Should we care about the biomechanics of the foot or the full locomotor system? Anatomic changes are the main concerns of an orthopedic surgeon; however, the main objectives of treatment for lesser toe dysfunctions are to relieve the patient’s symptoms to preserve or improve function. It is imperative to understand that the foot is part a three-dimensional biokinetic system that needs to function combined so that loads are harmoniously distributed throughout the body without harmful effects, especially for one of the most frequent voluntary neuromotor tasks in humans: walking.