Hammertoe is a foot deformity that occurs when the first interphalangeal joint (the joint just before the tip of your toe) becomes permanently bent. The tendon that controls the toe tightens and prevents the toe from straightening. If there is still movement in the joint (if you can straighten your toe without applying external pressure) then there is a possibility that your podiatrist can recommend exercises, toe splints, orthotics and footwear that will help to stall or even reverse the deformity. If the joint is not mobile then surgery is the only way to reverse the deformity.

You might ask yourself if surgery is worth it. That largely depends on the amount of pain that you are experiencing due to your hammertoe. For some people, the deformity makes wearing shoes almost unbearable. Hammertoe can also lead to a series of secondary foot injuries and deformities. A deep blister may form over the joint (called a bursa) and become inflamed (a condition known as bursitis). Calluses and corns may also affect the deformed toe. This is particularly problematic for diabetics and for people suffering from lymphedema who must take proactive measures to prevent foot ulcers from forming on their feet.

Hammertoe surgery can take several different forms. Sometimes a tendon is transferred from under your toe to the top of your toe. Remember: the hammertoe deformity occurs when the tendon on top of your toe becomes tight (i.e., shorter) so that the toe is permanently contracted. By transferring a tendon to the top of the toe, the toe is able to lengthen and resume its former position.

A more intense form of surgery occurs when bone is removed from the affected joint in order to correct the deformity. This procedure is known as digital arthroplasty or digital arthodesis. In an arthroplasty procedure only half of the joint is removed; in an arthodesis procedure the entire joint is removed. A pin is used to keep the toe straight.

In severe cases, both the tendon surgery and the bone surgery are performed at the same time. This tends to result in a toe that is straight, but also quite stiff.

It can take awhile to recover from hammertoe surgery. Do your best to stay off your foot for the first 48 hours. Sometimes doctors will send you home with a special orthopedic

shoe to wear during the course of your recovery. Even if your doctor does not provide you with this orthopedic shoe, be sure to protect your recovering foot with the appropriate footwear. Look for shoes with wide toe boxes that won't pinch your toes. It's a good idea to wear open-toed shoes or sturdy sandals while in the house.