Hammertoe is a deformity that causes a toe to bend downward at its middle joint instead of lying flat. It most often affects the second, third, or fourth toe. In some cases, the toe remains flexible at first, but it can become stiff and more difficult to straighten as the deformity progresses. Hammertoe can develop when muscles and tendons that control toe movement become unbalanced. This places extra pressure on the joints and causes the toe to curl. Other contributing factors include injuries, arthritis, diabetes, and wearing shoes that are too tight. Shoes with high heels can also force the toes into a cramped position and increase stress on the joints.
People with a hammertoe frequently notice pain while wearing shoes because the bent toe rubs against the inside of the shoe. Symptoms include tenderness, redness, and swelling surrounding the affected joint. Corns and calluses can develop where the toe rubs against shoes or neighboring toes. Some people experience stiffness and difficulty moving the affected toe. As the deformity becomes more severe, it may be painful to walk and stand. A podiatrist can diagnose hammertoe through a physical examination of the foot and toes. X-rays are sometimes used to evaluate the position of the bones and joints and to determine the severity of the deformity.
Treatment depends on how flexible the toe remains and how advanced the condition has become. A podiatrist can recommend shoes with a wider toe box to reduce pressure on the affected area. Custom orthotics, which are shoe inserts designed to improve foot function, can help relieve strain on the joints. Padding and other supportive devices can also improve comfort. When the toe becomes rigid or if pain persists, surgery can straighten the toe and restore a more natural position. Early evaluation can help prevent worsening deformity and reduce long-term discomfort. If you have a painful hammertoe, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from BayCity Associates in Podiatry . 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 Erie, PA and Meadville, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.
