Hammertoe Correction

Toe deformities such as hammertoe, claw toe, and mallet toe are common conditions that can cause pain, corns, calluses, and difficulty finding shoes that fit. They are often caused by imbalances in the muscles and tendons that control the toe. Conservative care can ease symptoms, and minimally invasive correction can restore alignment when the deformity becomes rigid.

Close-up of a man's feet with hammertoe deformities of the lesser toes
Diagram comparing a normal toe with a hammertoe

What Is A Hammertoe?

Each smaller toe has three joints, controlled by tendons that bend and straighten it. When those forces are out of balance, the toe bends into an abnormal position. A hammertoe bends at the middle joint, a mallet toe at the joint nearest the tip, and a claw toe at both, with the base joint lifted.
 
At first the toe is flexible and can be straightened by hand. Over time it becomes rigid, and the raised joint rubs against shoes, forming painful corns and calluses. Hammertoes often occur alongside bunions.

Treatments For Hammertoes

Conservative treatments can reduce symptoms but rarely correct the deformity once it becomes rigid. That is where minimally invasive correction comes in.

Conservative care

  • Shoe modifications. A wider, deeper toe box reduces pressure.
  • Padding and splints. Protect corns and hold the toe in better position.
  • Toe exercises. Stretch and strengthen the toe muscles.
  • Custom orthotics. Rebalance pressure across the foot.

Minimally invasive procedures

  • Percutaneous osteotomy. Small incisions allow precise correction of the bones that cause the toe to bend.
  • Tendon lengthening or transfer. Relieves tightness or rebalances soft tissue forces.
  • Minimally invasive fusion. Stabilizes the toe in a corrected position with small implants.

These approaches aim to restore a more natural alignment, relieve pressure points, and improve comfort and function.

How Hammertoes Are Evaluated

A foot and ankle specialist examines the toes while you stand and sit, checks whether each deformity is flexible or rigid, and looks for corns, calluses, and related problems such as a bunion. Weight-bearing X-rays show the position of the joints.
 
Seeing a specialist early helps determine whether conservative measures are enough or if minimally invasive surgery is the best path forward.
Diagram of a hammertoe deformity at the PIP and DIP toe joints

What Causes Hammertoes?

Toe deformities usually result from a muscle and tendon imbalance. Contributing factors include:

Tight or narrow footwear

Crowds the toes into a bent position.

Muscle and tendon imbalance

Uneven pull bends the toe joints.

Arthritis

Damages the toe joints and their alignment.

Genetics

Inherited foot shape, such as a long second toe.

Bunions

A drifting big toe crowds the smaller toes.

Nerve conditions

Diabetes and neuropathy can cause claw toes.

Frequently Asked Questions

What is a hammertoe?

A hammertoe is a toe that bends abnormally at the middle joint, creating a hammer-like shape. Related deformities include claw toe and mallet toe.

What is the difference between hammertoe, claw toe, and mallet toe?

A hammertoe bends at the middle joint, a mallet toe bends at the joint nearest the tip, and a claw toe bends at both the middle and end joints while the base joint lifts up.

What causes hammertoes?

Hammertoes are often caused by imbalances in the muscles and tendons that control the toe, sometimes worsened by arthritis, genetics, a bunion, or tight footwear.

Can hammertoes be corrected without surgery?

Shoe changes, padding, and exercises can reduce symptoms, especially while the toe is flexible, but they rarely correct the deformity once it becomes rigid.

What are the benefits of minimally invasive hammertoe surgery?

Benefits may include less disruption to soft tissues, reduced pain, smaller scars, a lower risk of wound complications, and a faster return to normal activities than open surgery.

Do hammertoes get worse?

Yes. Hammertoes tend to worsen over time, moving from flexible to rigid. Addressing them early improves comfort and the likelihood of a successful minimally invasive correction.

What happens after surgery?

Most patients transition to supportive footwear and resume normal activities sooner than after open surgery. Custom footwear or orthotics and physical therapy may be recommended.

Where can I be seen for hammertoes?

Our foot and ankle team treats toe deformities in Melbourne, Orlando (Lake Nona), and Titusville. Call (321) 499-4646 to schedule.

Benefits Of Minimally Invasive Hammertoe Surgery

Instead of large incisions, these procedures use very small openings and specialized instruments. Benefits may include:

  • Less disruption to soft tissues.
  • Reduced post-operative pain.
  • Smaller scars and an improved cosmetic outcome.
  • A lower risk of wound complications.
  • A faster return to normal activities compared to open surgery.
Specialist examining a patient's bunion

Related Conditions

Recovery And Long-Term Outlook

Because the surgery is minimally invasive, patients typically experience a smoother recovery than with traditional open techniques.

After surgery

Protected walking

A surgical shoe protects the correction while it heals.

Recovery

Back to supportive shoes

Most transition to supportive footwear and resume normal activities sooner, though this varies.

Long term

Protect the alignment

Custom footwear or orthotics reduce recurrence, and therapy restores flexibility, balance, and gait.

This page is for informational purposes only and is not a replacement for consultation with a licensed physician.

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    Addressing the problem early improves comfort and the likelihood of a successful minimally invasive correction.

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