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;
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.
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!
'Icebreaker' protein opens genome for t cell development, Penn researchers find
21.02.2018 | University of Pennsylvania School of Medicine
Similarities found in cancer initiation in kidney, liver, stomach, pancreas
21.02.2018 | Washington University School of Medicine
For the first time, a team of researchers at the Max-Planck Institute (MPI) for Polymer Research in Mainz, Germany, has succeeded in making an integrated circuit (IC) from just a monolayer of a semiconducting polymer via a bottom-up, self-assembly approach.
In the self-assembly process, the semiconducting polymer arranges itself into an ordered monolayer in a transistor. The transistors are binary switches used...
Breakthrough provides a new concept of the design of molecular motors, sensors and electricity generators at nanoscale
Researchers from the Institute of Organic Chemistry and Biochemistry of the CAS (IOCB Prague), Institute of Physics of the CAS (IP CAS) and Palacký University...
For photographers and scientists, lenses are lifesavers. They reflect and refract light, making possible the imaging systems that drive discovery through the microscope and preserve history through cameras.
But today's glass-based lenses are bulky and resist miniaturization. Next-generation technologies, such as ultrathin cameras or tiny microscopes, require...
Scientists from the University of Zurich have succeeded for the first time in tracking individual stem cells and their neuronal progeny over months within the intact adult brain. This study sheds light on how new neurons are produced throughout life.
The generation of new nerve cells was once thought to taper off at the end of embryonic development. However, recent research has shown that the adult brain...
Theoretical physicists propose to use negative interference to control heat flow in quantum devices. Study published in Physical Review Letters
Quantum computer parts are sensitive and need to be cooled to very low temperatures. Their tiny size makes them particularly susceptible to a temperature...
15.02.2018 | Event News
13.02.2018 | Event News
12.02.2018 | Event News
21.02.2018 | Life Sciences
21.02.2018 | Life Sciences
21.02.2018 | Materials Sciences