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They may be firm or soft depending on their location, and may become red and swollen and even cause wounds or ulcerations in some patients. Other symptoms include bending of the toe in a non-natural position, wounds or ulcerations on the toe, and inflammation, redness or even a burning sensation when bearing weight.
Sometimes patients may even find themselves waking up at night due to the pain and discomfort. We start with weightbearing x-rays so we can see what the toes look like with the tendons firing. We will also inspect your bones, joints and alignments. This will let us determine the best treatment for you and how we can slow down the progressiveness of the deformity. For treatment, we start with debriding cutting any corns and calluses in the office. This is usually a pain-free procedure. Other treatments include injection therapy and strapping or splinting of the toes as well as certain types of crest padding.
If needed for acute pain flareups, we will recommend non-steroidal anti-inflammatory drugs. This typically involves straightening and shortening the toe. IV sedation anesthesia is given at the surgical center and this usually involves pins in the toe that are removed painlessly in the office four weeks later. You usually are in a surgical shoe for six weeks in total, but you can walk out of the operating room and during the entire postoperative period.
These conditions get worse over time, so if we can slow the progression, we can hopefully avoid the need for surgical intervention in the future. The sooner treatment begins, the better. This article contains general information only and should not be used as a substitute for professional diagnosis, treatment or care by a qualified health care provider. Stay up-to-date with the Keystone Health news, events, and articles delivered straight to your mailbox.
We promise no spam. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Fields KB. Evaluation and diagnosis of common causes of foot pain in adults. Accessed Dec. Hammer toe. American Academy of Orthopaedic Surgeons. Malloy A, et al. Mallet toe deformity. Foot and Ankle Clinics of North America. Hammer toes. American Podiatric Medical Association. Hammer toe usually affects the second toe, and they often occur with bunions. Claw Toe deformity is when the first joint MTP joint shifts upward, and both the middle joint PIP joint and the joint closest to the tip of the toe DIP joint bend downward, like a claw.
Mallet Toe deformity is when the joint closest to the tip of the toe DIP joint bends downward. It most often affects the second toe, but can affect all four of the small toes. Ill-fitting footwear is the most common cause of hammer, claw, and mallet toe. Wearing shoes that are too tight can negatively affect the muscles and tendons in the toe causing deformities.
Toes that are squished day after day become fixed in that position and will not straighten out. Other common causes include:. Hammer, claw, and mallet toe are visibly noticeable conditions.
In addition to the toes looking odd, symptoms may include:.
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