Pinky Toe Blisters - Causes & How To Prevent

by Rebecca Rushton

The outside of my pinky toe hurts when I put pressure on it with my shoe. It’s red, blistered and painful! Oh the pain when you have to keep walking. Is there anything worse?

In this article, you learn about combating the common causes of outer little toe blisters, including:

  • Toe shape
  • Shoes too tight, too narrow, too loose or too rigid
  • The shoe upper being rigid or with prominent internal seams

pinky toe blister

Little toe blister - Image credit


    Then I'll cover the best pinky toe blister prevention strategies, which are:

    • Shoe fit
    • Taping
    • Gel toe protectors
    • ENGO blister patches
    • Surgery

    Fun fact: Pinky toe blisters are THE most common blister location on the whole foot!

    What causes blisters on the outside of little toe?

    The dominant cause of outside pinky toe blisters is a curly 5th toe. We call it adductovarus. Have a look at your little finger. - hold it out straight. Now bend it. See how there are two joints that stick out? Now grab itt with your other hand and twist it so your fingernail goes under your 4th finger. Take a look at that first joint sticking right out. Imagine having to wear a shoe on your hand! That joint is going to cop it! More precisely, the skin is going to cop it, being stuck between a rock and a hard place (the toe bone and your shoe upper.

    curly pinky toe is commonly blistered
    A curly pinky toe (adductovarus) is commonly blistered


    Preventing blisters on your pinky toe

    My pinky toe hurts when I put pressure on it. How can I stop this happening?


    1) Shoe-fit and shoe properties

    If you’re getting pinky toe pain from shoes, check the following four things regarding shoe fit. Shoe fit is paramount is paramount for blisters on the outside of the little toe.

    1. The toe box of your shoe simply must accommodate your toes, in depth and width. You can’t expect to be pain-free or blister-free without this important aspect of shoe-fit being met. If you’re not sure, stand on a piece of paper and trace around your foot. Now pull the insole out of your shoe and put it on your tracing. Can you cover up all the pen marks? If you can see pen, this is where your shoe is too narrow. Get wider shoes.
    2. Your heel simply must be sitting right to the back of your shoe. If your shoes are too big and loose and your foot is sliding forward, your toes are jamming into a narrower part of the shoe. Tie your laces firmly to prevent your foot slipping forward.
    3. Obviously, shoes with a more flexible upper in the region of the little toe will help. If you can make a change, do. But all is not lost. I’ll show you how to cushion your toe regardless.
    4. Watch for seams in the shoe’s upper, right where the little toe is. They are common and will make the situation worse. You can get around this with one of the following preventions.


    pinky toe pain from shoes

    The importance of shoe-fit cannot be overstated in preventing little toe blisters


    Unfortunately, even with all of these aspects of shoe-fit being met, outer pinky toe pain when walking is still possible when your toe is curly. Why? Because we haven’t fixed the root of the problem – the curly toe. That can only truly be fixed by surgery. But there are two more things you can try - to address the pressure and friction that contribute to blisters.


    2) Taping

    This one location where a simple protective layer in the form of tape, moleskin or an island dressing (eg: Bandaid) can help prevent and relieve pinky toe pain and swelling. If that’s not enough, take cushioning up a notch or two (more like 100) and get a gel toe protector.


    3) Gel toe protectors (sleeves or caps)

    These devices are great for two reasons:

    • They cushion the prominent joints – thereby reducing contact pressure.
    • The gel material is excellent at absorbing shear. And remember, the more shear that occurs within the gel material, the less shear that has to happen within the skin of your little toe.
    You can grab these at most pharmacies. We’ve got some in our shop here too. 


    Gel toe sleeves for outer pinky toe blisters
    Gel toe protector sleeves

    Gel toe caps for pinky toe blisters
    Gel toe caps


    The gel material of gle toe sleeves and gel toe caps is excellent at absorbing the forces that cause blisters. You simply cannot get better. Here’s a little-used technique that prevents the protector from bunching up between your toes AND stops it from slipping off.


    A word of caution though, only use gel toe protectors on intact and unblistered skin. If your skin is weakened and weepy, the skin will become soggy and macerated. If already blistered, you’ll have to settle on the island dressing or blister plaster you’ll be using as part of your blister treatment.


    4) ENGO Blister Patch

    An ENGO Patch is a great way to cover any rough seams on the internal lining of your shoe and the best way there is to reduce friction levels. Consider an ENGO Blister Patch when:

    • You don’t think your little toe is curly but you’re still getting blisters.
    • The gel toe cover takes up too much room in your shoe.
    • If maceration is an issue.
    • If you already have a blister

    It can be tricky to get all the way down to the end of your toebox for this blister location. Rather than cut your shoe in half like I have for the below demonstration ;) you’ll need to take your laces right out to get good access down there.

    Engo blister patch protects from rough seams
    ENGO Patch placement on shoe upper for little toe protection


    Also, be aware that if you’re wearing shoes with mesh uppers, water can get in from the outside, compromise the adhesive and the patch may dislodge. Read more about the pros and cons of ENGO Patches here.

    Here’s the ENGO 6-Pack. Use either the large or small ovals from this pack, depending on the size of the coverage you need.

    Engo 6-Pack for pinky toe blisters
    ENGO Blister Prevention Patches: 6-Pack


    5) Surgery

    Of course, if your little toe is bent and this is the cause of recurring blistering on the outside of the toe, surgically straightening the toe is one solution. It may seem extreme, and you wouldn’t have toe surgery willy-nilly. But I’ve seen toes where this is a good option. Consider toe surgery if:

    • Compromising on shoe fit is not an option (perhaps your work requires it, or it’s just a personal choice).
    • There’s no room available for the gel toe protectors.
    • You can’t reach your feet to tape or put the gel toe protectors on.
    • Your work or active lifestyle requires significant relief and blistering recurs in spite of your best efforts with all of the above
    • Your health allows it



    Pinky toe blisters often deroof and can become very nasty, very quickly. Have you tried any of these options? If you have but it hasn't worked, try the next one - I've ranked these in order of effectiveness. You can use combinations of these strategies too.

    Which will you choose to allow you to walk and run pinky toe pain-free?

    pinky toe pain from shoes is the worst!

    What number is your pinky toe blister? (Image credit:

    Rebecca Rushton
    Rebecca Rushton


    Podiatrist, blister prone ex-hockey player, foot blister thought-leaderauthor and educator. Can’t cook. Loves test cricket.

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