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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Remedy For A Hammer Toe?

I have a hammer toe, the little one on the right foot. it has been cocked up too the degree that it pokes the point straight down . I have been trying to find a surgeon that would operate. I am told that since it would that it can t be done by every doctor that I have gone too.Is this something you can do?
Thu, 27 Mar 2014
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Pulmonologist 's  Response
Hi
Thanks for your query.
The choice of nonoperative treatment of hammer toe deformity is based on the flexibility of the deformity. Strapping of the toe with either tape or a commercially available hammertoe sling is helpful for a flexible deformity. The tape or sling is placed dorsally over the proximal phalanx, the joint is plantar-flexed slightly, and the tape or sling is secured plantarly. The strapping reduces the deformity by exerting a plantar-flexion force at the metatarso-phalangeal joint.Fixed deformities are not amenable to strapping, because the deformity cannot be reduced. Extra-depth footwear is necessary to minimize pressure dorsally over the affected toe. Lace-up shoes are more comfortable than slip-on shoes.
Surgical treatment of hammertoe deformity, like nonoperative treatment, depends on the flexibility of the deformity. The magnitude of the deformity also affects surgical decision making. The surgical option is the best but non-operative treatment which I have mentioned is nothing but a trial before surgery, the success rate of which is minimal.
Thank you.
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What Is The Remedy For A Hammer Toe?

Hi Thanks for your query. The choice of nonoperative treatment of hammer toe deformity is based on the flexibility of the deformity. Strapping of the toe with either tape or a commercially available hammertoe sling is helpful for a flexible deformity. The tape or sling is placed dorsally over the proximal phalanx, the joint is plantar-flexed slightly, and the tape or sling is secured plantarly. The strapping reduces the deformity by exerting a plantar-flexion force at the metatarso-phalangeal joint.Fixed deformities are not amenable to strapping, because the deformity cannot be reduced. Extra-depth footwear is necessary to minimize pressure dorsally over the affected toe. Lace-up shoes are more comfortable than slip-on shoes. Surgical treatment of hammertoe deformity, like nonoperative treatment, depends on the flexibility of the deformity. The magnitude of the deformity also affects surgical decision making. The surgical option is the best but non-operative treatment which I have mentioned is nothing but a trial before surgery, the success rate of which is minimal. Thank you.