A hammertoe can cause discomfort for many. At Bard Podiatry Associates, Dr. Baskhron helps New York City and Staten Island, New York patients with hammertoes find the relief they need through orthotics and if needed, surgery.
A hammertoe develops when the muscles and ligaments surrounding the joint of the big toe, where it bends when walking, become imbalanced. The middle joint of the toe begins to bend into an abnormal position pointing in toward the other toes and the stays off balance. In most cases, the toe is then exposed to a great deal of rubbing and friction which causes discomfort and aggravation of the skin. Hammertoes can sometimes develop on toes that curl, usually the pinky toe and its neighbor. Since the high-heels and pointed shoes frequently worn by women force the toes into tight confines, increasing the pressure, women can develop hammertoes more frequently than men. People with diabetes or poor circulation can be particularly plagued by hammertoes. There are two types of hammertoes:
Throughout the body, the muscles work in pairs. The toes are no different, with a set of balanced muscles on either side. When these muscles are no longer in balance, usually when one is stronger than the other, a hammertoe develops. This causes pressure to accumulate on the joints and tendons. This pressure forces the toe into the hammerhead shape. The imbalance is typically the result of:
Appropriately fitted shoes, orthotics, and padding can alleviate the pressure on the toe joint and assist it to move back into its correct position. When the hammertoe is very severe, surgery might be required. Surgery will be used when more conventional therapies have not been successful.
For some patients, there is also a minimally invasive option available, which can reduce recovery time and discomfort.
Bunions occur as a bony hump on the side of the big toe which causes discomfort. The hump causes the big toe to drift inward toward the other toes. The joint where the toe bends when walking is also affected by a bunion and it can make walking painful. Bunions are also susceptible to pressure and friction caused by certain types of shoes and how they rub on the toe. Calluses often develop on the side of the big toe where the shoe is rubbing.
Bunions can be hereditary and problems can increase as people age. Compromised or poorly developed foot structure can also contribute to the formation of bunions as well as other situations which put pressure on the toes. Ballerinas frequently develop bunions because of the pointe shoes they wear and many women develop them from wearing high heels and pointed toe shoes. Arthritis also contributes to the development of bunions.