Dakota Foot & Ankle Clinic Blog
Posts for tag: hammertoes
The High Cost of Wearing High Heels
High heels are often a Podiatrist’s worst nightmare. Sure the “glass slipper” may fit, but the question to ask is what effects can heels have on my feet? Wearing a high heel can be associated with over a handful of deformities and conditions.
Neuroma: Everyone’s anatomy consists of a nerve bulb in our inner spaces that sends a little nerve to adjacent sides of each toe. These nerve bulbs can become compressed, enlarge and essentially scar down forming what is called a neuroma. This can be very painful and is often relieved when shoes are taken off.
Capsulitis: High heels cause the front of the foot to bear most of our weight. Excess weight and pressure on the forefoot can result in capsulitis, an inflammation of the soft tissue around the joints. People will relate that it feels like stepping on a rock or a wadded up sock.
Ingrown Toenails: High heels cause the foot to gravitate towards the front of the shoe, which is often much narrower. This results in squishing the toes together and increased pressure on the nail beds with the consequences of painful ingrown toenails.
Pump Bump: A haglunds deformity is often referred to as a pump bump due to its origin from wearing heels. The bump is a bony growth to the back of the heel that can be very irritating with the rubbing of shoe gear over the soft tissues covering the bone.
Stress Fractures and fractures: With all of the increased pressure placed on the front of the foot, wearing heels repetitively can set you up for a stress fracture. Heels also cause instability of the ankle allowing for sprains and at its worst, fractures.
Aside from the aforementioned complications of wearing high heels, there are numerous other problems not discussed that heels can cause your feet, not to mention your knees and spine. So, if the slipper fits, tell Prince Charming you’d rather wear a tennis shoe.
This job is my recital, I think it’s very vital, to blog about, and spend some time, talking about, that’s right hammertoes! Hammertoes are a condition that can be either passed down from your parents, or caused by a simple pair of shoes. At the Dakota Foot & Ankle Clinic, Dr. Brian Gale, DPM, FACFAS can perform a very quick procedure where he can lengthen the tendon that has become tight causing the hammertoes. This procedure takes less than 5 minutes. After the procedure, a nice pair of properly fit shoes from Happy Soles Footwear would be a great way to prevent this from happening again. For more info, check out Hammertoes. If you think you might be interested in this procedure Contact Us at 701-255-3338 to set up an appointment with Dr. Brian Gale, DPM, FACFAS. He will be able to discuss with you if this is the best treatment option.
photo credit: FrameAngel via freedigitalphotos.net
Surgery is not always needed for hammertoes. It is usually the last treatment option after all other options have not worked to provide relief. There are a few things that are considered when discussing surgery with a patient: how severe the hammer toe is, your age, activity level, how many toes the surgery would involve, and what type of shoes you would like to wear.
There are at least three types of surgeries that can be done to correct hammertoes; flexor tenotomy, arthroplasty and arthrodesis.
A flexor tenotomy is a “soft tissue” procedure (does not involve bone). Therefore when only one or two hammer toes are corrected it can often be performed in the office under local anesthesia. Fortunately, this procedure heals quickly and when performed in the correct situation gives great results.
Arthroplasty is where a small part of the bone is removed from the joint that is affected.
Arthrodesis is done in more severe cases, when the toe is really rigid, or when multiple toes are involved. It is when a small joint in the toe is fused and this helps straighten the toe. It usually involves some type of device, such as a pin, to help hold the toe straight during the healing process.
There are times where a patient may have another procedure done at the same time. These may include bunions or other deformities. The length of healing time will depend on how severe the hammertoe, how many toes involved, and if any other procedures are done at the same time.