Many patients or friends often complain to me of pain in the lateral aspect of the foot when wearing narrow shoes. When I examine them, I will find that the 5th metatarsal is exostotic, the metatarsal head protrudes laterally, local callus formation, and even redness, swelling, and pain that affects movement, while others have an inversion of the little toe with painful hard corns forming on the outside. When I tell them that it is related to tailor’s toe, they are puzzled, what does it have to do with tailor? Wu Gang, a minimally invasive foot and ankle surgeon at the Rehabilitation Hospital affiliated with the National Rehabilitation Assistive Devices Research Center, really has something to do with tailoring! Dr. James Lowry, a renowned podiatrist and assistant professor at Harvard Medical School, explained that the tailor is the only one who can do it. Dr. Lori explained that the reason for the name “tailor’s toe” is that a tailor’s common sitting posture causes pressure to be concentrated on the distal end of the 5th metatarsal and the 5th metatarsophalangeal joint. Imagine a person sitting cross-legged on the floor, with one leg under the other, rather than stacked on top of each other. This seating position allows the tailor to easily place fabric or clothing on the thigh for sewing, but it also puts pressure on our little toe. Over time, the little toe becomes overwhelmed and changes from the inside out, forming the little toe bursitis, or tailor’s toe. Nowadays, it is usually caused by the 5th metatarsal head protruding outward by wearing inappropriate shoes, collapsed anterior arches or abnormal development. If you wear narrow shoes, especially those with pointed heels, which squeeze the bunion and little toe toward the middle, the dorsal side of the middle three toes are squeezed and rubbed by the shoe surface, producing calluses and inflammation and causing pain. The joint between the 5th metatarsal and the little toe will be subluxated, while the distal end of the little toe will turn inward, often appearing to ride on top of the 4th toe or be pressed under the 4th toe, with the distal end of the 5th metatarsal protruding laterally and soft tissue hyperplasia forming a tailor’s toe. Choosing a pair of loose, soft shoes first Tailor’s Toe can be prevented and treated in relatively simple ways. People can choose to wear looser, softer shoes to ensure that the forefoot, especially the toes, can be comfortably accommodated, or use a shoe brace to create a little more room for the widest part of their foot. You can also pad the protruding areas with some fleece or a small amount of silicone resin. For symptomatic patients, anterior arch foot pads can be used to reduce local pressure, and local physical therapy and anti-inflammatory and pain medications can be used. If conservative treatment is unsatisfactory, surgery can be performed. Of course, if non-surgical treatment is ineffective, we can do osteotomy or osteotomy for internal fixation. After examination by the doctor, Chevron osteotomy can be used to correct the 5th metatarsal head lateral bone redundancy and callus formation; Wilson osteotomy can be used if the 5th metatarsal head metatarsal side callus formation; if the 4th and 5th intermetatarsal angle is significantly increased or the 5th metatarsal inherent valgus angle is abnormally increased, Ludolff, Scarf osteotomy or Juvara osteotomy of the 5th metatarsal stem is needed. Correction.