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    Podiatrists:
       Douglas S. Stacey, D.P.M.
       Gerald W. Torgesen, D.P.M.
       Philip J. Larsen, D.P.M.
       Jeff Korab, D.P.M.
       Leonard Franklin, D.P.M.

 

Patient Education  

HAMMERTOES
A hammertoe is a contracture, or bending, of the toe at the proximal interphalangeal joint, or the first joint of the digit. Any toe may be affected by hammertoes, but it is usually the second, third, fourth, and fifth toe that are most affected. The adnormal bending of hammertoes may put pressure on the toes while wearing shoes, and may cause problems as the toes develop. Hammertoes are more common to females than to males.

SYMPTOMS
Some of the symptoms of hammertoes are:
  • Pain or Irritation of the affected toe -- especially while wearing shoes.
  • Calluses on the top of the toe or on the ball of the foot.
  • Corns on the top, side or end of the toe.

As the corns and calluses grow, it may become difficult to find shoes that do not cause more pain. Hammertoes may also cause additional pain if the joint becomes dislocated.

CAUSES OF HAMMERTOES
Hammertoes usually begin as minor deformities. They may be caused by wearing shoes that do not fit properly. They may also be caused by muscle imbalance, or trauma--such as a broken or sprained toe. They may also be inherited.

TREATMENTS
There are several different ways to treat hammertoes. It may be wise to consult your podiatrist for recommendations on which treatment will be the best for your specific condition. Some of the non-surgical treatments are:

  • Padding corns and calluses. Avoid medicated pads unless recommended by your podiatrist.
  • Trimming corns and calluses. This should ALWAYS be done by a healthcare professional.
  • Try using different shoes. Avoid pointed toes and high heels. Make sure your toes have plenty of room.
  • Medications. Nonsteroidal anti-inflammatory drugs, such as ibuprofen.
  • Orthotic devices. A podiatrist may help you design a custom orthotic device to be placed inside your shoe to help control a muscle or tendon imbalance.
  • Splinting or Strapping. A podiatrist/surgeon may apply a splint or small strap to help realign the bent toe(s).
  • Injection therapy. Some podiatrists use corticosteroid injections to ease the pain and inflammation caused by hammertoes.

If treatment is postponed too long, the hammertoe condition may progress to a rigid state. Surgery may become necessary to relieve the pain and discomfort.


 
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