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 Cholesterol-lowering drugs may fight infectious disease
22.08.2017 | Duke University

nachricht Once invincible superbug squashed by 'superteam' of antibiotics
22.08.2017 | University at Buffalo

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: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

Scientists discover species of dolphin that existed along South Carolina coast

24.08.2017 | Life Sciences

The science of fluoride flipping

24.08.2017 | Life Sciences

Optimizing therapy planning for cancers of the liver

24.08.2017 | Medical Engineering

VideoLinks
B2B-VideoLinks
More VideoLinks >>>