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Hammer toe

A hammer toe is a toe deformity in which the middle joint of one or more small toes is permanently bent. This makes the toe look like a "hammer". This misalignment can be painful and lead to pressure sores, corns and discomfort when walking.

Causes:

  • Incorrect footwear (narrow, high or pointed shoes)
  • Misalignment of the foot (e.g. splayfoot, hallux valgus)
  • Muscle weakness or imbalance
  • Neurological diseases (e.g. diabetes, nerve disorders)
  • Osteoarthritis or rheumatism

Symptoms:

  • Visible flexion of the toe in the middle joint
  • Pressure points, corns or calluses on the joint
  • Pain, especially in shoes
  • Difficulty rolling the foot

Treatment options:

Conservative (non-surgical):

  • Comfortable, wide shoes with enough space for the toes
  • Orthopaedic insoles to relieve pressure
  • Toe splints or pads to protect against friction
  • Foot gymnastics and physiotherapy to strengthen the muscles

Operational:

  • If there is severe pain or restricted movement
  • Removal or stiffening of the affected joint