The 2nd toe
is the most common digit to develop a hammertoes
deformity. Second toe
hammer toes commonly result from an elongated 2nd metatarsal and from pressure due to an excessively abducted great toe
(hallux valgus deformity) causing a bunion. Unusually long toes often develop hammer toe
deformities. Painful corns often develop in hammer toe
deformity, particularly of the 5th toe
. Reactive adventitial bursas often develop beneath corns, which may become inflamed.
People who have a high-arched feet have an increased chance of hammer toes occurring. Also, patients with bunion deformities notice the second toe
elevating and becoming hammered to make room for the big toe
that is moving toward it. Some patients damage the ligament that holds the toe
in place at the bottom of the joint that connects the toe
and foot. When this ligament (plantar plate) is disrupted or torn, the toe
floats upward at this joint. Hammer toes also occur in women wearing ill-fitting shoes or high heels, and children wearing shoes they have outgrown.
Pain on the bottom of your foot, especially under the ball of your foot, is one of the most common symptoms associated with hammertoes. Other common signs and symptoms of hammertoes include pain at the top of your bent toe
from footwear pressure. Corns on the top of your bent toe
. Redness and swelling in your affected area. Decreased joint range of motion in your affected toe
The earlier a hammertoe is diagnosed, the better the prognosis and treatment options. Your doctor will be able to diagnose your hammertoe with a simple examination of the foot and your footwear. He or she may take an x-ray
to check the severity of the condition. You may also be asked about your symptoms, your normal daily activities, and your medical and family history.
Non Surgical Treatment
doctor can provide you with devices such as hammer toe
regulators or straighteners. These are also available for purchase locally. Another good idea is to start the hammer toe
rehabilitation process by gently trying to straighten the joint and Hammer toe
moving and flexing the affected toe
as much as possible without straining it. If hammer toe
taping doesn?t work, you may require surgery. If the joints and tendons have stiffened to a point of non-movement, hammer toe
corrective surgery may need to enter the toe
and either cut or manually move some of the tendons and ligaments. Although the treatment is relatively safe fast, you may deal with some stiffness afterwards.
Sometimes, if the deformity is severe enough or surgical modification is needed, the toe bones
may be fused so that the toe
does not bend. Buried wires are used to allow for the fusion to heal, and they remain in place after healing. Your skin is closed with fine sutures, which are typically removed seven to ten days after surgery. A dressing is used to help keep your toes in their new position. Dressings should not get wet or be removed. After surgery, your doctor may prescribe pain relievers, typically for the initial four to seven days. Most people heal completely within one month of surgery, with few complications, if any. Crutches or a cane may be needed to help you keep weight off your affected foot, depending on the procedure. Occasionally, patients receive a special post-op shoe or a walking boot that is to be worn during the healing process. Most people are able to shower normally after surgery, but must protect the dressing from getting wet. Many patients are allowed to resume driving within one week after the procedure, but care needs to be taken.