Stretches For Hammertoes

Manual Toe Stretches

Stretching the affected hammertoe manually can help keep your joint flexible and be less likely to get stuck in

a bent position. Using your hands, bend the affected hammertoe into a more straightened-out position and then bend it back to the bent position. Working your toe muscles manually may help correct a minor imbalance that led to the development of the deformity. It will also help keep the hammertoe from becoming too rigid.

Toe Scrunches
Toe scrunches are another way of keeping your joints limber and the hammertoe flexible. This exercise is also known as "towel pick up" or "towel scrunch". Place a cloth on the floor and pick it up with your toes. Once you have mastered that, try picking up a larger item, like marbles. Toe scrunches are a great exercise because you can be doing something else, like reading, watching television, or even working at the same time.

Calf Exercises

Muscles imbalances can sometimes be the cause of hammertoes. When your muscles are weaker in one leg or foot, your gait can change and you might hold your foot differently, causing your toes to become hammertoed. Calf strengthening exercises help repair and prevent muscle imbalances that cause joint deformities.

Sit on the floor with your feet straight out ahead of you. Place a towel or resistance band around the sole of your foot and hold the end of the towel or band with both hands. Pull up with the towel as you arch your foot upward, toes toward the sky. If you are doing it properly, you will feel a pull in your hamstrings. 

Another great exercise for strengthening your calf muscles is the toe raise. Stand on a staircase, facing up stairs. Hold on to the banister and rise onto your toes. Hold the position for 5 seconds and repeat.
If you are suffering from hammertoes, call our Glastonbury or Middletown office to make an appointment.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow my tweets on Twitter.

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What Are Hammertoes?

Hammertoe is a contracture (bending) of one or both joints of the second, third, fourth, or fifth (little) toes.

This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop.
Hammertoes usually start out as mild deformities and get progressively worse over time. In the earlier stages, hammertoes are flexible and the symptoms can often be managed with noninvasive measures. But if left untreated, hammertoes can become more rigid and will not respond to non-surgical treatment.
Because of the progressive nature of hammertoes, they should receive early attention. Hammertoes never get better without some kind of intervention.
The most common cause of hammertoes is a muscle/tendon imbalance. This imbalance, which leads to a bends of the toe, results from mechanical (structural) changes in the foot that occur over time in some people.
Hammertoes may be aggravated by shoes that don't fit properly. A hammertoe may result is a toe is too long and forced into a cramped position when a tight shoe is worn.
Occasionally, hammertoes are the result of an earlier trauma to the toe. In some people, hammertoes are inherited.
Common symptoms of hammertoes include:

• Pain or irritation of the affected toe when wearing shoes.
• Corns and calluses (a buildup of skin) on the toe, between two toes, or on the ball of the foot. Corns are caused by constant friction against the shoe. They may be soft or hard, depending upon their location.
• Inflammation, redness, or a burning sensation.
• Contracture of the toe.
• In more severe cases of hammertoe, open sores may form.

Although hammertoes are readily apparent, to arrive at a diagnosis the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. During the physical examination, the doctor may attempt to reproduce your symptoms by manipulating your foot and will study the contractures of the toes. In addition, the foot and ankle surgeon may take x-rays to determine the degree of the deformities and assess any changes that may have occurred.
Hammertoes are progressive- they don't go away by themselves and usually they will get worse over time. However, not all cases are alike- some hammertoes progress more rapidly than others. Once your foot and ankle surgeon has evaluated your hammertoes, a treatment plan can be developed that is suited to your needs.
There is a variety of treatment options for hammertoe. The treatment your foot and ankle surgeon selects will depend upon the severity of your hammertoe and other factors.
A number of non-surgical measures can be undertaken:

• Padding corns and calluses. Your foot and ankle surgeon can provide or prescribe pads designed to shield corns from irritation. If you want to try over the counter pads, avoid the medicated types. Medicated pads are generally not recommended because they may contain a small amount of acid that can be harmful. Consult your surgeon about this option.
• Changes in shoewear. Avoid shoes with pointed toes, shoes that are too short, or shoes with high heels- conditions that can force your toe against the front of the shoe. Instead, choose comfortable shoes with a deep, roomy toe box and heels no higher than two inches.
• Orthotic devices. A custom orthotic device placed in your shoe may help control the muscle/tendon imbalance. 
• Injection therapy. Corticosteroid injections are sometimes used to ease pain and inflammation caused by hammertoes.
• Medications. Oral nonsteriodal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be recommended to reduce pain and inflammation.
• Splinting/strapping. Splints or small straps may be applied by the surgeon to realign the bent toe. 

In some cases, usually when the hammertoe has become more rigid and painful, or when an open sore has developed, surgery is needed.
Often patients with hammertoe have bunions or other foot deformities corrected at the same time. In selecting the procedure or combination or procedures for your particular case, the foot and ankle surgeon will take into consideration the extent of your deformity, the number of toes involved, your age, your activity level, and other factors. The length of the recovery period will vary, depending on the procedure or procedures performed.
Ayman M. Latif, DPM
Connecticut Foot Care Centers
Foot Deformity Doctor in CT
Podiatrist in Glastonbury and Middletown, CT
Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter.

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