Clawtoes
Definition
A claw toe is a toe that is contracted at the PIP and DIP joints (middle and end joints in the toe), and can lead to severe pressure and pain. Ligaments and tendons that have tightened cause the toe’s joints to curl downwards. Claw toes may occur in any toe, except the big toe. There is often discomfort at the top part of the toe that is rubbing against the shoe and at the end of the toe that is pressed against the bottom of the shoe.
Claw toes are classified based on the mobility of the toe joints. There are two types – flexible and rigid. In a flexible claw toe, the joint has the ability to move. This type of claw toe can be straightened manually.
A rigid claw toe does not have that same ability to move. Movement is very limited and can be extremely painful. This sometimes causes foot movement to become restricted leading to extra stress at the ball-of-the-foot, and possibly causing pain and the development of corns and calluses.
Cause
Claw toes result from a muscle imbalance which causes the ligaments and tendons to become unnaturally tight. This results in the joints curling downwards. Arthritis can also lead to many different forefoot deformities, including claw toes.
Treatment and Prevention
Changing the type of footwear worn is a very important step in the treatment of claw toes. When choosing a shoe, make sure the toe box (toe area) is high and broad, and can accommodate the claw toes. A shoe with a high, broad toe box will provide enough room in the forefoot area so that there is less friction against the toes.
Other conservative treatments include using forefoot products designed to relieve claw toes, such as toe crests and hammer toe splints. These devices will help hold down the claw toe and provide relief to the forefoot. Gel toe shields and gel toe caps are also recommended to eliminate friction between the shoe and the toe, while providing comfort and lubrication.
Hammertoe Crest Pad
Gel Toe Cap
Budin splint / Toe Straightener
If you feel you may have clawtoes, please come see Dr. Williams or Dr. Silvers for treatment.
The address to our facility is as follows:
McKinney Office Location
4501 Medical Center Drive: Suite 300
McKinney, TX 75069
To schedule an apppointment, please call : 972-542-2155
Prosper Office Location
140 N. Preston Road: Suite 30
Prosper, TX 75078
To schedule an appointment, please call: 972-542-2155
Crazy Shoes: Are These For Real?
I thought you guys might get a laugh when looking at these absurd shoes.
Enjoy! Have a great day!
P.S. – These are not recommended to wear.
~Dr. Williams
What are Hammertoes?
Hammertoes
An inherited muscle imbalance or abnormal bone length can make one or more small toes buckle under, causing their joints to contract. This in turn causes the tendons to shorten. Corns (build-ups of dead skin cells where shoes press and rub) often form ojn top of the contracted joints, and may become irritated and infected. Hammertoes are surgically corrected by various means depending on the flexibility or rigidity of the deformaty. Sometimes the hammer toe is repaired by a procedure known as an Arthroplasty where a portion of the contracted joint is removed. Other times the deformity is repaired by a procedure known as an Arthrodesis where the contracted joint is repaired by fusing the joint together.
Often, a foot with a bunion will also have a hammertoe. Overtime, the bunion slants the big toe toward and then under the second toe (the most often “hammered” toe), raising the second toe to a claw-like position.
Hammertoes can also occur when a bunion is not present. Those people with high arches, a tendency to rotate theri feet inward when walking, or rheumatoid arthritis, are especially susceptible. Once stiffened into position, hammertoes rub against shoes and cause painful corns and calluses.
