A hammertoe is a toe that bends downward at the middle joint instead of lying flat. It usually affects the second, third, or fourth toe and can make wearing shoes uncomfortable. The condition develops when the muscles, tendons, and ligaments that control the toe become unbalanced. Ligaments are strong bands of tissue that connect bones, while tendons connect muscles to bones. Wearing shoes that are too tight or shoes that lack proper support can increase pressure on the toes and make the problem worse. Arthritis, foot injuries, and inherited foot structure also can contribute to hammertoes. Symptoms include pain, stiffness, and difficulty while walking. Corns and calluses also can develop because the bent toe rubs against the inside of the shoe.
A podiatrist performs a thorough examination to determine the severity of the hammertoe and whether other foot problems are present. The evaluation includes checking the flexibility of the affected toe, the position of the joints, and the strength of the surrounding muscles. The podiatrist also watches how the patient stands and walks because changes in movement can increase pressure on the toes. X-rays provide detailed images of the bones and help identify arthritis or changes in joint alignment. An accurate diagnosis allows the podiatrist to develop a treatment plan that matches the patient's symptoms and activity level. Early treatment can help prevent the toe from becoming more rigid and painful.
Treatment depends on how flexible the toe remains and how much discomfort it causes. A podiatrist can recommend shoes with a wide toe box to reduce pressure on the affected toe. Care also includes custom orthotics that improve foot alignment and reduce stress on the joints. Stretching and strengthening exercises can improve muscle balance and help support better toe movement. Patients with severe deformities or toes that have become permanently stiff can benefit from surgery to restore a more natural position. If you have developed a hammertoe, 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 one of our podiatrists from Barry University Foot and Ankle Institute. Our doctors 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 offices located in North Miami Beach, Miami, and Tamarac, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.
