Straighten Bent Toe

Hammertoe Correction

Treatment of Neuroma Pain

WHAT CAUSES BENT HAMMERTOES ?

Hammer toe occurs from an imbalance in the muscles surrounding the middle toe joint. These muscles, tendons, and ligaments work together to bend and straighten the toes.

 

If one of the muscles weakens, it cannot bend or straighten the toe. If the toe stays bent long enough, the muscles tighten and the toe will not be able to straighten out.

 

These muscle weaknesses and imbalances are caused by a variety of factors. Because some of the causes for hammer toe are avoidable, it is possible to minimize risk of developing hammer toe.

 

WHAT ARE COMMON SYMPTOMS OF HAMMER-TOES ?

SHOES - wearing high heels or shoes that are too tight through the box can force toes into a flexed position. When worn repeatedly, the toes may not be able to straighten, even when barefoot.

SEX - women are more likely to develop hammer toe than men.

Injuries - When a toe is broken, stubbed, or jammed, it may be more likely to develop hammer toe.

AGE - risk increases with age.

TOE LENGTH - if the second toe is longer than the big toe, hammer toe is more likely to occur.

DISEASES - people suffering from conditions like arthritis or diabetes are more likely to develop foot problems, including hammer toe.

GENETICS - sometimes, hammer toe is hereditary and may run in families.

 

Tenderness around the area is a potential sign that at least one of your toes is out of alignment, and a crooked toe complaint can present itself in a number of ways.  Swelling around the joint with pain, inflammation and redness indicates a definite problem.

 

If your shoes are giving you grief, you have open sores, or painful calluses, it’s very probable that those little digits at the end of your feet need some well-deserved attention.

 

Often referred to by a variety of terms; bunions, hammer toe, claw toe or mallet toe and crooked toes are a common and lasting issue for many individuals, and can cause a great deal of discomfort.

 

 

Will surgical correction of my CROOKED TOES improve the cosmetic appearance of my foot?

Surgical correction is aimed both at effectively reducing pain and restoring comfort and function, as well as restoring the natural look of the back of your feet.

 

You will generally be more at risk of developing bunions if you have a history of arthritis, have experienced foot trauma, over-pronation, and last but not least, ill-fitting shoes.

CASE TESTIMONIAL

Permanent, surgical treatment of painful crooked Hammer Toe condition

SURGICAL OPTIONS

The surgery aims to reposition the toe, realign tendons, and remove deformed or injured bone. Often, surgery is carried out as an outpatient, so the individual can normally go home on the same day as the procedure.

  • Arthroplasty

    half of the joint under the crooked part of the toe is removed to help the toe straighten.

  • Arthrodesis

    similar to above, but the entire joint is removed and a wire or pin is inserted to help healing.

  • Tendon transfer

    tendons from under the toe are rerouted to above the toe to aid straightening. This procedure may be done in conjunction with other surgical interventions.

  • Basal phalangectomy

    for individuals with severe stiffness. The base of the bone underneath the toe is removed.

  • Weil osteotomy

    metatarsal bone is shortened and surgical hardware is inserted to aid healing.

TYPICAL COSTS

We are working on some standardized pricing ranges for this procedure. Because of the range of procedures and variation in requirements, we are unable to quote a cost range at this time. Please contact our offices for a diagnosis.

 

REHABILITATION / RECUPERATION / RECOVERY

This is largely an out-patient procedure. The incision is minimal (0.5cm to 1.5cm) and sutures are removed at 2 weeks. Weight bearing in a post operative shoe or open toe sandal is allowed after 48 to 72 hours of rest and elevation. Sports, exercise, and different types of shoes (dress, work, running, etc.) can be worn as soon as 3 weeks depending upon patient preference, swelling, incision sensitivity.

 

Maintaining a healthy diet is a key step in prevention, with some of the key nutrients including:

Protein: consuming protein will greatly assist your body in healing, delivering the cells it needs for wound care.

Vitamin C: This nutrient is found in a number of fruits and vegetables and helps the body to create a protein that helps to make skin, as well as repair and heal wounds.

Zinc: Found in red meat, shellfish, spinach and nuts and seeds.  Zinc helps the body structure the cell membranes that are pivotal in healing wounds.

 

Specialized Technology

Tayton uses the latest technologies. See Arthrix Video below.  The TenFUSE PIP allograft is derived from 100% solid human cortical bone (not crushed). It is also partially demineralized for osteoconductivity and osteoinductivity (to maintain inductive and conductive properties).

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Cosmetic and Reconstructive Procedures Healing Pain and Correcting Deformities

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Treatment of Neuroma Pain

The Tayton Insitute is a group of medical specialists who have joined together to build a practice focused on surgical excellence.

 

It is difficult for the premier independent doctors to be recognized these days. Anyone can buy a position in your search results, and much is also true of the many of the ratings sites. Tayton has exceptionally high standards for education, residencies, performance statistics and simply being nice.

 

We work together to define new technological advances and to pool our resources with the goal of ensuring the best possible outcome for each patient.

Treatment of Neuroma Pain

Treatment of Neuroma Pain

Treatment of Neuroma Pain

Medializing Calcaneal Osteotomy

A calcaneal osteotomy is a procedure where the heel bone (calcaneal) is cut and shifted inward or outward. This is used when the heel bone has shifted out from underneath the leg and hind foot alignment is offset. After the procedure, metal screws or a plate are used to hold the heel in place. With this procedure, recovery time is at least 6 weeks of non-weight bearing in a cast or boot. After 6 weeks the patient can start applying pressure as they are able and should be wearing shoes by 8-12 weeks. Full recovery generally takes up to a year or more. Potential complications include the possibility of nerve damage, and painful hardware that may need to be removed once the bone is healed.

 

Lateral Column Lengthening

In this procedure, the lateral column is lengthened by inserting a bone graft. Specifically, the front of the heel bone is cut and a bone graft wedge is placed in to lengthen it. The graft can come from a cadaver or the patient’s hip bone. This is often done alongside the calcaneal osteotomy. Recovery time generally includes non-weight bearing or limited weight bearing in the heel. A patient should be able to transition into a shoe after 10-16 weeks. Full recovery can take up to 18 months.

 

Dorsal Opening Wedge Osteotomy

With a dorsal opening wedge osteotomy, a bone wedge is placed in the top portion of the medial cuneiform bone to push it downward. In a similar procedure, called the first tarsal metatarsal fusion, the bone is pushed down and the bones are fused into that position.

 

Tendon and Ligament Procedures

In these procedures, the posterior tibial tendon often requires removal if it is thickened or torn. The ligaments that support the arch may have been torn in the case of a flat foot. If significant damage has been done these structures may need to be repaired. In the case of a tightened Achilles tendon, there is a stretching procedure which lengthens the muscle fibers of the calf.

 

FUSION / Double or Triple Arthrodesis

To surgically correct stiff and inflexible flatfoot complications with arthritis, a double or triple arthrodesis may be performed. This is basically a fusion of one or more joints. These types of fusions are generally avoided by surgeons, but in severe cases they are used for treatment as a last resort. They can help improve stability in walking and may reduce pain. Recovery time generally includes 6-8 weeks of no weight bearing, and up to 18 months to fully recover. Complications could include nerve injury, or a non-union (where the joint fails to fuse together properly). Non-unions happen in about 5% of cases and may require additional surgery.

 

MINIMALLY Invasive Titanium Stent

Another procedure that has seen success, and is less invasive, is placement of a stent. In this treatment, a small titanium stent is placed in a natural opening between the ankle and the heel bone and helps to realign the foot and can relieve foot pain. Recovery time for this type of treatment is less than traditional surgeries. If you are looking at flat feet surgery as a treatment option, you may want to consider the less invasive stent placement.