Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Don’t Suffer in Silence with Toe Pain

02.08.2011
Toe deformities should be treated early, paper shows, and improper footwear can be to blame

While deformities of the lesser toes (all toes other than the big toe) can be very painful, there are numerous surgical and nonsurgical treatments for these conditions that are usually quite effective.

A literature review published in the Journal of the American Academy of Orthopaedic Surgeons (JAAOS) shows that because lesser toe deformities are often treatable, and can be symptoms of other conditions, early assessment and treatment by an orthopaedic surgeon is important.

“Toe pain can limit a person’s quality of life,” says Khalid Shirzad, MD, an orthopaedic surgeon at Northwest Orthopaedic Specialists, P.S., Spokane, Wash., and lead author of the review. “When it hurts to walk, that person will start decreasing time spent on activities they enjoy. If the initial problem is not treated, it may lead to further issues such as skin infections, deformities, and muscular problems.”

Lesser toes are important in walking, especially when pushing off with the foot towards the next step, bearing the majority of the weighted pressure in support of the big toe and the ball of the foot. A variety of causes can lead to lesser toe deformities, such as:

Improper footwear, such as shoes with pointed toes or tight toe-boxes;
Injury;
Inflammatory arthritis;
Neuromuscular and metabolic diseases, such as cerebral palsy, multiple sclerosis, or rheumatoid arthritis; or

Genetics.

The most common lesser toe deformities include: hammer toes, claw toes, mallet toes, curly toes, crossover toes, and bunions. In all of these conditions, the toe is bent, curled, or misaligned in a way that makes normal walking painful. Symptoms, in addition to pain, also include redness, swelling, and sores or calluses where the bent toe rubs against the inside of a shoe.

Dr. Shirzad also notes that while diabetes isn’t a direct cause of lesser toe deformities, diabetic patients with neuropathy may not notice when a toe has become painful. They, and others with reduced sensation in their extremities, should be especially aware of any injury or changes in their toes.

Lesser toe deformities can often be treated nonsurgically, but if the patient doesn’t respond well to those treatments, surgery is also an effective option. Nonsurgical treatments can include pads or gel sleeves to reduce pressure on the toe joint; or wraps, tape, or shoe inserts designed to guide the toes into a proper alignment. Surgery may involve reconstruction of the soft tissues, bones, or a combination of both.

While some causes of lesser toe deformities are not preventable, one of the most common causes is footwear. Shoes that don’t fit well are responsible for many toe deformities as well as other foot problems.

“The most important thing the public should take from this is to be conscious of your footwear,” Dr. Shirzad says. “Well-fitted shoes that do not pinch the foot or constrict the toes can prevent many toe deformities.”

Disclosure: Neither of the following authors nor any immediate family member has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Shirzad and Dr. Kiesau. Dr. DeOrio or an immediate family member has received royalties from Merete and Zimmer; is a member of a speakers’ bureau or has made paid presentations on behalf of Tornier, INBONE, Merete, SBI, Integra, Wright-Medical, and Acumed; serves as a paid consultant to INBONE, Integra, Merete, SBI, Wright-Medical, and the Gerson-Lehrman Group; has received research or institutional support from Tornier, INBONE, Merete, SBI, Integra, and Synthes;and has stock or stock options held in INBONE. Dr. Parekh or an immediate family member serves as a paid consultant to Kyphon, Sonoma Orthopaedics, and Extremity Medical; has stock or stock options held in MMI; and has received research or institutional support and nonincome support (such as equipment or services), commercially derived honoraria, or other non-research–related funding (such as paid travel) from Orthohelix.

About JAAOS

More information on toe and foot conditions can be found at http://orthoinfo.aaos.org/menus/foot.cfm.

To find an orthopaedic surgeon who specializes in foot and ankles, visit the American Orthopaedic Foot and Ankle Society’s website at http://www.aofas.org.

Kayee Ip | EurekAlert!
Further information:
http://www.aaos.org

More articles from Health and Medicine:

nachricht One gene closer to regenerative therapy for muscular disorders
01.06.2017 | Cincinnati Children's Hospital Medical Center

nachricht The gut microbiota plays a key role in treatment with classic diabetes medication
01.06.2017 | University of Gothenburg

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Can we see monkeys from space? Emerging technologies to map biodiversity

An international team of scientists has proposed a new multi-disciplinary approach in which an array of new technologies will allow us to map biodiversity and the risks that wildlife is facing at the scale of whole landscapes. The findings are published in Nature Ecology and Evolution. This international research is led by the Kunming Institute of Zoology from China, University of East Anglia, University of Leicester and the Leibniz Institute for Zoo and Wildlife Research.

Using a combination of satellite and ground data, the team proposes that it is now possible to map biodiversity with an accuracy that has not been previously...

Im Focus: Climate satellite: Tracking methane with robust laser technology

Heatwaves in the Arctic, longer periods of vegetation in Europe, severe floods in West Africa – starting in 2021, scientists want to explore the emissions of the greenhouse gas methane with the German-French satellite MERLIN. This is made possible by a new robust laser system of the Fraunhofer Institute for Laser Technology ILT in Aachen, which achieves unprecedented measurement accuracy.

Methane is primarily the result of the decomposition of organic matter. The gas has a 25 times greater warming potential than carbon dioxide, but is not as...

Im Focus: How protons move through a fuel cell

Hydrogen is regarded as the energy source of the future: It is produced with solar power and can be used to generate heat and electricity in fuel cells. Empa researchers have now succeeded in decoding the movement of hydrogen ions in crystals – a key step towards more efficient energy conversion in the hydrogen industry of tomorrow.

As charge carriers, electrons and ions play the leading role in electrochemical energy storage devices and converters such as batteries and fuel cells. Proton...

Im Focus: A unique data centre for cosmological simulations

Scientists from the Excellence Cluster Universe at the Ludwig-Maximilians-Universität Munich have establised "Cosmowebportal", a unique data centre for cosmological simulations located at the Leibniz Supercomputing Centre (LRZ) of the Bavarian Academy of Sciences. The complete results of a series of large hydrodynamical cosmological simulations are available, with data volumes typically exceeding several hundred terabytes. Scientists worldwide can interactively explore these complex simulations via a web interface and directly access the results.

With current telescopes, scientists can observe our Universe’s galaxies and galaxy clusters and their distribution along an invisible cosmic web. From the...

Im Focus: Scientists develop molecular thermometer for contactless measurement using infrared light

Temperature measurements possible even on the smallest scale / Molecular ruby for use in material sciences, biology, and medicine

Chemists at Johannes Gutenberg University Mainz (JGU) in cooperation with researchers of the German Federal Institute for Materials Research and Testing (BAM)...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Plants are networkers

19.06.2017 | Event News

Digital Survival Training for Executives

13.06.2017 | Event News

Global Learning Council Summit 2017

13.06.2017 | Event News

 
Latest News

Quantum thermometer or optical refrigerator?

23.06.2017 | Physics and Astronomy

A 100-year-old physics problem has been solved at EPFL

23.06.2017 | Physics and Astronomy

Equipping form with function

23.06.2017 | Information Technology

VideoLinks
B2B-VideoLinks
More VideoLinks >>>