Oh the Woes of Hammertoes
Hammertoes are a direct result of tendon imbalances In the foot. Biomechanically speaking, there are three causes of hammertoe deformity that are based on how an individual’s foot is structured and or functioning. Most hammertoe deformities begin as a flexible deformity, meaning the toe becomes more straightened with weight bearing. Over time these toes can become rigid in nature and arthritic changes will occur in the joints themselves.
Patients will complain of pain in shoe gear as the toes press against the top of the shoe and cause irritation and form “corns” or open sores. Hammertoes can also contribute to extra pressure on the tips of the toes and can cause corns and wounds/sores there as well as underneath the metatarsal heads (the ball of the foot). Hammertoes are progressive in nature, meaning they get worse with time.
Conservative treatment options for hammertoes include wearing proper fitting shoes. Most individuals need an extra depth toebox to accommodate the deformities and reduce pressure and pain on the toes. Shoes with soft upper material and accommodative insoles in the shoes can also help as well as other toe pads, gel sleeves, and felt pads, which are all available at local pharmacies.
Treating a hammertoe early can not only spare a patient pain but also can be a less involved procedure. If treated in the flexible phase, the hammertoe can be resolved with tendon transfers within the toes themselves. But as they advance and become more rigid, surgery will involve the removal of bone in the joints of the toe and usually fixation of some sort such as pins or other internal implants.
If you or someone you know has hammertoes, it is better to evaluate and treat early. Schedule a visit with Dr. Warren at Upperline Health – Seymour by calling 765-222-5072.
About Walter Warren, DPM, CPED
Dr. Warren completed his undergraduate education at Union University Jackson, Tennessee in 1984. He received his doctorate of podiatric medicine degree at the Wm. Scholl College of Podiatric Medicine in 1988 and completed a post graduate Scholl certified surgical preceptorship in 1989.
Dr. Warren is Board Certified by the American Board of Podiatric Surgery, the American Board of Podiatric Orthopedics & Primary Podiatric Medicine, and a Board Certified Pedorthist by the Board of Certification in Pedorthics.
Dr. Warren is affiliated with Columbus Specialty Surgery Center in Columbus, Schneck Medical Center in Seymour, and St. Vincent’s Jennings Hospital in North Vernon, IN.
Dr. Warren opened Comprehensive Foot & Ankle Center in 1990. His wife, Jan, and their two children live in Seymour. Dr. Warren enjoys spending time outdoors and with family & friends. He has participated in triathlons since 1999.
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