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Decoding Henry Eikenberry Feet: Causes, Symptoms & Treatment

By  Anjali Herzog   May 24, 2025
Decoding Henry Eikenberry Feet: Causes, Symptoms & Treatment

Ever noticed a peculiar upward bend in your big toe? Could it be more than just an odd quirk? It might be a clinical indicator known as "henry eikenberry feet," warranting a closer look at your overall health.

More formally recognized as the Eikenberry toe, this condition presents as an upward plantar flexion of the great toe at the metatarsophalangeal joint, a rather specific anatomical description. The catch? The distal interphalangeal joint stubbornly remains plantar flexed, creating a distinctive visual cue for clinicians.

Term Description
Name Eikenberry Toe (also known as Henry Eikenberry Feet)
Definition A clinical sign characterized by upward (plantar) flexion of the great toe at the metatarsophalangeal joint, with the distal interphalangeal joint remaining in plantar flexion.
Common Association Often linked to Chronic Obstructive Pulmonary Disease (COPD).
Etiology Thought to be caused by hyperinflation of the lungs, which forces the diaphragm downward, compressing the great toe.
Symptoms
  • Pain in the great toe
  • Swelling
  • Potential deformity of the toe
  • Possible difficulty in walking
Diagnosis Primarily through physical examination, observing the characteristic toe position. Further tests may be conducted to rule out underlying causes like COPD.
Treatment
  • Conservative: Rest, elevation, ice, OTC pain relievers, orthotics.
  • Surgical: In severe cases to correct deformity.
Prevalence Estimated to affect up to 20% of patients with COPD. More common in men and individuals over 50.
Prognosis Generally benign with proper management, but can lead to pain and disability if untreated.
Reference PubMed Central - Research Article

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