Persistent Pain After Hammertoe Surgery

posted on 17 Aug 2015 20:35 by wilda1osborn0
Hammer ToeOverview

A Hammer toes can be flexible or rigid. Hammertoes often start out flexible and become rigid over time as your toe becomes accustomed to its crooked position. Flexible hammertoes are less serious than rigid hammertoes, as they can be easily diagnosed and treated in their initial stages. Flexible hammertoes are named as such because your affected toe still possesses some degree of movement.

Causes

Flat feet can result in hammertoes, this is due to poor mechanics off the foot. High arched feet can also result in buckling toes. A major cause is in hereditary, all the toe conditions mentioned could be acquired due in hereditary factors. Bunions are a major cause of hammertoes. Claw toes are usually the result of a shoe that is too short. For many people, the second toe is actually longer than the great toe, and if shoes are sized to fit the great toe, the second (and maybe even the third toe) will have to bend to fit into the shoe. Shoes that are pointed make matters even worse. Combine pointed shoes with high heels, the foot is under similar pressure as if it was constantly being pushed downhill into a wall. Rheumatoid arthritis can also lead to bunions, which in turn can lead to hammer toes.

Hammer ToeSymptoms

The most common symptoms of hammertoes include. The toe is bent upward at the middle toe joint, so that the top of this joint rubs against the top of the shoe. The remainder of the toe is bent downward. Pain upon pressure at the top of the bent toe from footwear. The formation of corns on the top of the joint. Redness and swelling at the joint contracture. Restricted or painful motion of the toe joint. Pain in the ball of the foot at the base of the affected toe. This occurs because the contracted digit puts pressure on the metatarsal head creating callouse and pressure on the ball of the foot.

Diagnosis

The treatment options vary with the type and severity of each hammer toe, although identifying the deformity early in its development is important to avoid surgery. Your podiatric physician will examine and X-ray the affected area and recommend a treatment plan specific to your condition.

Non Surgical Treatment

Conservative treatment is the first choice, often starting with a change of shoes to ones that have soft, larger toe spaces. Toe exercises may be prescribed to stretch and strengthen the toe muscles. Over-the-counter straps, cushions or non-medicated corn pads may be recommended to help relieve your symptoms.

Surgical Treatment

Treatment of a severe hammertoe that has become rigid includes surgery. What is done during the surgery depends on how misshapen and inflexible the toe is. The surgeon may make a cut over your toe and release the tendon by cutting the tendon away from the bone. The surgeon may remove a small piece of bone from the toe. The surgeon may realign the tendons to reposition your toe or fasten the bones with pins. Sometimes the surgeon may have to join the bones in the toe. In this case, you will no longer be able to bend the toe, but the toe will be flat.

HammertoePrevention

Although the feet naturally change over time, and abnormalities like hammertoes may be hereditary for some patients, steps may be taken to prevent their development in the first place. Just as better fitting shoes are a treatment, they are also a preventative measure for hammertoes. In addition, your podiatrist may suggest Hammer toes orthotics to improve the biomechanics of your feet in an effort to prevent the development of hammertoes or other abnormalities. Calf stretching and other exercises may also be used to reverse or treat muscle imbalances that could eventually lead to hammertoe development.

What Exactly Are Bunions?

posted on 07 Jun 2015 19:33 by wilda1osborn0
Overview
Bunions Callous A bunion, also known as hallux valgus, is a painful deformity that develops at the base of the big toe. Bunions are caused when the big toe pushes and bends inward towards the other toes. This displaces the bones of the joint, causing it to protrude in a way that looks like a large growth. Bunions develop due to a variety of factors. Some people inherit feet that are more susceptible due to their shape and structure, having flat feet for instance. But bunions can be made worse by the wrong shoe, or by carrying extra weight or prolonged periods of standing or walking.

Causes
Long periods of pressure from a tight-fitting shoe can cause the inflammation and the pain. This often happens when the big toe is forced into a position where it presses inward and overlaps the second toe. The base of the big toe then is pushed beyond normal alignment of the foot, resulting in the prominence typical of a bunion.

Symptoms
Often the bunion is not painful and the individual leads a normal active life. Other times the bunion can be very painful, even debilitating. Pain is usually very achy and typically radiates to the toes and along the arch of the foot. Due to the abnormal positioning of the bones in the foot, sharp nerve pains could also be present.

Diagnosis
A doctor can very often diagnose a bunion by looking at it. A foot x-ray can show an abnormal angle between the big toe and the foot. In some cases, arthritis may also be seen.

Non Surgical Treatment
Changing your footwear to roomy and comfortable shoes that provide plenty of space for your toes. Padding and taping applied by chiropodist/podiatrist to your foot can reduce stress on the bunion and alleviate your pain. Oral medications such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin) or naproxen (Aleve) may help control the pain of a bunion. Cortisone injections. Over-the-counter arch supports can help distribute pressure evenly when you move your feet, reducing your symptoms and preventing your bunion from getting worse. Prescription foot orthotic devices to help stabilize the forefoot. Manual foot therapy to free up motion in arthritic foot joints. Bunions Callous

Surgical Treatment
There is more than one way to surgically treat a bunion. While there are some general guidelines, some procedures work well for some Surgeons and poorly for others. Your Surgeon should consider the severity of your bunion, medical condition, lifestyle, and recuperation time when considering the surgical treatment.

Prevention
The best way to reduce your chances of developing bunions is to wear shoes that fit properly. Shoes that are too tight or have high heels can force your toes together. Bunions are rare in populations that don?t wear shoes. Make sure your shoes are the correct size and that there's enough room to move your toes freely. It's best to avoid wearing shoes with high heels or pointed toes.
Tags: bunions

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posted on 10 May 2015 02:46 by wilda1osborn0

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