the right footwear, they do just fine.

You shouldn’t worry about curly toes—but we’re here if you need us.

Most children with curly toes will be just fine. But if your child is uncomfortable or you're concerned about how their toes look or feel, it’s always worth checking in with a pediatric orthopedic expert. 

Connecticut Children’s offers care parents trust for foot conditions like curly toes, knock knees and more. We’ll help you understand what’s common, what to watch, and what steps—if any—are needed.