Any toe can be involved, and hammer toes can be either flexible or rigid. This indicates the severity of the condition, and as a result, the treatment will differ.
Flexible hammer toes are less severe and be treated conservatively with padding or in-office procedures. On the other hand, rigid hammer toes are much more serious and oftentimes require surgery. X-rays are usually ordered if surgery is indicated so that Dr. McAlister can tailor the surgical plan to your specific condition.
Hammer toes can develop from a number of causes such as muscular imbalance, improper footwear, and trauma.
With regards to muscular imbalance, there are two categories of muscle tendons that power how you walk: muscles that bring your feet downwards (flexors) and muscles that bring your feet upwards (extensors). When there is one group overpowers the other, contractures of the toes can occur. This can lead to hammer toes or any other toe deformity.
Improper footwear can also be the culprit, especially in women. Narrow and ill-fitting shoes such as high heels or flats can put severe pressure to your toes and joints, and this can lead to hammer toes.
Trauma such as an injury in which you stub or jam a toe can make it likely to develop into a toe contracture. However, toe contractures from injury can be a more urgent matter especially when a ligament in the toe actually ruptures (known as a plantar plate rupture). Consult with Dr. McAlister immediately if you have had a recent injury that lead to a contracted toe.
If you have exhausted all your conservative treatment option and the hammer toe has progressed into a rigid deformity, a surgical procedure may be the next step to help alleviate the pain and discomfort you feel. Dr. McAlister has trained and performed in hundreds of hammer toe corrections and is extensively qualified to help treat your condition.
Before your visit, Dr. McAlister may take some x-rays to assess the degree of your condition. He will then talk to you about your surgical options, which is not one-size-fits-all. As every hammer toe is unique, there are a number of surgical options that may be offered.
Some of these procedures may involve a small pin or wire that is to be left after the surgery is performed, so that the realigned toe can maintain the straightened position while healing. Once the healing process is complete, Dr. McAlister will remove the fixation device leaving behind a straightened toe that is pain-free.
Call Dr. McAlister’s office today to learn more about your hammer toe options!