Claw Toe

What is claw toe?

A claw toe is a foot deformity that occurs when the toes bend into an abnormal position. The condition typically affects the four smaller toes, causing the joints to curl downward. In claw toe, the toe bends at the middle joint (proximal interphalangeal joint) and sometimes at the joint near the tip of the toe (distal interphalangeal joint), leading to a curled or claw-like appearance. Over time, claw toe may worsen if left untreated, becoming rigid and more difficult to correct.

Claw toe can be caused by several factors, including:

  • Muscle imbalance between the tendons that flex and extend the toes
  • Neurological conditions such as stroke or diabetes
  • Trauma or injury to the toes
  • Wearing poorly fitting shoes

 

Claw toe symptoms

The symptoms of claw toe can vary depending on the severity of the condition. Common symptoms include:

  • Toe deformity: The most noticeable symptom is the toes curling downward or upward at the joints, creating a claw-like shape.
  • Pain: Individuals often experience pain, particularly when walking or wearing shoes, as the abnormal position of the toes causes pressure on the foot.
  • Corns and calluses: The deformed toe may rub against shoes, leading to the development of corns and calluses on the tops of the toes or the ball of the foot.
  • Difficulty walking: In more advanced cases, claw toe can interfere with walking or balance, leading to discomfort and difficulty moving around.
  • Stiffness: The toes may become stiff over time, making it harder to move them or straighten them without assistance.

 

How does Dr Abramson treat claw toe?

Dr Michael Abramson employs a comprehensive approach to treat claw toe, tailored to the severity of the condition. For mild to moderate cases, he often recommends non-surgical interventions, such as custom orthotic devices to relieve pressure and improve alignment, footwear modifications to accommodate the toe’s position, physical therapy to enhance muscle balance and flexibility, and toe splints to help reposition the toes.

In more severe cases where the claw toe becomes rigid and unresponsive to conservative measures, Dr Abramson may perform surgical procedures. These can include tendon release to correct muscle imbalances, joint fusion (arthrodesis) to maintain a straighter position and alleviate pain, and toe shortening to restore a more natural length. By utilizing both conservative and surgical methods, Dr Abramson aims to provide effective relief and improve overall foot function for his patients.

FAQ’s

Will claw toe surgery leave a visible scar?
Dr Abramson uses minimally invasive techniques whenever possible to minimize scarring. However, small incisions are typically necessary, and there may be some scarring. Dr Abramson provides post-operative care to ensure proper healing.
Is claw toe surgery painful?
Patients typically experience some discomfort following surgery, but pain is manageable with prescribed medications and following post-operative care instructions. Dr Abramson ensures each patient is well-supported during recovery to minimize pain.
How can I prevent claw toe from getting worse?
To prevent claw toe from worsening, Dr Abramson recommends wearing properly fitting shoes with a wide toe box, using custom orthotics to support the foot, and doing stretching exercises to maintain flexibility in the toes. Early intervention can help slow the progression of the condition.