Hammertoe and Mallet Toe

Hammertoe and mallet toe are two common deformities that affect the toes, particularly the smaller ones. These conditions can cause discomfort, pain, and difficulty walking or wearing shoes.

What is Hammertoe?

Hammertoe is a deformity of the toe where the joint is bent downward, resembling a hammer. It typically affects the second, third, or fourth toes. The condition is characterized by a flexion contracture of the proximal interphalangeal (PIP) joint and/or the distal interphalangeal (DIP) joint.

What is Mallet Toe?

Mallet toe is a deformity where the joint at the tip of the toe is bent downward, resembling a mallet. It typically affects the smallest toe. The condition is characterized by a flexion contracture of the distal interphalangeal (DIP) joint.

Causes and Risk Factors

Both hammertoe and mallet toe can be caused by:

  • Genetic predisposition
  • Abnormal foot mechanics, such as overpronation or flat feet
  • Tight or poorly fitting shoes
  • High-heeled shoes
  • Aging
  • Arthritis or other inflammatory conditions
  • Nerve damage or neuromuscular disorders

Symptoms

The symptoms of hammertoe and mallet toe may include:

  • Pain or discomfort in the affected toe
  • Redness, swelling, or inflammation around the joint
  • Corns or calluses on the skin
  • Difficulty walking or wearing shoes
  • Visible deformity of the toe

Treatment Options

Treatment for hammertoe and mallet toe may include:

  • Conservative measures, such as changing footwear, using orthotics or shoe inserts, and stretching exercises
  • Pain management with medication or injections
  • Surgical intervention to correct the deformity and relieve symptoms

Prevention

To prevent hammertoe and mallet toe, it is recommended to:

  • Wear properly fitting shoes with a wide toe box
  • Avoid high-heeled shoes or tight footwear
  • Stretch the toes regularly
  • Maintain good foot hygiene and trim toenails carefully

Conclusion

Hammertoe and mallet toe are common conditions that can cause discomfort and pain. Understanding the causes, symptoms, and treatment options is essential for managing these conditions effectively. By taking preventive measures and seeking medical attention when necessary, individuals can alleviate symptoms and improve their overall foot health.

Article last updated on: 6th June 2025.
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