Hammertoes

The treatment of hammertoes by our orthopedic surgeon involves various non-surgical and surgical options, depending on the severity of the deformity and the associated symptoms. Here is an overview of the treatment approaches:

1. Non-Surgical Treatment:
   • Footwear Modifications: Wearing shoes with a wide toe box and low heels can help accommodate the hammertoe and relieve pressure on the affected area.
   • Toe Exercises: Stretching and strengthening exercises may be recommended to improve the flexibility and alignment of the toes.
   • Padding and Orthotic Devices: Placing pads or cushions on the affected toe can help alleviate pain and prevent rubbing or friction. Orthotic devices, such as toe splints or orthotic inserts, may also be prescribed to help straighten and support the toe.
2. Surgical Treatment:
   • When non-surgical interventions fail to provide relief or in severe cases, surgical intervention may be recommended. The type of surgery will depend on the severity of the deformity, the flexibility of the toe, and the patient’s individual circumstances.
   • Tendon Release: This procedure involves releasing or lengthening the tight or contracted tendons and ligaments around the affected joint to allow the toe to straighten.
   • Joint Resection or Fusion: In some cases, a portion of the bone in the affected joint may need to be removed (joint resection) to straighten the toe. In more severe cases or when there is significant arthritis, joint fusion (arthrodesis) may be performed to permanently join the bones of the joint, eliminating pain and stabilizing the toe.
   • Tendon Transfer: In cases where the hammertoe is caused by muscle imbalance, a tendon transfer procedure may be performed. This involves transferring a tendon from one location to another to restore balance and proper alignment of the toe.
3. Postoperative Recovery and Rehabilitation:
   • After surgery, the patient will typically undergo a period of recovery and rehabilitation. This may involve wearing a surgical shoe or boot, using crutches, and gradually resuming weight-bearing activities.
   • Physical therapy exercises may be prescribed to improve strength, flexibility, and range of motion of the toe and foot.
   • The duration of recovery and rehabilitation will vary depending on the type of surgery performed and the individual’s healing progress.
4. Long-Term Follow-up:
   • Regular follow-up visits with the orthopedic surgeon will be scheduled to monitor the healing process, assess the foot’s condition, and address any concerns or complications that may arise.
   • The surgeon may provide recommendations for footwear, orthotic devices, and lifestyle modifications to prevent the recurrence or worsening of the hammertoes.

It’s important to note that the treatment approach for hammertoes may vary depending on the severity of the deformity, associated symptoms, and the patient’s preferences. The orthopedic surgeon of the Eisenhower Clinic will conduct a thorough evaluation and discuss the available treatment options to develop an individualized plan tailored to the patient’s needs and goals. Compliance with the recommended treatment plan, including postoperative care and rehabilitation, is crucial for achieving optimal outcomes.