Understanding and Correcting a Hammer Toe

DeNielFoot Ankle Center
3 min readMay 25, 2024

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A hammer toe is a foot deformity where a toe becomes bent at the middle joint, resembling a hammer. This condition can cause significant discomfort, pain, and difficulty walking or wearing shoes. Whether it results from genetic predisposition, improper footwear, injury, muscle imbalance, or certain medical conditions, it requires attention. Fortunately, there are various treatments and corrective measures available. Hammertoe solutions options range from non-surgical methods like proper footwear, orthotic devices, and exercises to surgical interventions in severe cases. Addressing a hammer toe can prevent complications and improve foot health and mobility.

Causes

· Family history can increase susceptibility.

· Tight shoes or high-heels force toes into a bent position.

· Trauma to the toe can cause abnormal bending.

· Imbalances between muscles and tendons can lead to abnormal toe positioning.

· Medical conditions such as arthritis, diabetes, and neuromuscular diseases can contribute to the development of hammer toe.

Symptoms

· Pain in the toe when wearing shoes

· Corns or calluses on the top of the middle joint or at the tip of the toe

· Redness and swelling

· Inability to straighten the toe

· Difficulty walking

Non-Surgical Treatments

Proper Footwear: Switch to shoes with a wide-toe box and avoid high heels wear shoes with ample room for your toes.

Orthotic Devices: Use pads, insoles, or custom orthotic devices to relieve pressure on the toe and correct alignment.

Toe Exercises: Regularly perform toe stretches and exercises to strengthen muscles and improve flexibility. Examples include:

Toe Crunches: Using your toes, pick up small objects like marbles.

Toe Stretch: Pull each toe gently, holding for a few seconds to stretch the tendons.

Towel Squeezes: Place a towel on a flat surface and use your toes to pull it up towards you.

Splinting or Taping: Use splints or tape to hold the toe in position, especially at night or when wearing shoes.

Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

Surgical Treatments

When conservative treatments fail, surgery may be necessary. The surgical options depend on the severity of the hammer toe:

Tendon Transfer: Tendons are redirected to pull the toe into the correct position.

Joint Resection: The surgeon removes parts of the joint to straighten the toe.

Fusion: The joint is fused to maintain a straight position.

Amputation: In severe, painful cases where other treatments fail, removing the toe might be considered.

Post-Surgical Care

Recovery from hammer toe surgery involves:

Rest and Elevation: Keeping your foot elevated to reduce swelling.

Ice Application: Applying ice packs to manage swelling and pain.

Gradual Return to Activity: Slowly resume activities as advised by your surgeon.

Physical Therapy: Engaging in physical therapy to restore movement and strength.

Preventing Hammer Toe

Preventative measures include comfortable shoes with adequate toe space, maintaining foot flexibility and strength with regular exercises, and regularly checking your feet for signs of deformities, especially if you have conditions like diabetes.

Hammer toe can be painful and limiting, but with care and treatment, you alleviate symptoms and correct the deformity. Ready to take the bold step? Consult with our Houston podiatrist in DeNiel Foot and Ankle Center for an accurate diagnosis and expert personalized hammer toe treatment today. Do not let discomfort hold you back — reclaim your comfort and mobility. Schedule your appointment.

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