As medical professionals, we encounter a variety of foot and ankle conditions in our practice. One such condition that affects millions of people worldwide is hammer toe deformity. It can cause discomfort, pain, and difficulty walking, impacting the overall quality of life for those affected by it. In this blog post, we will explore the symptoms and treatment options available for hammer toe deformity so that you can better serve your patients and help them regain their mobility and comfort.
Hammer toe deformity is a condition that causes toe to bend or curl downward. This can happen to any toe, but it most often affects second, third, or fourth toes. If not treated, hammer toe deformity can get worse and cause pain when walk.
When the muscles in the toe are not balanced, they can pull the toe out of alignment. This can happen with an injury, arthritis, or wearing shoes that do not fit well. Hammer toe deformity is when the toe bends down at the middle joint and points up at the end. The deformity can make it difficult to walk and cause pain when wear shoes. Treatment options include splinting, taping, and doing exercises to stretch and strengthen the muscles in the foot. Surgery is also an option for severe cases.
Deformities of the toes are diagnosed by physical examination and clinical assessment. The examiner looks for malalignment of the toe, muscle imbalance, and tendon changes. Radiographs (X-rays) may be ordered to assess the severity of the deformity and to look for other problems in the foot that may be causing or contributing to the hammer toe deformity.
The most common treatment options for hammer toe deformity are:
1. Non-surgical options: Splinting or padding the toe, Wearing shoes that fit properly and do not put pressure on the affected toe, Exercising the toe to help reduce pain and improve range of motion
2. Surgery: Arthroplasty, or joint replacement surgery, to remove the bony prominence of the hammer toe and realign the joint, Arthrodesis, or fusion surgery, to fuse together bones in the joint of the affected toe. Hammertoe correction surgery is usually performed as an outpatient procedure. It requires only a local anesthetic to numb the area around the toe. Recovery time is short, and should be able to walk immediately after surgery. However, it may take several weeks before wear closed-toe shoes without discomfort.
Most patients with hammer toe deformity can be treated without surgery. However, in some cases, surgery may be necessary to correct the deformity. There are a variety of surgical options available to treat hammer toe deformity, and the best option for each patient will depend on the severity of the deformity and other factors. Some common surgical procedures used to treat hammer toe deformity include: Arthroplasty: This procedure involves removing the damaged joint surfaces and replacing them with artificial joint surfaces. This is often used for patients with severe hammer toe deformity. Osteotomy: This procedure involves cutting and realigning the bones in the affected toe. This can be used for patients with mild to moderate hammer toe deformity. Tendon release: This procedure involves releasing the tendons that are pulling on the affected toe, which can help to straighten out the toe. This is often used for patients with mild hammer toe deformity.
The surgical procedure to correct a hammer toe deformity is usually performed as an outpatient procedure. The surgery is performed under general anesthesia, which means that the patient is asleep during the procedure. The surgeon makes an incision in the skin over the top of the toe and inserts an instrument called a fixation device into the bone. This device holds the toe in its new, corrected position while the bone heals. Recovery from surgery for hammertoe deformity usually takes 4-6 weeks. The patient will need to wear a special shoe during this time.
Hammer toe deformity is a progressive condition that can cause pain and difficulty in performing everyday activities. It’s important for medical professionals to be aware of the common signs and symptoms, as well as appropriate treatment options, so they can help their patients find relief from this disabling condition. With early diagnosis, proper management and supportive care, hammer toe deformity can often be managed successfully with conservative treatments such as custom orthotics or lifestyle modifications. It’s also possible to surgically repair the affected toes if necessary.
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