Doctor insights on:
Hammertoe Correction Without Surgery
Repair of bent toes: Hammertoe correction refers to many different procedures, all intended to correct for a contracted toe which is causing pain and difficulty in shoewear. The procedures range from soft tissue procedures involving tendon and capsule work to arthroplasty which is a remodeling of the bone structure to a fusion of the toe to maintain corrected position. Which procedure is used is by physician choice. ...Read more
Hammertoe correction refers to many different procedures, all intended to correct for a contracted toe which is causing pain and difficulty in shoewear. The procedures range from soft tissue procedures involving tendon and capsule work to arthroplasty which is a remodeling of the bone structure to a fusion of the toe to maintain corrected position. Which procedure is used ...Read more
Depends: This depends on the severity and flexibility of the hammertoe and any other joint contractures. Examples include: simple transecting of a tendon on the underside of the toe, cutting of bone to resect a portion of the contracted joint to reduce the deformity with possible creation of a surgical fusion. Other procedures may be required to address other joint contractures. Pins may be needed. ...Read more
Pretty good!: Depending on how a person scars, the results can vary, though. If you know you form keloids (very thick, ropey scars), there is a possibility you'll end up with heavy scarring to your toes. Otherwise most incisions fade away within one year, and while some people do stay swollen for several weeks to months, the toe generally looks quite straight and normal once you've healed! ...Read more
Follow instructions: For optimum results follow your doctors advice. Rest, elevate, keep the bandage dry and clean and follow up as recommended. ...Read more
I am looking for correction of shortened flail toe from previous hammertoe surgery. Digital lengthening with one stage autologous bone graft?
Homework.: There are several ways to go depending on your specific post-operative condition. Bone grafting, small digital implants or spacers, just to mention a few. You should be aware that the chances of having a normal functioning toe are limited at best. Having multiple opinions is definitely the way to be informed before you commit. ...Read more
USUALLY BEFORE: I usually do it before. If that one looks ok and you're doing well; no pain, I probably don't need a post pin removal xray. ...Read more
I had hammertoe surgery 3 month, s ago and there's excessive swelling! What else can I do or take other than ice and elevation?
SWELLING.: Your PA may be contributory. Also, talk to your surgeon about the complication of a "sausage toe", which is usually a prolonged swollen and sometimes red toe. Compression wraps w/ Coban and an acetate steroid injection might help. Are the x-rays ok? Finally, did you follow the surgeon's post-op orders? ...Read more
If I were to have tenotomy surgery for the repair of hammertoes, would I be able to resume rigorous physical activity, such as running?
Good: The outcome of any surgery depends on several things. The right procedure must be chosen, the surgeon, well trained and the patient must be conscientious in following post-op instructions. Retrospective studies put bunion surgery success at ~85% good to excellent results, but that also includes those patients who did things they were told not to do after surgery. Most patients do quite well. ...Read more
I have hammertoes on both feet. I don't think that they are rigid because I can move them. Is there anything that I can do besides surgery?
Flexible Hammertoes: If they are flexible and painless, there is no need for treatment. Just wear well supportive footwear with enough room in the toe-box area of the shoe for the toes. ...Read more
I had hammertoe surgery 8 wks ago, 2nd, 3rd, 4th toe. Pins out at 4 wks. When can I expect to walk comfortable without pain? Still very painful.
Had severe leg/foot cramping. Shots given, left foot. Dev hammertoe! Dr rec surgery. 3mo. Later, dr refuses surgery &rt foot dev hmrtoe! What can I do?
See another doctor: See another doctor, preferably an md trained in foot and ankle. Sounds like you saw a podiatrist. ...Read more
I have a bunion, hammertoes and overlapping toes. Have seen ortopedic surgeon... Said I need surgery on all toes. Yikes! How horrible will this be, ?
Manageable pain: Generally, the procedures performed, the more post-op pain. Having said that, there are several techniques that will make recovery more pleasant. Your podiatric or orthopedic surgeon can start you on antiinflammatories prior to surgery. They can also inject steroid intra-op. A combination of narcotics and nsaids are used post-op. Follow post-op instructions closely and keep a positive attitude. ...Read more
I had surgery about 7 years ago, on my foot because I had a bunion and a hammertoe! I have screws now I got cysts in my knees painful walking it screw?
Surgery/ palliative: The surgical correction of Hammertoes is reserve for people that have tried different conservative treatment and they have failed. This surgery and recuperation is very easy when done with the right technique. Swelling is the most common complain after surgery, and is easily treated with compression and/or a steroid injection. This surgery is not as bad as people think. ...Read more
No: No, actually it is the other toes that are more commonly affected in hammertoe. Don't hesitate to be seen if you are having trouble with your toes. ...Read more
Blisters are fluid:
Filled and they can be pierced with a sterile instrument after cleaning the skin to allow the fluid to exit. If they reoccur, you likely are wearing shoes that are too tight.
The purpose of a hammertoe repair is to straighten the toe so the top is not sticking up too high and causing too much friction resulting in corns or blisters. ...Read more
Immediately. You would want to wait until you are at minimum out of the post op shoe and bandages are off the feet. Individual wrapping of toes would be okay.
You must consider the foot needs to operate quickly for sudden stops etc. If you are in an accident and your in a post op shoe, I would imagine your liability would increase. ...Read more
Ask your doctor: It is important to communicate with your surgeon, not friend, family or the nurse down the road. ...Read more
Hammertoe blisters: Hammertoes are bony deformities due to excessive flex ion of the toes due to the overpowering of the flexor tendons over the extensor tendons. It may be genetic, but tight shoes usually is the culprit causing painful blisters. Try to avoid wearing narrow shoes and heels that put too much pressure on the digits. They will return if you don't change your shoe gear. ...Read more