Hammertoes

Hammertoes are a foot deformity that causes an abnormal bend in the joint in the third, second, or fourth toe. Initially, hammertoes are flexible and correctable with conservative care. However, when left untreated, hammertoes become rigid and require surgery. At Total Foot and Ankle Care in Hurst and Dallas, Texas, Amir Azer, DPM, and the team provide comprehensive care for hammertoes based on individual needs. Call the office or schedule your hammertoe consultation online today.

What are hammertoes?

Hammertoes cause an abnormal upward bend in the toe joint — so it can’t lay flat. That contracture makes the tip of the toe look like a hammer. Hammertoes affect the second, third, or fourth toe.

Hammertoes develop in stages. Initially, the bend at the joint in the toe is flexible, meaning you can still straighten the toe. Over time, the joint becomes less flexible, making it impossible to straighten the affected toe.

The abnormal arch in the joint places extra stress on the tip of the toe, creating calluses. 

What causes hammertoes?

Weakness in the muscles in your toes or legs causes hammertoes. When your muscles are weak, the tendons abnormally pull on the joint in the toe, creating the upward movement. The imbalance usually occurs from a structural or neurological problem that affects the foot.

The type of shoes you wear may also cause hammertoes. If you have a toe that’s too long, wearing shoes that cramp the toe forces it into an unnatural position. An injury to the toe may also cause the foot deformity.

No matter the cause, getting treatment for your hammertoe when it’s still flexible may reduce your need for more invasive treatments.

What happens during an evaluation for hammertoes?

When you visit Total Foot and Ankle Care for a hammertoe evaluation, the team performs a thorough exam so they can create the most effective treatment. They review your concerns, medical history, family history, and ask about the shoes you usually wear.

Your provider evaluates your foot and how your foot moves when you walk. They may also take X-rays to fully understand the severity of your abnormal bend. 

Total Foot and Ankle Care also has GaitScan™, which is a device the team uses to take detailed images of your feet for orthotics. 

What are the treatments for hammertoes?

The team at Total Foot and Ankle Care customizes your treatment plan for hammertoes based on whether the joint is flexible or not. For a flexible hammertoe, the team may recommend:

• Change in shoes
• Custom-made orthotics
• Nonsteroidal anti-inflammatory drugs (NSAIDs)

If your hammertoes are rigid or conservative care fails to improve your symptoms, the team recommends surgery to straighten the joint. They may use various surgical techniques, such as tendon lengthening, tendon transfer, or joint fusion.

For help with hammertoes, call Total Foot and Ankle Care or schedule an appointment online today.