Pain may be felt when people wear certain shoes, and some people have pain in the ball of the foot.
Diagnosis is based on an examination of the foot, and other joints are examined as well.
Wide shoes and toe pads can relieve irritation, and orthoses can relieve pain.
(See also Overview of Foot Problems Overview of Foot and Ankle Problems Some foot problems start in the foot itself, for example, resulting from a foot injury. Problems can occur in any bone, joint, muscle, tendon, or ligament of the foot. Foot and ankle fractures... read more .)
Among the causes of hammer toe are tendon imbalances, unusually long metatarsal or toe bones, poor alignment of foot joint surfaces, rheumatoid arthritis Rheumatoid Arthritis (RA) Rheumatoid arthritis is an inflammatory arthritis in which joints, usually including those of the hands and feet, are inflamed, resulting in swelling, pain, and often destruction of joints.... read more , and years of wearing ill-fitting shoes. Because part of the toe is higher than normal, excessive friction may result, leading to calluses/ corns Corns and Calluses Corns are hard cone-shaped bumps of skin commonly found on the top surface of the smaller toes, particularly over a joint. Calluses are broader, flat thickenings of the skin usually located... read more and possibly open sores (ulcers) on the top of the toe. The second toe is the most common toe to develop hammer toe deformity.
Wearing shoes, particularly shoes with low and narrow toe boxes, may be painful. Sometimes people develop pain in the ball of the foot Pain in the Ball of the Foot (Metatarsalgia) Pain in the ball of the foot is called metatarsalgia and may have many different causes (including arthritis, pinching of the nerves between the toes, posture problems, and various disorders)... read more (metatarsalgia).
What Is Hammer Toe?
In hammer toe, usually the second toe, or sometimes the third or fourth toe, becomes bent in a Z-shaped position and cannot be easily straightened without surgery.
Diagnosis of Hammer Toe
A doctor's examination
Doctors base the diagnosis of hammer toe on an examination of the foot. Doctors also examine the joints to look for arthritis.
Treatment of Hammer Toe
Wide toe box, taping/splinting, and toe pads
For metatarsalgia, orthoses
Doctors treat hammer toe by ensuring that the shoes are comfortable and have a wide enough toe box to avoid further irritation to the toe. Taping/splinting the toe may decrease the deformity temporarily. Toe pads also help by shielding the affected toes from the overlying shoe.
Any ulcer or other skin irritation is treated.
An operation to straighten the hammer toe may be needed when other treatments do not relieve the pain and disability caused by the rigidly fixed toe.
To alleviate the pain caused by metatarsalgia, people can use orthoses (devices placed in the shoe).