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Hammer Toes

Hammer Toes

A hammertoe is a toe that contracts and bends upwards or downwards instead of lying straight.

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Corn treatment on the toe at CuraFoot

If the bend is flexible, the condition is in the early stages and non-surgical solutions may be applied for treatment. In case of the bend or the curl being rigid, it usually refers to a more severe condition of hammertoes.

In case your toe has an unnatural bend and this leads to pain or discomfort, please contact CuraFoot Clinic for an appointment.

Hammertoes occur because of a lack of balance in the toe muscles, which in turn creates stress on the tendons and joints of the toes. The muscles and the tendons contract because of this stress and this leads to the curving of the toes.

The unnatural bending of the toes can increase friction at the toe edges, which can result in corns, calluses or blisters. The constant friction can also result in pain.

Causes

There are a few known causes which can result in the development of hammertoes:

  • You may inherit hammertoes, since the condition can get passed on genetically
  • People suffering from arthritis are more prone to hammertoes
  • The risk of developing hammertoes increases with age
  • Ill – fitted shoes with no arch support can cause hammertoes. Hammertoes are found more in women who are used to wearing heels for a continued period of time
  • Trauma to the toes can gradually cause the hammertoes to develop over time

Hammertoes, if left untreated, can lead to more serious complications. This is absolutely true in case of people suffering from neuro-muscular ailments as they increase complications.

IMPORTANT

For example, hammertoes are especially risky in people who suffer from diabetes, since hammertoes can very easily cause sores that do not heal easily. In diabetics, this can specifically lead to the wound getting infected and the possible formation of gangrene in extreme cases.

Symptoms

The following are common symptoms of hammertoe:

Bent toe

A noticeable bend or curve in the toe

Stiffness

Stiffness or pain in moving the toe

Swelling

Swelling, stabbing pain or redness in the toe joint

Corns or blisters

Appearance of corns, calluses or blisters at the top of the toe

Pain in shoes

Pain in the toes while wearing shoes

Ball-of-foot pain

Pain the ball of foot right underneath the bent toe

It is recommended for you to consult a foot specialist instantly in case you suffer from hammertoes to rule out risks and mitigate the condition from deteriorating. The doctor may suggest X-Ray to be done to confirm the condition.

Treatment

Hammer toe Side view of the front of the foot and one smaller toe. Normally the toe lies straight. In a hammer toe the toe muscles and tendons are out of balance and the toe bends at its middle joint; the top of the bend rubs on shoes, causing corns, calluses or blisters. Well-fitted shoes with room over the toe, padding over the joint and a custom insole with a metatarsal pad ease the rubbing and pressure. Hammer toe Long foot bone (metatarsal)runs to the ball of the foot Middle toe joint(proximal interphalangeal joint) Toe tendontightens and bends the toe Rubs on the shoecorns or calluses on top Toe padless rubbing on the joint Well-fitted shoeswith room over the toe Custom insole, metatarsal padcushion and spread the pressure

Depending on the seriousness of the condition, the doctor can prescribe non-invasive or surgical treatment as is feasible. Surgery may be suggested by the doctor in case the condition is too serious for non-invasive treatment.

In case of mild to moderate hammertoes, the following can be tried as forms of treatment to minimize the pain and reduce discomfort:

Physiotherapy

Specific physiotherapy exercises to relax the pressure of the muscles and tendons and restore balance. This over a period of time can reduce the condition.

Well-fitted shoes

Wearing well fitted shoes with padding around the affected joints will reduce the friction and the subsequent pain.

Custom insoles

In case of moderate hammertoes, consult with a podiatrist for custom made insoles or shoes. These are specifically structured to cushion the bent joints, reduce friction for comfortable movement and diminish irritation, swelling and corns or calluses.

Metatarsal pads

Metatarsal pads can be used to balance out the pressure of the feet and distribute it evenly, to reduce stress from the hammertoes and decrease friction.

Anti-inflammatory medication

Anti-inflammatory medication can be prescribed by the doctor as a short time solution to manage the pain and reduce redness or inflammation.

In case of severe hammertoe condition, the doctor may recommend surgery. The decision for the same is often dependent on age, the level of deformity and other ailments that you may suffer from. The recovery time also varies depending on similar factors.

Your first visit

  1. Book your visit Request an appointment online, call or WhatsApp the clinic. The clinic desk confirms a time with you.
  2. Assessment A podiatrist (foot doctor) or a doctor asks about your symptoms and examines your feet, and may check how you stand and walk with a foot scan or gait analysis.
  3. Your treatment plan You leave with a clear plan: treatment, exercises and footwear advice, or custom insoles made from your foot scan.

What to bring: previous prescriptions, X-rays, MRI or lab reports and your list of medicines. Wear the footwear you use most often: it helps with the assessment.

A CuraFoot clinician examining a patient's foot during an assessment

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Treatment at CuraFoot

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Hammer Toes: your questions

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What is a hammertoe?

A hammertoe is a toe that contracts and bends upwards or downwards instead of lying straight. It happens when the toe muscles are out of balance, putting stress on the tendons and joints so they tighten and the toe curves. A flexible bend usually means an early stage, while a rigid bend usually points to a more severe condition.

What causes hammertoes?

Hammertoes can be inherited, and the risk increases with age and with arthritis. Ill-fitting shoes with no arch support can contribute, and they are seen more in women who have worn heels for a long time. Trauma to the toes can also lead to a hammertoe developing gradually.

What are the symptoms of a hammertoe?

Common signs include a noticeable bend in the toe, stiffness or pain when moving it, and swelling, stabbing pain or redness in the toe joint. You may also get corns, calluses or blisters on top of the toe, pain when wearing shoes, and pain in the ball of the foot just under the bent toe.

Are hammertoes more serious if I have diabetes?

Left untreated, hammertoes can lead to more serious complications, especially in people with neuromuscular conditions. In people with diabetes, hammertoes can easily cause sores that do not heal easily, which may become infected and, in extreme cases, lead to gangrene.

How are mild to moderate hammertoes treated?

Specific physiotherapy exercises can relax the muscles and tendons and restore balance over time. Well-fitted shoes with padding around the affected joints reduce friction and pain, and metatarsal pads help spread pressure evenly. Custom-made insoles or shoes can cushion bent joints, and a doctor may prescribe anti-inflammatory medication as a short-term way to manage pain.

When should I see a foot specialist about a hammertoe?

It is best to see a foot specialist as soon as you notice a hammertoe, to rule out risks and stop it getting worse. The doctor may suggest an X-ray to confirm the condition. If an unnatural bend in your toe is causing pain or discomfort, do consider booking an assessment at CuraFoot.

Book an appointment

Assessment and a plan in one visit. We call you to confirm your time.

Prefer to talk? Call 062923 00396 or WhatsApp us.

See a foot doctor at Ajoy Nagar, Apollo Gleneagles Hospital, Kharagpur, IRC Village, Kolkata or Sri Sai Diabetes Clinic.

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