Hammertoe pain can be attributed to several factors, including:

Biomechanical Issues: Hammertoe often results from an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. This imbalance can cause the toe to bend abnormally and lead to pain.

Improper Footwear: Wearing shoes that are too tight or have high heels can force the toes into a bent position, contributing to hammertoe and causing pain.

Trauma or Injury: A previous injury or trauma to the toe or foot can increase the likelihood of developing hammertoe and may lead to pain in the affected area.

Genetics: Some individuals may be genetically predisposed to developing certain foot deformities, including hammertoe.

Arthritis: Conditions such as osteoarthritis or rheumatoid arthritis can contribute to joint deformities, including hammertoe, and result in pain.

Nerve Damage: Nerve damage or irritation in the toes or feet can cause pain associated with hammertoe.

Underlying Health Conditions: Certain systemic conditions, such as diabetes, may increase the risk of developing foot problems, including hammertoe and associated pain.

It’s important to consult with a healthcare professional for a proper diagnosis and personalized treatment plan. Treatment may include footwear modifications, orthotic devices, exercises, and in some cases, surgical intervention to correct the deformity and alleviate pain.