A hammertoe occurs when a contracted tendon puts pressure on the middle joint of the smaller toes, causing the joint to cock up and the toe to angle downward. According to Foot Health Facts, a hammertoe generally starts out as a mild deformity but gets progressively worse. The joint that is sitting up high rubs against the top of the shoe, causing pain and possibly forming a corn in reaction to the pressure. Hammer digit syndrome is quite easy to diagnose since the deformity is clearly visible. However, x-rays are usually taken to view the bony structures of the toe and to clearly see which joints are contracted.
Hammertoes occur because of an imbalance between the muscles and tendons that attach to the toe. Splints can be used to hold the toe in correct alignment. Hammertoe splints extend the curled toe into a straighter position. One such splint is a teardrop-shaped foam pad with one or more elastic loops. The elastic loop fits over the hammertoe, pulling it down into a corrected position. Depending on your specific foot shape, a podiatrist may treat the problem with orthotic shoe inserts, shoes with shock-absorbing cushioned heels, heel cups or cradles, elevating the feet, stretching exercises and/or splints to be worn at night. In severe cases, surgery may be required.
There are generally two methods surgeons use to correct hammer toes – they are joint resection (arthroplasty) or bone mending (fusion), and the location where this is performed on the toe depends on where the toe is buckled. Its important to recognize that most of the surgical work involved the joints of the toe, not the joint of the ball of the foot. Sometimes a toe relocation procedure is needed when the joint of the ball of the foot is malaligned (subluxed or dislocated). Mallet toe is a deformity at the end of the toe. As the end joint constricts, the end of the toe looks somewhat like a mallet.
There are several things that go on in the podiatrist’s office. Things such as serial injections, strapping and taping, physical therapy, and orthotic therapy are all integral parts in treating plantar fasciitis. Like all medical conditions, the more you can do to help yourself, the better your cure outlook becomes. Surgery is recommended when you have severe pain in the toe that affects your daily activities and non-surgical remedies have not helped. For flexible deformities, tendon transfers may be performed to better align the toe. Once the deformity becomes fixed, a section of bone must be removed and the toe pinned in place until healed.
Hammer toe is most often caused by wearing compressive shoes. It might also be caused by the pressure from a bunion. A bunion is a corn on the top of a toe and a callus on the sole of the foot develop which makes walking painful. A high foot arch may also develop. A person may be born with hammer toe or may develop it from wearing short, narrow shoes. Hammer toe can occur in children who outgrow shoes rapidly. A person immobilized by a groin injury may need two days to 10 weeks to fully recover. Recovery time depends of the injury’s severity and the patient’s recovery strategies.
Anyone who has ever treated himself to a total body massage knows the positive effect this form of therapy has on the body. However, massage isn’t a “one size fits all” treatment. In fact, according to Bill Naylor, a licensed massage therapist, “deep-tissue work can mean different things to different people, but generally this type of bodywork is oriented toward a specific goal, requiring sensitive hands that are guided by extensive knowledge of the muscular-skeletal anatomy.” Electronic Muscle Stimulators (EMS) and Transcutaneous Electrical Nerve Stimulators (TENS) both generate electrical impulses that stimulate the nervous system. They are used by the medical community to treat acute injuries and chronic pain.
A muscle strain, commonly called a “pulled muscle,” happens when the small fibers that make up the muscle tear. There are three grades for strains, and a grade-three strain is the most severe, involving more than 90 percent of the muscle’s fibers, according to SportsInjuryClinic.net. The major muscles in the calf start behind the knee and attach to the Achilles tendon; a severe strain of those muscles can be extremely painful and debilitating. A pulled muscle and a torn muscle are the same thing. Pulled or torn muscles are frequently due to overworking or overstraining the muscle. They are painful and may require a doctor’s care, depending on the severity.
Leg cramps are sudden and involuntary contractions of muscles in your leg. Leg cramps can be caused by muscle strain, holding your leg in one position for a long time, inadequate blood supply and nerve compression, among other things. Leg cramps can be very painful but they usually can be cured at home without a trip to the hospital. All you need to get rid of your leg cramps are a few simple items. Toe Tuck – Cosmetic surgery of the pinky toe can make the toe look visibly slimmer. Painful corns on your pinky toe are removed and will make fitting shoes more comfortable.
Mild deformity (toe still flexible, no fixed flexion contracture) may respond to cutting and lengthening and/or repositioning a tendon (tenotomy) on the bottom of the foot (flexor digitorum longus). In cases of moderate deformity in which the joint contracture is partially fixed, the toe position is corrected via arthroplasty or arthrodesis. With a severe deformity (stiff, inflexible joint), the toe joint may need to be stabilized with pins or K wires in addition to arthroplasty and tenotomy (“Hammer Toes”). If you are suffering from flat foot, bunions or hammertoe pain like Lebron, then call Advanced Podiatry at 813-875-0555 and let Drs. Katz and Johnston help you alleviate your pain!
Some runners might curl their toes underneath other toes, such as the pinky toe curling underneath the fourth toe. When toes curl underneath each other, this can cause disproportionate weight distribution and blisters on your toes. Separating your toes with lamb’s wool, paper tape or socks with toe inserts can prevent curling and protect against blisters. Also, do not wear socks that are too restrictive or lace your shoestrings too tight because that increases the likelihood of toe curling. Hammer Toes The goal of your surgery is to remove pain and realign the bones, muscles, ligaments and tendons in your toes to restore your ability to engage in normal activities.