Humour is the most engaging cowardice.


Hammer Toe Treatment Surgery
HammertoeOverview


A hammertoe is a toe that tends to remain bent at the middle joint in a claw-like position. There are 2 types of hammer toe. Flexible hammer toe, can be straightened by hand. Rigid hammer toe, cannot be pulled straight and can be extremely painful. The position of the toe can also lead to corns or calluses. These may also be painful. Hammer toe may be present at birth or develop later in life due to tendons that have tightened, causing the toe's joints to curl downward. Occasionally, all toes may be bent. This may be due to problems with the peripheral nerves or the spinal cord.


Causes


As described above, the main reason people develop hammertoes is improper footwear, or footwear that is too short for the toes. Shoes that do not allow our toes to lie flat are the biggest cause of hammertoes, though there are others, including genetics, injury or trauma in which the toe is jammed or broken. Diseases that affect the nerves and muscles, such as arthritis. Abnormal foot mechanics due to nerve or muscle damage, causing an imbalance of the flexor and extensor tendons of the toe. Systematic diseases such as arthritis can also lead to problems such as hammertoe. Some people are born with hammertoes, while others are more prone to developing the condition due to genetics. If you have ever broken a toe, you know there is not much that can be done for it. It is one of the only bones in the body that heals without the use of a cast. A broken toe may be splinted, however, which may help prevent a hammertoe from forming.


Hammer ToeSymptoms


Pain on the bottom of your foot, especially under the ball of your foot, is one of the most common hammertoes symptoms associated with hammertoes. Other common signs and symptoms of hammertoes include pain at the top of your bent toe from footwear pressure. Corns on the top of your bent toe. Redness and swelling in your affected area. Decreased joint range of motion in your affected toe joints.


Diagnosis


Some questions your doctor may ask of you include, when did you first begin having foot problems? How much pain are your feet or toes causing you? Where is the pain located? What, if anything, seems to improve your symptoms? What, if anything, appears to worsen your symptoms? What kind of shoes do you normally wear? Your doctor can diagnose hammertoe or mallet toe by examining your foot. Your doctor may also order X-rays to further evaluate the bones and joints of your feet and toes.


Non Surgical Treatment


Pad it. Mild cases of hammertoe can be treated with corn pads or felt pads available in the pharmacy. Toe caps, the small, padded sleeves that fit around the tip of the toe, may relieve hammer toe pain. Change your shoes. Wear wide shoes with resilient soles. Avoid shoes with pointed toes. Exercise. Certain exercises such as moving and stretching your toe gently with your hands and picking small or soft objects such as marbles or towels can keep your toe joints flexible. Also, while you are watching television or reading, you can also put a towel flat under your feet and use your toes to crumple it. This simple exercise can stretch and strengthen your muscles. Use ice. If your hammer toe becomes painful, applying an ice pack several times a day can help relieve the soreness and swelling.


Take medications. Nonsteroidal anti-inflammatory medicines (also called NSAIDs), such as ibuprofen or naproxen may be helpful in minimizing pain and inflammation. Use orthotic devices. Place a custom orthotic device in your shoe. This will help control the muscle/tendon imbalance.


Surgical Treatment


Probably the most frequent procedure performed is one called a Post or an Arthroplasty. In this case a small piece of bone is removed from the joint to straighten the toe. The toe is shortened somewhat, but there is still motion within the toe post-operatively. In other cases, an Arthrodesis is performed. This involves fusing the abnormally-contracted joint. The Taylor procedure fuses only the first joint in the toe, whereas the Lambrinudi procedure fuses both joints within the toe. Toes which have had these procedures are usually perfectly straight, but they take longer to heal and don't bend afterwards. A Hibbs procedure is a transfer of the toe's long extensor tendon to the top of the metatarsal bone. The idea of this procedure is to remove the deforming cause of the hammertoes (in this case, extensor substitution), but to preserve the tendon's function in dorsifexing the foot by reattaching it to the metatarsals. Fortunately, the Gotch (or Gotch and Kreuz) procedure--the removal of the base of the toe where it attaches to the foot, is done less frequently than in years past. The problem with this procedure is that it doesn't address the problem at the level of the deformity, and it causes the toe to become destabilized, often resulting in a toe that has contracted up and back onto the top of the foot. You can even have an Implant Arthroplasty procedure, where a small, false joint is inserted into place. There are several other procedures, as well.


HammertoePrevention


elect and wear the right shoe for specific activities (such as running shoes for running). Alternate shoes. Don't wear the same pair of shoes every day. Avoid walking barefoot, which increases the risk for injury and infection. At the beach or when wearing sandals, always use sunblock on your feet, as you would on the rest of your body. Be cautious when using home remedies for foot ailments. Self-treatment can often turn a minor problem into a major one. It is critical that people with diabetes see a podiatric physician at least once a year for a checkup. People with diabetes, poor circulation, or heart problems should not treat their own feet, including toenails, because they are more prone to infection.

Comments
Comment is pending approval.
Comment is pending administrator's approval.
[2016/02/20 17:59] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/03/15 01:41] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/04/02 11:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/05/28 02:05] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/06/29 01:44] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/06/29 01:50] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/06/29 02:34] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/07/05 12:06] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/11/17 11:19] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2016/12/26 00:33] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/01/14 20:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/01/17 12:30] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/03/16 10:57] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/03/31 14:12] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/04/20 00:28] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/05/01 21:13] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/06/26 11:40] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/07/20 07:06] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/07/20 07:12] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/07/20 15:56] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/09 16:50] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/12 00:58] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/12 12:19] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/13 06:03] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/14 15:52] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/15 02:24] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/16 08:06] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/17 23:39] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/19 04:35] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/20 22:52] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/21 04:51] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/21 21:41] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/23 05:15] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/25 09:24] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/27 04:19] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/28 21:47] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/29 08:22] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/08/30 06:34] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/02 14:28] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/03 08:45] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/03 22:24] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/04 06:15] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/08 17:32] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/08 22:29] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/09 18:32] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/10 16:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/13 13:00] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/16 02:54] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/17 09:31] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/23 07:15] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/24 20:17] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/25 16:49] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/26 17:18] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/09/29 09:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/03 23:16] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/04 09:23] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/06 22:01] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/08 03:20] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/08 13:01] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/09 12:57] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/12 12:51] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/15 04:19] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/17 01:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/17 22:21] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/19 14:58] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/22 23:43] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/25 19:03] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/10/29 05:08] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/01 02:36] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/01 20:13] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/03 06:36] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/05 20:28] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/12 18:14] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/14 04:47] | # [ Edit ]

Comment is pending approval.
Comment is pending administrator's approval.
[2017/11/18 07:49] | # [ Edit ]


Post a comment














Only the blog author may view the comment.


Trackbacks

-

Comment will be displayed after the administrator approves.
[2017/06/18 14:32]