They're also not dextrous or strong like the 5th is. The first 4 flex up and down, while the 5th rotates outward and down. This out-of-plane rotation is similar to what the thumb does on the hand.@kozz: The 5th (and 1st-3rd) are happy as clams. No issues. But those 4th toes, both feet, are unhappy.
If you hold your hand flat like you're making a shadow hound, your thumbnail should tilt slightly toward your palm. Move your thumb down toward your little finger, and your thumbnail will tilt to the right instead. That's out of plane rotation, and is responsible for the human power grip which apes can't do. The 5th toe has a similar function, not as dextrous, but certainly more dextrous than the other toes and thus more useful for balance.
I'm not an anatomist, but I would bet that if your 4th toe is suffering more wear, then it's doing much of the 5th toe's work.
About pushing off, it is not physically possible to run forward without applying force backward. This is why it is hard to walk on ice. Even a slow walking step involves pushing off. Try running pose on slick ice and see which direction your feet slip.