Thursday, September 23, 2010

What Corrects a Hammer Toe?

Question: Will anything other than surgery correct a hammer toe?

Dr. Hibberd’s Answer:

Hammer toe deformity is a painful condition of our toe(s) often hallmarked by calluses or corns where the toe (either 2nd, 3rd, or 4th ) is bent at the middle joint so that it looks like a hammer. These deformities are usually treated conservatively without surgery, but when left untreated, they can become fixed and require surgery to correct.

This disorder usually is the end result of faulty footwear or a muscle imbalance. Conservative treatment regimens, such as new shoes with wide boxes or wearing sandals will help. Shoes that narrow at the toe push the smaller toes into a bent position, and the toes will rub against the edges of your shoe and cause calluses and corns.

Avoid constricting "narrowed at the toe" footwear. Gentle stretching exercises of the toes will help stretch and strengthen the involved muscles and help the affected toes return to a more functional position. Occasional short-term use of cushions and pads will help with the initial discomfort. Surgery is reserved for those who fail conservative nonsurgical treatment options.

Remember that changes in hammer toes usually take weeks or months to develop. Conservative treatment will need to be consistent and followed closely by your doctor. Do not neglect this condition or it will only get worse.

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