Hammertoes

If you’ve noticed a toe that’s bent downward at the middle joint, causing discomfort or difficulty wearing shoes, you might be dealing with a hammertoe. This article will guide you through the causes, symptoms, diagnosis, treatment options, and prevention strategies for hammertoes.

At Orthopedic Foot & Ankle Center in Greater Columbus, we specialize in diagnosing and treating foot conditions like hammertoes. Contact us today to schedule an appointment and take the first step toward relief.

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What Are Hammertoes?

A hammertoe is a deformity where the toe bends downward at the middle joint, resembling a hammer. This condition typically affects the second, third, or fourth toes. A similar condition, mallet toe, involves a bend at the joint nearest the toenail.

Hammertoes are often progressive, meaning they may start off flexible and become more rigid over time. That’s why early evaluation and treatment are essential to avoid long-term foot problems.

Hammer toe correction by a Columbus foot doctor.

What Are Hammertoe Symptoms?

Common symptoms of hammertoe include:

  • A bent toe that appears misshapen
  • Pain or irritation in the affected toe when wearing shoes
  • Swelling, redness, or a burning sensation
  • Corns or calluses from friction inside the shoe
  • Difficulty moving the toe joint
 

These symptoms may lead to chronic discomfort, especially when wearing tight or high-heeled shoes.

What Causes Hammertoes?

Hammertoes result from an imbalance in the toe muscles that control the toe’s movement. When certain muscles overpower others, it pulls the toe into a hammer-like position. Contributing factors include:

  • Frequently wearing shoes that are too tight or narrow
  • Long-term use of high heels or pointed toes
  • Injury or trauma to the foot or toe joint
  • Neuromuscular conditions
  • Structural problems, such as flat feet or a second toe longer than the big toe
 

If left unaddressed, this imbalance can lead to permanent hammer toe deformity.

What Are the Risk Factors and Complications?

Several factors increase your risk of developing hammertoes, including:

  • Age: More common in older adults
  • Gender: Women are at a higher risk, often due to footwear choices like high heels
  • Foot structure: Long toes or overly flexible ligaments
  • Chronic conditions: Diabetes, arthritis, or neuromuscular disorders
 

Without proper care, complications may include chronic foot pain, calluses, ulcerations (especially in people with diabetes), and difficulty walking.

When to See a Doctor

If left untreated, hammer toe can worsen and lead to complications such as corns, calluses, and difficulty walking. The pressure caused by the bent toe can cause irritation and pain on the top of the affected toe or the ball of the foot.

If you suspect that you have a hammer toe, it is important to consult with a healthcare professional for an accurate diagnosis and an appropriate treatment plan. Early intervention can help prevent the condition from worsening and improve your quality of life.

How Are Hammertoes Diagnosed?

Diagnosis usually involves a physical examination of the foot to identify the bent toe and evaluate movement in the toe joint. X-rays may be used to assess the severity of the hammer toe deformity and to check for joint damage or alignment issues.

Your doctor will also discuss your symptoms and footwear habits to determine contributing factors.

How Are Hammertoes Treated?

The approach to treating hammertoes depends on how advanced the condition is.

Non-surgical treatments include:

  • Switching to shoes with a roomy toe box and low heels
  • Using shoe inserts or orthotics to provide support and relieve pressure
  • Applying padding to prevent friction and reduce corns
  • Stretching and strengthening exercises for the toe muscles
  • Ice and anti-inflammatory medication to reduce swelling
 

Surgical options may be recommended for rigid hammertoes that do not respond to conservative treatment. These procedures correct the alignment of the toe and relieve pain.

Preventing Hammertoes

Preventing hammertoes starts with smart footwear choices and foot care:

  • Choose supportive shoes with ample space in the toe box
  • Avoid high heels and narrow or pointed toes
  • Wear shoes appropriate for your activities and foot shape
  • Perform foot and toe exercises to keep the toe muscles balanced
  • Use custom shoe inserts to distribute pressure evenly
 

Caring for your feet now can save you from significant foot problems in the future.

Take the Next Step Toward Relief

If you’re struggling with a hammertoe, don’t let the discomfort keep you from enjoying your daily life. Our experienced team at Orthopedic Foot & Ankle Center in Greater Columbus offers personalized care for every patient. 

From proper diagnosis to treatment and long-term management, we’re here to help restore comfort and mobility. Contact us today and take the next step toward healthier, pain-free feet.

Medically reviewed by Roberto A. Brandão, DPM, FACFAS

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