A hammertoe deformity causes one of the smaller toes to bend at its middle joint instead of lying flat. The second toe is affected most frequently, although the condition can develop in other toes. It begins when the muscles and tendons that control the toe become unbalanced. This imbalance pulls the toe into an abnormal position. Possible causes include an inherited foot structure, a previous injury, or arthritis. A bunion can also push against the second toe and increase the risk of hammertoe. The joint can remain flexible at first but can later become stiff and fixed in place.
Symptoms usually develop when the bent toe rubs against the inside of a shoe. Patients can experience pain, redness, and swelling around the raised joint. A corn can form on top of the toe, while a callus can develop beneath the front of the foot. These thickened areas of skin result from repeated pressure and friction. Pain can become worse while walking or when wearing shoes with a narrow toe box. A podiatrist can examine the toe, test its flexibility, and check for related problems. Weight-bearing X-rays can show the position of the bones and the severity of the deformity.
Treatment depends on whether the toe is flexible or rigid and how much discomfort it causes. A podiatrist can recommend shoes with a deep, wide toe box to reduce pressure. Custom orthotics can improve the way weight is spread across the foot. Professional padding or splinting can also protect irritated skin and help position a flexible toe. The podiatrist can safely treat painful corns and calluses without damaging healthy tissue. Early care can help prevent increasing stiffness, skin sores, and continued pain. If you are in pain from a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact Kimberly Woodard, DPM from Pinnacle Foot and Ankle Centers, LLC . Our doctor will answer any of your foot- and ankle-related questions.
Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.
Symptoms
- Pain in the affected toes
- Development of corns or calluses due to friction
- Inflammation
- Redness
- Contracture of the toes
Causes
Genetics – People who are genetically predisposed to hammertoe are often more susceptible
Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur
Trauma – Direct trauma to the toes could potentially lead to hammertoe
Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe
Treatment
Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it
Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used
Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option
If you have any questions, please feel free to contact our office located in Port St. Lucie, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
