Hammertoes & Corns Causes and Treatment | MKFAC

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HAMMERTOES CORNS
Hammertoe describes one shape the toe may take
when the joints are contracted and deformed. The
other shapes of deformed toes are claw toes and
mallet toes.A corn is the thickened skin that
forms where the shoe rubs on the toe. A hard corn
forms where the skin is dry and a soft corn forms
when it is moist, as between the toes.
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CAUSE Corns are always caused by shoes shoes
may also cause hammertoes. Shoes with high heels
and narrow pointed toe boxes bunch up the toes,
causing contracted joints and pressure areas in
the skin.Some contracted toes are due to muscle
weakness, arthritis or congenital problems but
most are due to tight shoes.Beneath every corn
there is a prominence of the bone. Pressure and
friction from the shoe causes the skin to thicken
at this point. Corns in the foot are like
calluses in the hand the skin thickens to
resist pressure or friction.Unrelieved pressure
on the toes can cause complications. With time, a
flexible hammertoe deformity becomes a stiff
hammertoe, which is more difficult to treat. The
second toe may cross over the first and
eventually dislocation may occur at the base of
the second toe. Corns may eventually lose their
ability to protect the toe and breakdown, forming
skin ulcers. This may lead to infection.
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TREATMENT The treatment is to either modify the
shoes or modify the toes. The choice should be
simple, but it is not, because fashion, not
common sense, dictates the shape of the toe. To
eliminate pressure on the toes, the shoes should
have a deep toe box that is shaped like the toes
and made from soft material. The heel should be
low. Sandals or running shoes are the best, but
even dress shoes may be found that meet these
requirements. Corns that become too large can be
shaved down. Sponge pads can be used on tender
areas. The object of surgery is to reduce the
prominence of the toe where the corn is formed.
Part of the bone is removed to allow the toe to
lay flat in the shoe.
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• COMPLICATIONS
• Recurrence.
• Over Correction.
• Infection at the site of the wound.
• Toe stiffness.
• Nerve injury at the time of surgery.

Mumbai Knee Foot Ankle Clinic
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Contact Us
DR PRADEEP MOONOTFRCS(Orth) (UK), MS (Orth)
(Bom), DNB (Orth), Orthopaedic Surgeon Specialist
in Foot, Ankle, Knee Surgery Sports
MedicinePhone No 91 9869465597 Mail Id
drmoonot_at_gmail.com
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