Hammertoes- How to Treat! Lonnie Kaplan DPM

  • Hammertoe Deformity

As you can see from the above picture, even celebrities have foot and ankle abnormalities. One example of this is a hammertoe. A hammertoe is most easily described as a contracture of the toe causing the top of the toe to be prominent. (usually due to abnormal muscle pull) There are many causes of hammertoes such as flat feet and high arch feet. They can also be seen after trauma. Symptoms can include pain in the top of the toes where they rub against the top of the shoe. Commonly calluses can be formed in the area on the top of the toes which become painful. Hammertoes can also lead to pain in the ball of the feet due to extra pressure in this area from the contracture. Depending on what caused the hammertoes, they tend to progress over time.

Bunion Surgery; What To Expect

Bunion Surgery


By Dr. Ken Lefkowitz

So you’ve been diagnosed with one of the most common foot problems—a bunion. What’s the next step? Your podiatrist may have informed you that noninvasive treatment will be ineffective, and in this case he or she will probably recommend bunion surgery. Here’s what you need to know.

Bunion surgery is semi-invasive because the incision made in the big toe is very small. The goal of the procedure is to realign the bone and soft tissue, possibly necessitating the use of small wires, screws, or plates. Normally, only a regional anesthetic is used to numb the foot but it is possible that a you will be given a sedative as well. A successful surgery should relieve pain and make it easier to go about daily activities.

What sets bunion surgery apart from other podiatric procedures is that there are over 100 types within this category. Research does not specify a certain procedure as the “best”, and which one your podiatrist performs depends on your specific condition. It is even possible for multiple surgeries to be done at the same time. One of the most common bunion surgeries is referred to as a Silver bunionectomy, which entails the removal of a portion of the foot that is bulging out (the metatarsal head).

A person recovering from bunion surgery has to take certain precautions. First of all, when showering, the foot must be covered to keep the surgical site dry. Your podiatrist may give you special shoes, splints, or walking casts for the recovery period. Regular shoes can sometimes be worn after 4-5 weeks, but in certain cases it can be 3-4 months before the special footwear is no longer necessary. After some procedures, your podiatrist may tell you that you must keep all weight off the affected foot for up to 8 weeks. You can expect the sutures to be removed after 1-3 weeks, and any pins removed after 3-4 weeks.

If you have any questions relating to bunions, bunion surgery, or any other foot or ankle concerns, call Quality Foot Care at 215-230-9707. Make an appointment at our Doylestown office today to be on your way to better foot health.

Bunions: What to Expect from Podiatric Surgery

If you are one of the millions of people who have the most commonly treated foot problem, bunions, you may already be considering surgery. Surgery is a viable option when non-surgical treatment options recommended by a podiatrist do not relieve bunion pain. When walking and doing normal activities become a painful burden, getting one of the 100 plus surgeries that are available for bunions can improve your quality of life more than any other option.

Yes, you heard right. There are over 100 bunion surgeries, and your podiatrist will be able to find the one specific to your condition. There may even be two separate procedures done at the same time. Typical bunion surgery includes an incision in the top or side of the big toe joint and then removal or realignment of soft tissue and bone. If the joint is severely deformed, tiny wires, stitches, screws, or plates may be used to stabilize it. Commonly, before the surgery a patient is given regional anesthetic that only affects the foot, but some podiatrists may use a sedative. The surgery usually takes around one hour, but it depends on what kind of procedure you are getting. Normal recovery time is generally between 6 weeks and 6 months, and your podiatrist will give you instructions to allow the incision to heal properly within your recovery period.

When a successful bunion surgery is performed, you will be able to walk with less pain in the big toe joint. In addition, when the incision heals and the swelling goes down, the toe in most cases will look more normal than before. One mistake people make after their surgery is returning to high heeled shoes, which could have been the reason for their bunions in the first place. If you follow the directions of your podiatrist, you may never have a bunion problem again.

If you have painful bunions that affect your everyday life, it is time to call Quality Foot Care at 215-230-9707 to consider surgery. Dr. Lefkowitz will give you a consultation in his Doylestown office to determine what kind of procedure, if any, you need. Make the call today for better foot health tomorrow!