Hammertoe develops when one or more of the smaller toes remain bent instead of pointing forward normally. It usually affects the middle joint of the toe, creating a curled or raised appearance. The condition develops because the muscles and tendons that normally keep the toe straight become unbalanced. Hammertoe may be flexible at first, meaning the toe can still move. Over time, it can become more rigid and difficult to straighten. Shoes that are too tight or narrow can worsen the problem by forcing the toes into a bent position for long periods.

As hammertoe progresses, the bent toe may rub against the inside of a shoe and become irritated. Common symptoms include pain, redness, and swelling around the affected joint. Corns may form on top of the toe where it repeatedly rubs against footwear, while calluses can develop on the bottom of the foot from increased pressure. Some people may also have difficulty finding comfortable shoes or experience pain while walking. Certain foot structures can increase the likelihood of developing hammertoe. The condition may also occur along with other foot problems, including bunions.

A podiatrist can examine the affected toes and determine how flexible or rigid the hammertoe has become. The evaluation may include checking the foot for areas of tenderness and examining how the toes move. X-rays may also be used to examine the bones and joints. Treatment depends on the severity of the hammertoe and how much it affects walking or comfort. When the toe has become rigid, or symptoms are severe, surgery may be considered to correct the position of the toe. A podiatrist can determine which treatment approach is appropriate based on the individual foot structure and symptoms. If a bent toe is causing persistent pain or difficulty walking comfortably, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from Biebel & DeCotiis Podiatry Associates. 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 one of our offices located in Holmdel and Middletown, NJ . We offer the newest diagnostic and treatment technologies for all your foot care needs.