A hammertoe deformity develops when one of the smaller toes bends downward at its middle joint instead of resting straight. The bent shape can make the toe resemble a hammer. Hammertoes can cause pain while walking and can affect balance. The raised joint may rub against the inside of a shoe, leading to redness, swelling, or thickened skin. Corns and calluses can form where repeated pressure occurs. In some cases, the toe remains flexible and can still be straightened. As the deformity progresses, the joint can become stiff and more difficult to move.
Hammertoes can develop when the muscles and tendons that control a toe become unbalanced. Certain foot shapes place extra pressure on the smaller toes and increase the chance of this deformity. Bunions may also contribute because the big toe can push toward the smaller toes and crowd them. Wearing narrow or tight shoes can place pressure on the toes. High heels can force the toes forward into a cramped position. Previous injuries and health conditions that affect the muscles, nerves, or joints can also contribute. A podiatrist can examine the position and flexibility of the affected toe and evaluate how the foot functions when standing and walking.
Treatment depends on how flexible the toe remains and how much discomfort it causes. A podiatrist can recommend fitting shoes with enough room in the toe box to reduce pressure. Custom orthotics can improve foot support and help redistribute pressure away from painful areas. Padding or splinting can protect irritated skin and improve the toe’s position. The procedure can address tight tendons, the affected joint, or both, depending on the deformity. If you have a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.
Hammertoe
Hammertoes can be a painful condition to live with. For more information, contact one of our doctors from New England Foot & Ankle . 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 Wakefield, MA, Nashua and Derry, NH . We offer the newest diagnostic and treatment technologies for all your foot care needs.
