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Posts for tag: hammertoes

By Dr. Orman
July 05, 2019
Category: Podiatry
Tags: hammertoes  

A hammertoe is a common foot deformity that affects the middle joint of the smaller toes. As a result, this causes the toes to bend downward. Since this bend causes the joint to stick out this can put more pressure on the affected joints when wearing shoes, which can also make the deformity worse over time. As with most foot deformities a hammertoe will start out minor and continue to progress over time if left untreated.

During the earlier stages you may not notice much pain and discomfort. In fact the only way you may be able to tell that you have a hammertoe is by examining the foot and noticing that the small toes bend downward like a claw. Of course, at this stage the deformed joint is still flexible enough to be straightened out.

However, if the deformity progresses this can cause the joint to become rigid, which won’t respond effectively to simple conservative treatments. As you might imagine, the sooner you see a podiatrist to treat your hammertoe the better. Early intervention is key, as a hammertoe will not get better without the proper care.

Hammertoes are often the result of an imbalance in the muscle or tendon of the foot. Over time, this leads to structural changes in the foot. Genetics may also play a role in whether your feet are at risk for this deformity. A hammertoe can also be made worse by wearing shoes that are too tight and put too much pressure on the toes.

Along with the structural changes that occur with hammertoes it’s also common to experience redness, inflammation or the development of a corn or callus on the toe. If you are noticing symptoms of a hammertoe see your podiatrist for an evaluation. A simple physical exam is usually all that’s needed to diagnose a hammertoe; however, sometimes an x-ray will be performed in order to determine the extent of the deformity.

If you are dealing with a flexible hammertoe, more often than not simple nonsurgical treatment options are all that’s needed. Following simple treatment options and care can prevent the hammertoes from becoming rigid or painful. Some nonsurgical treatment options include:

  • Wearing the appropriate footwear. This means wearing shoes that aren’t pointy or have high heels, which can put more pressure on the toes.
  • Placing custom orthotics into your shoes, which can ease discomfort and prevent pain resulting in a muscular imbalance.
  • Taking over-the-counter pain relievers such as ibuprofen, which can reduce both pain and inflammation.
  • Splinting the toe or toes to keep them straight, which can also reduce stiffness, inflammation and pain.
  • Applying protective non-medicated padding over the top of the toe to prevent a corn or callus from developing.

If your hammertoe is painful or rigid then you may need to discuss whether surgery is the best option for alleviating your symptom and correcting the deformity. If you are dealing with a hammertoe turn to a foot specialist for help.

By Dr. Orman
April 25, 2019
Category: Foot Issues
Tags: hammertoes  

How your podiatrist in Baltimore, MD, can help your feet!

If you often wear shoes that cramp your toes, you are well in danger of developing a hammertoe. This condition occurs when the muscles Hammertoesand tendons in your toe lose their abilities to relax, thus causing your toe to be permanently bent and you unable to straighten it.

Luckily, your podiatrist can help if you are struggling with this condition. Read on to learn how Dr. Edward Orman at Honeygo Podiatry in Baltimore, MD, can offer specialized treatment for your hammertoes!

 

More about hammertoes

There are a few reasons why you might develop a hammertoe, including:

  • Bunion pressure
  • A traumatic injury to your toe
  • Muscle or tendon imbalances in your feet
  • Wearing shoes without enough room for your toes
  • High arches, which can cause your feet to press forward
  • Degenerative joint conditions like osteoarthritis and rheumatoid arthritis

 

There are some simple tips you can try if you think you might be developing a hammertoe. Remember to:

  • Wear open shoes or sandals
  • Wear wider shoes so your toes have plenty of room
  • Stretch each toe with your fingers every day
  • Exercise your toes by trying to pick up items from the floor
  • Take over-the-counter anti-inflammatory and pain medication
  • Place pads or cushions in your shoes to support your toes and feet

 

Sometimes, home remedies like those listed above are not enough to relieve hammertoe pain. Don’t worry! Your podiatrist can help by recommending these effective treatments:

  • Custom orthotics or footwear designed to correct a muscle/tendon imbalance
  • Prescription-strength anti-inflammatory medication to reduce swelling and pain
  • Splints and other methods to straighten and realign your toe
  • Cortisone injections to reduce swelling
  • Surgical treatment for severe cases of hammertoe

 

Need relief? Give us a call!

Having a hammertoe can make it difficult to even stand or walk without pain. Get rid of the pain of hammertoes by calling Dr. Edward Orman at Honeygo Podiatry in Baltimore, MD! For the Perry Hall office, dial (410) 529-4141, and for the Fallston office, dial (410) 877-3369

By Dr. Orman
July 09, 2018
Category: Foot Care
Tags: hammertoes  

When most people think about foot deformities they most often think about bunions; however, hammertoes are just as common. This unassuming deformity comes about gradually, so you may not even notice it until it’s too late. “What is a hammertoe?” You might be wondering. A hammertoe affects the middle joint of a toe (often the smaller toes), causing the toe to bend downward. In severe cases, a hammertoe will look almost claw-like.

There are two kinds of hammertoes: flexible and rigid. As you might imagine, a flexible hammertoe is one in which you can still straighten the toe out. If you aren’t able to straighten the affected toe then this is a rigid hammertoe. A flexible hammertoe isn’t as serious as a rigid one; however, it’s important that you take care of your hammertoe to make sure that it doesn’t get worse.

While there is no way to cure a hammertoe there are simple measures you can take to prevent it from progressing. First and foremost, you need to take a look at the shoes you are wearing and make sure that they aren’t too tight. When you slip your feet into your shoes, does it cause your toes to bunch up against one another? If so then this could make your hammertoe worse.

Instead, opt for shoes with an ample toe box, which will allow your toes to wiggle and move around freely. If you have a structural imbalance within the foot this can leave you prone to foot problems such as hammertoes and bunions. To correct this imbalance, talk to your foot doctor about getting custom orthotics (shoe inserts), which can be placed into your shoes to help provide cushioning, support, and shock absorption for your feet.

If pain or stiffness does rear its ugly head you can choose to take an over-the-counter pain reliever like ibuprofen, which can tackle both pain and inflammation in one fell swoop, or you can place a towel-wrapped ice pack (never put ice directly on the skin, as it can cause severe burns) over the area for several minutes.

Just as you can buy pads to cover a bunion or callus, you can also buy a non-medicated protective pad to cover over a hammertoe. Since the deformed toe joint juts out this can leave the toe prone to calluses, which can cause pain when wearing shoes. To prevent a callus from forming, you can apply a protective pad over the deformed toe joint before putting on shoes.

Of course, if you are dealing with significant or frequent pain, or if the hammertoe is rigid, then you will want to turn to a podiatric specialist. In severe cases, surgery may be recommended to correct the disfigured joint.

By Dr. Orman
June 05, 2018
Category: Foot Care
Tags: hammertoes  

Your toes should point straight forward, maybe with a very slight bend at the knuckle. But when the toes bend at up to a 90-degree angle, hammertoesthat’s a foot condition called hammertoes. They get that name because the toe joints start to resemble the head of a hammer. They cause cosmetic problems as well as challenges when you’re wearing footwear. Dr. Edward Orman at Honeygo Podiatry in Perry Hall and Fallston, MD, and serving Baltimore, MD area patients, can help you with your case of hammertoes.

Why Do Hammertoes Form?
Whenever the feet or toes are forced into an uncomfortable position, there is a risk that they will start to conform to that position. The more pressure, the weaker the joints become over time. Hammertoes often develop when the top part of the toes are crowded together from wearing uncomfortable shoes. Patients who have joint or tendon problems due to heredity or arthritic conditions are more at risk of developing this foot condition.

Treatment Options
Hammertoes do not have to be a permanent problem. They can be straightened out with help from with help from Dr. Orman at Honeygo Podiatry in Perry Hall, Fallston and the Baltimore area. Here are some of the most likely treatments:

- Wrapping, splinting, or strapping the feet so that the joints have a chance to heal in a more favorable position.
- An orthotic device that retrains the tendon, muscles, and joints.
- Padding if there’s a corn or callus on the toe.
- Injection therapy with corticosteroids for inflammation and NSAID medications for pain.
- Different choices in footwear.
- Surgical correction to straighten the toe.

An Embarrassing but Manageable Foot Problem
Hammertoes are manageable as long as you are consistent with the therapies recommended by Dr. Orman at Honeygo Podiatry and make certain lifestyle changes. Here are a few ways you can minimize the chance of developing hammertoes again:

- Always wear properly fitting shoes. Avoid shoes that are too tight, like high heels. Also, women who wear sandals or flip-flops that are too small may experience overhanging of the toes, which can weaken the joints.
- Continue to wear prescribed orthotic devices, even after the joints have realigned.
- Take time off your feet for a while, if possible, to help hasten the healing process after treatment.

No More Hammertoes
You don’t have to face the spring or summer season with unsightly hammertoes. Get help from Dr. Orman at Honeygo Podiatry, serving Baltimore County, Harford County and the Baltimore Metro area. Contact the office today.

Bunions, hammertoes, arthritis -- foot surgery is the final remedy many different kinds of pain in the foot and ankle. These problems of the foot can cause severe pain in some patients, and relief can often be found through alternative treatments. In extreme cases though, these alternative treatments won’t be effective, resulting in the need for foot surgery. Your podiatrist will work with you to determine the best treatment option for your ailments.

Bunion Surgery

Bunion surgeries fall into two major categories:

  • Head procedures that treat the big toe joint
  • Base procedures concentrate on the bone near or behind the big toe joint. 

Most bunion surgeries are performed on an outpatient basis at a surgical center or hospital. It is important to set aside an entire day for your surgery, even though you may be in the facility for only half a day. Bunion surgery is usually performed with a local anesthetic and it can be combined with a sedation medication to put you into a “twilight” sleep so that you are fully relaxed for the procedure.  

After surgery, patients are often given a long-acting anesthetic and pain medication, which is why someone else must drive you home. The type of procedure you have will determine the degree to which you can put weight on the foot immediately after the surgery. Some patients may have to use crutches, while others may be sent home wearing a surgical shoe.  

During the first week after surgery, you will need to keep your foot elevated as much as possible. Ice packs should also be applied for the first three to four days to reduce swelling. Limited walking is often required over the first two weeks to promote healing. Your podiatrist may also instruct you on some basic exercises that need to be performed daily.

Ankle Surgery

Ankle surgery may be required to correct a serious deformity of the ankle and its bone structure. Injury, birth defects or changes throughout the course of life are the usual culprits. Disease, such as diabetes, rheumatoid arthritis and neuromuscular conditions, may cause severe foot and ankle deformities that, over time, cause pain and difficulty walking. Surgeries of the ankle emphasize the realignment of the structure either around or after removal of the deformity.

Various kinds of internal and external fixation devices are often required to maintain the appropriate alignment during, and beyond the healing process. Varying in complexity and severity, many ankle surgeries are conducted on a same-day, outpatient basis. Patients need to arrange for another person to take them home after surgery and to stay with them for the first 24 hours following the surgery. Post-operative instructions provided by your podiatrist will give you the information needed to care for your recovering ankle following surgery.  

When foot problems occur, your feet deserve your full attention and the care of your podiatrist. Foot surgery can often be avoided with conservative treatments, but if your foot pain is excessive foot surgery may be the best solution. Contact your podiatrist in today for further consultation and treatment of your foot ailments.  



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