Do You Have Hammertoes?
A hammertoe is a contracture of the lesser toe joints. This normally occurs on the 2nd, 3rd, 4th, or even the 5th toes. The 5th toe may also become rotated and drift under the 4th digit. In a hammertoe, the toe will appear “hammered” when the 1st and 2nd joints of the same toe are both either contracted or bent. Sometimes, the toe is only bent at the second joint within the toe; this is known as a claw toe. When a hammertoe occurs in the great toe, it is known as a mallet toe. These toe deformities can all create excess pressure at the joints when they rub against shoes. This pressure generates thick, dead skin called corns on the top of the joint. In some cases, a bursa may develop in place of a corn. While hammertoes can cause pain and discomfort, the podiatrist in Marietta here at the Advanced Foot and Ankle Institute of Georgia can help alleviate the hammertoe pain.
Treatment
How Did I Get a Hammertoe?
Hammertoes develop when the small muscles and tendons in the toes lose their function and become unstable. Certain tendons are either overpowered or destabilized by adjacent muscles or tendons in the toe, deformity to occur. In addition, traumatic injuries, certain types of arthritides (such as rheumatoid arthritis), and diabetic motor neuropathy can also cause severe hammertoes. While hammertoes may be mild and remain flexible, others may be severe and become rigid.
How is It Treated?
Hammertoes can be treated conservatively or surgically. Conservative treatment includes the following:
- Accommodative shoe gear with a wide toe box to allow enough room for the toes
- Silicone or felted pads which prevent the toes rubbing against the shoes, thereby reducing corns on the toe
- A toe strap that attempts to bring the toe down and reduce the contracture
- Shaving of the corns on the top of the joint to reduce discomfort and pain
Extreme Cases
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