Physiotherapy has been shown to help in a number of ways. Manual therapy can increase range of movement around the foot that might be applying increased pressure to the toes during walking. Additionally, Physiotherapists can advise on footwear and provided exercises targeted to stretch or strength areas that contributing to the symptoms. If symptoms are not improving Physiotherapists are well placed to work with or referral on to other services to trial alternative treatments (Podiatry and orthopaedics).