Foot Care > What Is Hammertoe
Hammertoe is a contracture— or bending—of one or both pints
Hammertoes usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid and will not respond to non-surgical treatment. Corns are more likely to develop as time goes on—and corns never really go away; even after trimming. In more severe cases of hammertoe, open sores may form.
Because of me progressive nature of hammertoes, they should receive early attention. Hammertoes never get better without some kind of intervention.
What Causes Hammertoe
The most common cause of hammertoe is a muscle/tendon imbalance. This imbalance which leads to a bending of the toe results from mechanical (structural) changes in the foot that occur over time in some people.
Hammertoes are often aggravated by shoes that don't fit properly—for example, shoes that crowd the toes. And in some cases ill-fitting shoes can actually cause the contracture that defines hammertoe. For example, a hammertoe may develop if a toe is too long and is forced into a cramped position when a tight shoe is worn.
Occasionally, hammertoe is caused by some kind of trauma, such as a previously broken toe. In some people, hammertoes are inherited.
Treatment: Non-Surgical Approaches
There are a variety of treatment options for hammertoe. The treatment your podiatric foot and ankle surgeon selects will depend upon the severity of your hammertoe and other factors.
A number of non-surgical measures can be undertaken:
When Is Surgery Needed?
In some cases, usually when the hammertoe has become more rigid surgery is needed to relieve the pain and discomfort caused by the deformity. Your podiatric surgeon will discuss the options and select a plan tailored to your needs. Among other concerns he or she will take into consideration the type of shoes you want to wear the number of toes involved your activity level, your age, and the severity of me hammertoe.
The most common surgical procedure performed to correct a hammertoe is called arthroplasty. In this procedure, the surgeon removes a small section of the bone from me affected joint,
Another surgical option is arthrodesis, which is usually reserved tor more rigid toes or severe cases, such as when there are multiple joints or toes involved. Arthrodesis is a procedure that involves a fusing of a small joint in the toe to straighten it. A pin or other small fixation device is typically used to hold the toe in position while the bones are healing.
It is possible that a patient may require other procedures, as well— especially when the hammertoe condition is severe. Some of these procedures include skin wedging (the removal of wedges of skin) tendon/muscle rebalancing or lengthening/ small tendon transfers/ or relocation of surrounding joints.
Often patients with hammertoe have bunions or other foot deformities corrected at the same time. The length of the recovery period will vary depending on the procedure or procedures performed.
2005 © Patrick Farrell, D.P.M., Inc.