Our Award-Winning Physicians Can Help Treat & Relive Your Toe Pain & Discomfort
A hammertoe is a contracture (bending) deformity in one or both joints of any of the littlest four toes. The toe remains “stuck” in a bent position at rest, and cannot be straightened using only the toe muscles. This abnormal bending can put pressure on the toe when wearing shoes, which can lead to problems.
Hammertoes usually begin as mild deformities, but they 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 nonsurgical treatment.
Because of the progressive nature of hammertoes, they should receive early attention. They will never get better without some kind of intervention.
There are a variety of treatment options for hammertoes. The treatment your foot and ankle surgeon selects will depend on the severity of your hammertoe and other factors.
A number of nonsurgical measures can be undertaken:
- Padding corns and calluses. Your foot and ankle surgeon can provide or prescribe pads designed to shield corns from irritation. If you want to try over-the-counter pads, avoid the medicated types. Medicated pads are generally not recommended because they may contain a small amount of acid that can be harmful. Consult your surgeon about this option.
- Changes in shoewear. Avoid shoes with pointed toes, shoes that are too short, or shoes with high heels, all of which can force your toe against the front of the shoe. Instead, choose comfortable shoes with deep, roomy toeboxes and heels no higher than two inches.
- Orthotic devices. A custom orthotic device placed in your shoe may help control the muscle/tendon imbalance.
- Injection therapy. Corticosteroid injections are sometimes used to ease pain and inflammation caused by hammertoe.
- Medications. Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
- Splinting/strapping. Splints or small straps may be applied by the surgeon to realign the bent toe.
When is Surgery Needed?
In some cases, usually when the hammertoe has become more rigid and painful or when an open sore has developed, surgery is needed.
Often, patients with hammertoe have bunions or other foot deformities corrected at the same time. In selecting the procedure or combination of procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity, the number of toes involved, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.
If you have a hammertoe—even if symptoms aren’t yet severe—schedule an appointment as soon as you can with the Waco Foot & Ankle experts. We can help you prevent the condition from worsening and relieve any pain or difficulties you may be currently experiencing. Give us a call today at (254) 776-6995.