Crooked, Damaged Toes Can and Should Be Corrected

By Matthew Buchanan, MD

For some shoe shopping is a delightful pursuit, for others those with a seriously crooked toe wearing fashionable shoes becomes a nightmare as toes rub against enclosed shoes. Sufferers are often found wearing flip flips long after the last glimmer of summer has faded, some even into the dead of winter. Hammertoe correction may be the answer. The good new, if caught early, correction does not always mean surgery.

What Is A Hammertoe?

A hammertoe is a toe that is bent because one of the joints is damaged. This abnormal bending puts pressure on the toe when wearing shoes and

causes pain.

Early on, hammertoes are flexible and usually the symptoms can be managed without surgery. But over time and without treatment they stiffen and can worsen. Once a hammertoe starts to develop it never gets better by itself.

Symptoms

People with hammertoes commonly experience

Pain or irritation especially when wearing shoes

Corns and calluses on the toe, between two toes, or on the ball of the foot

Inflammation, redness, or a burning feeling

Visible bend of the toe(s)

In more severe cases, open sores may form

While a hammertoe is usually easy to spot, an x-ray may be necessary. This helps your doctor determine the severity of the problem and also which treatments are best for you.

Non-surgical Treatments

The treatment your foot and ankle specialist recommends will depend upon the severity of your hammertoe. The following are common non-surgical ways to alleviate pain

Non-medicated pads can shield and protect your toes from rubbing and further damage

Avoid shoes with pointed toes, ones that are too short, or have high heels

A custom orthotic device inserted into your shoe may help control any muscle or tendon imbalance

Corticosteroid injections are sometimes used to ease pain and inflammation. Otherwise, oral drugs such as ibuprofen, may be recommended to reduce pain and inflammation

Splints or small straps can realign the bent toe

Is Surgery Needed?

When a hammertoe becomes rigid and nothing helps to control the pain, or an open sore develops, surgery may

be needed.

The procedure your doctor recommends will be based on factors like the extent of deformity, the number of toes involved, your age and your activity level. Depending on the procedure selected recovery time varies.

If crooked, deformed toes cause foot pain and limit your mobility, consider consulting a board certified orthopaedic foot specialist. Relieving the pain and pressure of a hammertoe may be as simple as changing footwear and wearing shoe inserts.