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Hammer toe

Hammer toe is a common foot deformity where one or more toes become bent at the middle joint, resembling a hammer. It can lead to discomfort, difficulty walking, and can cause corns and calluses due to friction. This guide covers top hammer toe treatments, from non-invasive approaches to surgical options, to help you find relief and restore foot function. 

What Causes Hammer Toe? 

Hammer toe often develops from wearing tight shoes, muscle imbalance, foot structure issues, or certain medical conditions like arthritis. Over time, muscles and tendons tighten, locking the toe in a curled position. Identifying the cause of your hammer toe can help you and your podiatrist choose the most effective treatment. 

Non-Invasive Hammer Toe Treatments 

For mild to moderate hammer toe cases, non-invasive treatments can be highly effective. These include: 

    1. Footwear Modifications: Choosing shoes with a wider toe box and low heels reduces pressure on the toes, allowing them to relax and reducing pain and friction. This is a foundational step for hammer toe relief. 

    1. Orthotic Inserts and Pads: Orthotics can help balance foot pressure and support the toe’s natural alignment. Pads and cushions are particularly useful in preventing corns and calluses by reducing toe friction inside the shoe. 

    1. Toe Exercises: Simple exercises, like picking up small objects with your toes or scrunching a towel, can strengthen toe muscles and improve flexibility. Consistent stretching can help keep the toe from worsening. 

    1. Splinting and Taping: Splinting or taping the toe in a straight position can help alleviate pressure and improve toe alignment. This approach is ideal for flexible hammer toe cases where the toe can still be straightened manually. 

    1. Pain Relievers and Anti-Inflammatories: For symptom relief, nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and swelling, although they don’t address the underlying cause of hammer toe. 

These conservative treatments are often the first approach, especially for those who are trying to avoid surgery. 

When is Surgery Necessary for Hammer Toe? 

Surgery is usually considered for rigid hammer toes or when non-invasive treatments fail to provide relief. Surgery types vary depending on the severity and goals for toe function, including: 

    1. Tendon Release: In less severe cases, releasing or lengthening the tendon can help straighten the toe. This procedure is less invasive and typically has a shorter recovery time. 

    1. Joint Fusion: For more advanced hammer toe, joint fusion may be performed, where the bone surfaces are fused to hold the toe straight permanently. This approach is effective but does result in a permanent loss of flexibility in the toe joint. 

    1. Bone Removal: In severe cases, a small portion of the bone causing the deformity may be removed to correct alignment. This approach is often combined with tendon surgery and other corrective techniques. 

    1. PEEK and Bio-Absorbable Implants: Newer surgical options use bio-absorbable implants that stabilize the toe without permanent pins, which can reduce infection risk and improve healing. These implants gradually integrate with the bone, enhancing natural toe alignment post-surgery. 

Post-Surgery Recovery 

Recovery time varies based on the procedure but typically includes a period in a protective boot and reduced weight-bearing. Physical therapy and follow-up care with your podiatrist ensure proper healing and prevent recurrence. Your podiatrist will provide detailed guidelines on post-surgery activities and care. 

Conclusion 

Hammer toe treatment ranges from conservative approaches like footwear adjustments and exercises to advanced surgical options for severe cases. Consulting a podiatrist is essential to diagnose your specific condition and determine the best treatment path for you. Addressing hammer toe early can alleviate discomfort, prevent further complications, and improve foot function. 

If you’re dealing with hammer toe, Fall Creek Foot and Ankle in Humble, Texas, offers specialized care and advanced treatment options to help you regain comfort and mobility. Schedule a consultation to explore the best solutions for your foot health. 

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