Certain risk factors increase the likelihood of developing hammer toe. People with unusually long toe bones, a history of toe injuries, and rheumatoid arthritis are more at risk of developing hammer toe. In the early stages, the joint is still movable. It is possible to treat flexible hammer toe without surgery, often by simply switching to better shoes. A person can reduce the symptoms of a flexible hammer toe by avoiding high heels and wearing loose shoes that are at least a half-inch longer than the longest toe.
Toe-strengthening exercises, such as picking items up off the floor with the toes, may also help. Ice packs to reduce pain and swelling can help with pain and inflammation. A doctor may also recommend putting a pad over the joint to prevent it from rubbing against shoes. A rigid hammer toe means the joint is no longer movable. Home treatment and better shoes may offer temporary relief from the pain, and a doctor may recommend trying a custom orthotic device before surgery.
If that fails, surgery might be the only option. Hammer toe surgery can be highly effective in people for whom the primary or only issue is hammer toe.
But when an underlying condition such as rheumatoid arthritis causes a hammer toe, doctors may recommend treating that condition first. A tendon transfer pulls the toe into the correct position and often works well for a flexible hammer toe. Tendons attach muscle to bone. During a tendon transfer, the surgeon pulls a tendon near the hammer toe across the top of the joint.
It should also reduce pain. Joint resection can help with a fixed hammer toe. For this surgery, a doctor cuts ligaments and tendons to help straighten the toe and may also remove a portion of the bone. To keep the toe in place, the surgeon may insert temporary pins.
These pins can be removed a few weeks after the surgery. A fusion procedure can reduce the severity of a fixed hammer toe. In this procedure, the surgeon removes portions of the joint to allow bones to grow together. This straightens the toe and can help reduce pain. Hammer toe surgery should relieve the pain, discomfort, and cosmetic concerns.
Make sure you understand the risks and benefits of each option, and how you can have a healthy recovery. A hammer toe is a deformity that causes your toe to bend or curl downward instead of pointing forward.
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Hammer toe Surgery: What to Expect. Start with walking a little each day and slowly building up the time. Your doctor may prescribe pain medication or recommend over-the-counter painkillers for the first few days after your surgery. Alert your doctor immediately if your pain does not improve with medication, or if you feel increased pain, warmth or redness as these could be signs of infection.
The cost of hammertoe surgery varies based on the type of hammertoe surgery you need, and whether there are any other issues affecting the health of your toes. Our foot doctors and billing support department will work with you to minimize costs and can help you with patient financing options for any out of pocket expenses. Our friendly billing specialists do insurance checks and work with you to minimize out of pocket expenses for any procedure.
A service called MDsave quotes a similar price range and provides comparison information that may be useful to patients with high-deductible or no health insurance. Just get in touch for an assessment and to get a real cost estimate for your specific procedure.
Our commitment to putting the CARE back in patient care means we take the time to explain your options, including cost considerations, so you understand what to expect before any procedure. With any surgery there is a risk of developing complications, even if the procedure went perfectly and you followed aftercare instructions to the letter. This typically occurs when too much bone has been removed in arthroplasty.
Hammertoe surgery complications are unlikely when you choose an experienced, highly-qualified foot surgeon and follow doctor instructions for postoperative care. Hammertoe correction without surgery is definitely possible, and your podiatrist may recommend one of several non-invasive hammertoe treatments after your examination.
Hammertoe surgery can help straighten your toes even if other treatments have failed. Our elite team of surgical podiatrists provide comprehensive foot and ankle care plus treatments for knee, hip, shoulder and back pain to patients throughout the Milwaukee area from four convenient clinic locations. Our podiatrists offer expert care in English and Spanish. Our foot doctors have built relationships with ten local hospitals, making it easier for patients in the Milwaukee area to get the highest level care.
Looking for the best foot surgeon in Wisconsin? Removal of the second toe for severe hammertoe deformity in elderly patients. Hammertoe Surgery: What You Need to Know Milwaukee Surgical Podiatrists Relieve Hammertoe Pain Hammertoe surgery may be the best option for patients who are still in pain after trying non-invasive hammertoe treatments.
Walking after hammertoe surgery Can you bend your toe after hammertoe surgery? These will focus on the symptoms, helping to stretch or make the toe more comfortable and may include:. If these prove to be ineffective and you still have consistent pain or trouble wearing shoes, hammertoe surgery may be recommended to straighten the toe depending on its flexibility or level of stiffness. Before scheduling surgery, your surgeon will do a physical exam and note whether your toe is rigid or can be stretched manually.
Some X-rays may be ordered to evaluate your bones and joints. Lab tests may be ordered to make sure that you're healthy enough for surgery, particularly if you're at risk for chronic health conditions. This can include blood work, such as a complete blood count CBC , and an electrocardiogram EKG to check the condition of your heart. You may also need clearance from your primary care provider or a specialist like your cardiologist before you can undergo surgery.
That might include what the surgical plan entails and what to expect after recovery. Your surgeon may suggest a meeting with a physical therapist before surgery as well.
In the weeks after surgery, you'll use assistive devices, like crutches or a walker, to keep your weight off your foot while you're healing. The physical therapist can help teach you how to use such devices before surgery. They can also give you exercises to do before your procedure that can improve your balance and strength in your opposite leg; this can make moving around after surgery easier.
Your surgery will likely be in a hospital or surgical center. As part of your preparation, make arrangements for someone to bring you home from surgery.
Wear loose, comfortable clothing to the hospital or surgery center. Make sure to bring a comfortable, no-slip shoe for the unaffected foot after surgery. Check with your surgeon for further recommendations. Review your current medications with your healthcare provider or anesthesiologist before the surgery. They may ask you to stop taking medications that may increase bleeding, such as aspirin, non-steroidal anti-inflammatory drugs NSAIDs , and supplements like fish oil and St.
If your healthcare provider suggests any assistive devices, such as a walker or crutches, make sure to bring those as well. If you don't already have them before surgery, you'll receive them at the hospital when you're ready to go home. To decrease the risk of complications, talk with your healthcare provider about quitting smoking before your surgery.
Nicotine slows the flow of blood, which can increase the chance of a blot clot, healing problems, and infections after surgery. You may also want to make some adjustments to your home before surgery. For example, moving your bed from a second to a first floor so you do not have to climb stairs as you heal.
You'll need to plan to take some time off of work after the surgery. Depending on your job—whether it's sedentary or one that requires you to be on your feet—this could last one to six weeks. Talk with your surgeon about how long you should make arrangements to be away from work.
You may also want to make arrangements for someone to help you with housework and child or pet care while you're recovering. Since it can take about six weeks to recover completely, you'll want to make sure you can stay off of your foot during that time as much as possible.
They will review any notes on your case, perform a physical exam, and cleanse the area of the incision. General anesthesia is either given through a breathing mask or intravenous IV line in your arm. Once you're asleep, the anesthesiologist may insert a breathing tube in your windpipe to protect your lungs during surgery. The procedure steps will vary depending on whether your hammertoe is flexible or fixed.
Flexible Hammertoe. Surgery for this condition may involve transferring the tendons from the bottom of the toe to the top to help straighten the joint. The surgeon makes incisions in both places. One of the two tendons on the bottom is then transferred and attached.
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