Hammertoe is a contracture (bending) of one or both joints of the second, third, fourth, or fifth (little) toes. Hammertoes usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid and will not respond to non-surgical treatment.
Because of the progressive nature of hammertoes, they should receive early attention. Hammertoes never get better without some kind of intervention.
What causes Hammertoe: The most common cause of hammertoe is a muscle/tendon imbalance. This imbalance, which leads to a bending of the toe, results from mechanical (structural) changes in the foot that occur over time in some people. Hammertoes may be aggravated by shoes that don’t fit properly. A hammertoe may result if a toe is too long and is forced into a cramped position when a tight shoe is worn.Occasionally, hammertoe is the result of an earlier trauma to the toe. In some people, hammertoes are inherited.
Hammertoes may be aggravated by shoes that don’t fit properly. A hammertoe may result if a toe is too long and is forced into a cramped position when a tight shoe is worn. Occasionally, hammertoe is the result of an earlier trauma to the toe. In some people, hammertoes are inherited.
Symptoms of Hammertoe: Common symptoms of hammertoes include:
- Pain or irritation of the affected toe when wearing shoes.
- Corns and calluses (a buildup of skin) on the toe, between two toes, or on the ball of the foot. Corns are caused by constant friction against the shoe. They may be soft or hard, depending upon their location.
- Inflammation, redness, or a burning sensation
- Contracture of the toe
- In more severe cases of hammertoe, open sores may form.
Diagnosis: Although hammertoes are readily apparent, to arrive at a diagnosis our doctors will obtain a thorough history of your symptoms and examine your foot. During the physical examination, they may attempt to reproduce your symptoms by manipulating your foot and will study the contractures of the toes. In addition, x-rays may be taken to determine the degree of the deformities and assess any changes that may have occurred.
Hammertoes are progressive, they don’t go away by themselves and usually they will get worse over time. However, not all cases are alike, some hammertoes progress more rapidly than others. Once the doctor has evaluated your hammertoes, a treatment plan can be developed that is suited to your needs.
Treatment for Hammertoe: There is a variety of treatment options for hammertoe. The treatment our doctors selects will depend upon the severity of your hammertoe and other factors. A number of non-surgical measures can be undertaken:
Padding corns and calluses: Our doctors can provide or prescribe pads designed to shield corns from irritation. If you want to try over-the-counter pads, avoid the medicated types. Medicated pads are generally not recommended because they may contain a small amount of acid that can be harmful. Consult Dr. Warheit or Dr. Smielewski about this option.
Changes in shoewear: Avoid shoes with pointed toes, shoes that are too short, or shoes with high heels, conditions that can force your toe against the front of the shoe. Instead, choose comfortable shoes with a deep, roomy toe box and heels no higher than two inches.
Orthotic devices: A custom orthotic device placed in your shoe may help control the muscle/tendon imbalance.
Injection therapy: Corticosteroid injections are sometimes used to ease pain and inflammation caused by hammertoe.
Medications: Oral nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
Splinting/strapping: Splints or small straps may be applied by the surgeon to realign the bent toe.
Dr. Warheit and Dr. Smielewski have been assisting patients in implementing solutions that ease Hammertoe in the Northwest Suburbs for over 25 years. Every patients situation is unique. Therefore it is important that you meet with us so that we may determine the proper solution for you. Visit us at our Buffalo Grove Office or our Elgin Office. Contact us by clicking here.