Hammertoe is a condition where one or more toes become bent at the middle joint, causing pain and difficulty wearing shoes. It can be caused by footwear choices or an underlying illness, such as diabetes. Hammertoes worsen over time if not treated properly by a hammertoe surgeon or podiatry specialist.
According to the Mayo Clinic, individuals with toes that can still unbend may respond to conservative treatment such as shoe inserts and roomier footwear. When these don’t help, hammertoe surgery might be needed.
Understanding the different types of hammertoe surgery can help you make an informed decision. Let’s explore the options available for hammertoe surgery and what they involve.
1. Tendon Transfer
A tendon transfer is a surgical procedure where tendons in your toe are moved to correct the position of the joint.
How It Works:
The surgeon repositions tendons from the bottom of the toe to the top. This helps pull the bent joint straight. The procedure is often used for flexible hammertoes, where the toe can still move.
Recovery:
Recovery typically involves wearing a special shoe for a few weeks. Physical therapy might be needed to strengthen the toe.
2. Joint Resection (Arthroplasty)
Joint resection, or arthroplasty, involves removing part of the bent joint to straighten the toe.
How It Works:
The surgeon makes an incision on the top of the toe. Part of the bone in the joint is removed. Pins might be used to keep the toe straight while it heals.
Recovery:
The pins are usually removed a few weeks after surgery. Full recovery can take several months.
3. Fusion (Arthrodesis)
Fusion, or arthrodesis, is a procedure where the bones in the affected joint are fused together.
How It Works:
The surgeon removes the ends of the bones in the bent joint. The bones are then fused using pins or screws. Over time, the bones grow together, straightening the toe permanently.
Recovery:
Healing can take a few months as the bones fuse. A special shoe or boot may be needed during recovery.
4. Amputation
In severe cases, where other surgeries are not an option, amputation of the affected toe might be considered.
How It Works:
The surgeon removes the entire toe and closes the wound. This option is rare and usually considered only when other treatments have failed, and the pain is unbearable.
Recovery:
Recovery time for this procedure is usually shorter compared to other surgeries. Physical therapy might be needed to adapt to the change in foot structure.
Choosing the Right Surgery
Choosing the right type of hammertoe surgery depends on various factors, including:
- The severity of your hammertoe
- Whether your toe is flexible or rigid
- Your overall health and any underlying medical conditions
Consulting with an experienced hammertoe surgeon can help you decide the best surgical option for your specific situation. They will evaluate your condition, discuss the potential benefits and risks of each surgery, and guide you through the process.
Recovery and Aftercare
Regardless of the type of surgery, proper aftercare is crucial for a successful recovery. Here are some general tips:
- Follow Your Surgeon’s Instructions: Adhere to the guidelines provided by your surgeon, including how to care for the surgical site and when to return for follow-up visits.
- Rest and Elevate: Keep your foot elevated to reduce swelling and promote healing.
- Use Pain Relief Techniques: Follow prescribed pain management methods to stay comfortable during recovery.
- Wear Appropriate Footwear: Use the recommended shoe or boot to protect your foot and aid in the healing process.
- Physical Therapy: Participate in recommended physical therapy to regain strength and flexibility in your foot.
Hammertoe surgery can provide significant relief from pain and improve your quality of life. By understanding the different surgical options—tendon transfer, joint resection, fusion, and amputation—you can make an informed decision about the best treatment for your needs.
Consulting with hammertoe surgeons will ensure you receive the best care and guidance throughout the process. If you’re experiencing severe hammertoe symptoms, seeking the advice of a specialist can help you explore the right surgical options and start your journey to recovery.
Top Hammertoe Surgeon in Rhode Island and Massachusetts
Let our board-certified podiatrists at the Foot & Ankle Institute of New England handle any issue you have in your lower extremities. We have three locations conveniently located in Warwick, Middletown, and Dartmouth. All three podiatry clinics are fully staffed and equipped with state-of-the-art medical tools and technology.
To schedule an appointment for hammertoe treatment, call our office near you or use our convenient request form. We look forward to providing you with the best in podiatry care in RI and MA.
