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Little Toe Tips

Toe Walking!

Dr. Ramakanth Reddy 92% (153 ratings)
MBBS, Diploma In Child Health
Pediatrician, Hyderabad
Toe Walking!

Toe Walking: What You Need to Know

  • Some children walk on their toes rather than their feet. This looks similar to standing on your “tiptoes.”

  • Toe walking is common among infants first learning to walk.
  • A majority of children will stop toe walking on their own without intervention.
  • Physical therapy, bracing and casting are used to treat toe walking, with surgical procedures available if these methods are unsuccessful.

What is toe walking?

Toe walking is when a child walks on the toes or ball of the foot without the heel or other parts of the foot coming in contact with the floor. Sometimes there is an underlying condition that can cause a child to walk on the toes, but other times there is not.

What are the symptoms of toe walking?

Children who persistently toe walk may develop tightness in their ankles and benefit from treatments that stretch the calf muscle.

Toe Walking Diagnosis

A physical exam is usually all that is needed to diagnose toe walking, but during the exam, the provider will also assess the child’s gait, range of motion and muscle tone.

Children should also be assessed for any neurologic abnormalities that could be contributing to the toe walking. Sometimes a child can be found to have a muscle tone imbalance or neurological finding that prompts further evaluation for an underlying cause of the toe walking. But if there are no abnormal findings, the child likely has idiopathic toe walking, meaning there is no found reason for the toe walking other than that he or she has a preference to do so.

Toe Walking Treatment

1. Physical Therapy

Several sessions to work on stretching the tight muscles may be beneficial to decrease the amount of toe walking. Children will also benefit from completing stretching exercises at home.

2. Bracing

Some children may benefit from an ankle-foot orthosis (AFO) to help encourage a flat foot with walking. The AFO is a custom brace used during the daytime to help stretch and encourage a flat foot position. If worn at night, the AFO can help stretch the tight muscles while a child is sleeping.

3. Serial Casting

Short leg casts can be applied for one- to two-week intervals to progressively work on stretching the tight muscles and improving the position of the foot and ankle. Children are able to walk in these casts. The addition of Botox injections to help stretch the tight muscles in casts may be more effective in some children.

4. Achilles Tendon or Gastrocnemius Lengthening

When physical therapy and serial casting are ineffective in correcting the tight ankle, a surgery may be necessary to achieve a flat foot position with walking. A lengthening is a surgical procedure in which the tight Achilles tendon or gastrocnemius muscle is lengthened to allow greater range of motion and function of the foot and ankle. The lengthening also allows children to better tolerate AFOs and achieve a flat foot position with walking.

1 person found this helpful

Tennis Toe - How it Should be Treated?

Dr. Gurinder Bedi 92% (18 ratings)
CCST(Internal Medicine), FRCS (Orth Surg), FRCS, MS - Orthopaedics, DNB Orthopedics, MBBS
Orthopedist, Delhi
Tennis Toe - How it Should be Treated?

Tennis toe is also known as runner’s toe since athletes are mostly runners; skiers and tennis players also get this injury often. Due to its ugly appearance, tennis toe is also known as a black toenail. This injury causes bleeding under the toe along with moderate to heavy pain. Although it is not considered to be type 1 serious injury, it can still force an athlete to abstain from participating in any events. The blood from the toenail might take its own sweet time to get out of the way. As a result, the recovery time for this injury can last for weeks together. This, unfortunately, is also an ideal condition for infection to set in.

How does it happen?
This condition may arise because of the friction between the toenail and the running shoes or constant downward pressure on the toe. In case if the shoe is tighter than normal, it can damage the toenail. If on the other hand, the shoe is very loose, it can result in similar condition due to heavy pressure on the nail. Tennis toe can also arise in a situation, if the toe constantly bangs the shoe from inside. Extreme hot weather may also result in toe swelling. Finally, one may encounter tennis toe if a blow is faced on the toe. Irrespective of the cause, the blood clots inside the nail resulting in swelling and pain. Too much damage might result in falling off of the toenail altogether.

Treatment plan:
1. If the tennis toe is minor, the injury resolves all by itself
2. The toenail should be clipped together to ensure that it does not result in any friction with the shoe.
3. During the injury, it is advised that a person wears bigger size shoes with wider toe space so that it does not result in any further irritation.
4. If the toenail is torn, make sure to tap it up so that adequate protection is there from outside forces.
5. In case the injury is serious a doctor might have to intervene and drain the blood with a surgical instrument.
6. Another medical solution is to remove the toenail surgically, drain the blood and tape it up for a good one week until new nail formation takes place.

Precautionary measure:
1. Running shoes should be at least half a size bigger than the normal size.
2. Toenails should be regularly trimmed in order to avoid any injury.
3. If a person has a tendency of sweating too much, it makes sense to wear a pair of socks at all times.
4. While running, shoe laces should be tightened to avoid sudden friction between the toe and the shoe resulting into tennis toe.

2266 people found this helpful

Symptoms And Treatment Of Hammer Toe!

Dr. Shrenik Shah 89% (1273 ratings)
Hand Surgery, M.S. (Orthopaedics
Orthopedist, Ahmedabad
Symptoms And Treatment Of Hammer Toe!

Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during the childhood itself and it usually is known to affect the second or third toe on the foot. Let us find out more about the symptoms, risk factors and treatment for this condition.

  • Symptoms: The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.
  • Risk Factors: While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corns and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.
  • Treatment: The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X-ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out.

Ensure that you report the smallest and most persistent changes to your doctor so that treatment can take place well in time. If you wish to discuss about any specific problem, you can consult an Orthopaedics.

2437 people found this helpful

Symptoms, Risk Factors And Treatment of Hammer Toe

Dr. Jitender Pal Singh 89% (77 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Delhi
Symptoms, Risk Factors And Treatment of Hammer Toe

Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during the childhood itself and it usually is known to affect the second or third toe on the foot. Let us find out more about the symptoms, risk factors and treatment for this condition.

  • Symptoms: The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.
  • Risk Factors: While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corns and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.
  • Treatment: The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X-ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out. If you wish to discuss about any specific problem, you can consult a podiatrist.
2619 people found this helpful

Hammer Toe - Symptoms And Risk Factors!

Dr. Madu Sridhar 89% (43 ratings)
MS - Orthopaedics, M.Ch Trauma & Ortho, Diploma In Orthopaedics (D. Ortho), MBBS
Orthopedist, Chennai
Hammer Toe - Symptoms And Risk Factors!

Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during the childhood itself and it usually is known to affect the second or third toe on the foot. Let us find out more about the symptoms, risk factors and treatment for this condition.

  • Symptoms: The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.
  • Risk Factors: While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corns and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.
  • Treatment: The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X-ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out.

Ensure that you report the smallest and most persistent changes to your doctor so that treatment can take place well in time. If you wish to discuss about any specific problem, you can consult an Orthopedist.

4377 people found this helpful

Hammer Toe: Symptoms, Risk Factors, Treatment

Dr. Prathmesh Jain 87% (68 ratings)
M.S. Orthopedics, MBBS
Orthopedist, Ahmedabad
Hammer Toe: Symptoms, Risk Factors, Treatment

Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during the childhood itself and it usually is known to affect the second or third toe on the foot. Let us find out more about the symptoms, risk factors and treatment for this condition.

  • Symptoms: The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.
  • Risk Factors: While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corns and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.
  • Treatment: The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X-ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out.

Ensure that you report the smallest and most persistent changes to your doctor so that treatment can take place well in time.

4133 people found this helpful

Toe Deformity- What Causes It And What Are Its Treatment Options?

Dr. T V Raja 88% (14 ratings)
MBBS, MS - Orthopaedics
Orthopedist, Chennai
Toe Deformity- What Causes It And What Are Its Treatment Options?

Have you ever come across a person with usual toes, toes that are mysteriously curled or bend upwards, downwards or inwards? As strange and intriguing as it may appear, the condition can be quite painful and is known as toe deformity. In toe deformity, the foot bone is unusually and abnormally positioned, resulting in pain and discomfort.

Toe deformity in a person can be of different types. It can be:

  1. Hammer toe: This is one of the most commonly observed toe deformity. A hammer toe is characterized by the curling or bending down of the second toe at the proximal interphalangeal joint (the middle toe joint). The toe may further bend up at the distal interphalangeal joint (joint adjacent to the toe tip) or the metatarsophalangeal joint (meeting point of the foot and the toe) as well. In hammer toe, the awkward alignment results in a slight elevation in the joint of the middle toe. A hammer toe is often seen accompanied by a bunion (a bony bump or a deformity formed at the joint that links the foot with the big toe).
  2. Mallet toe: Mallet toe mostly affects the second toe (other toes may be affected). The deformity results in bending down of the toe at the distal interphalangeal joint (appears like a mallet).
  3. Claw toe: The deformity affects all the toes, with the big toe being an exception. Here, the toes bend up at the metatarsophalangeal joint and bend down at the distal interphalangeal joint. The deformity results in the toes curling down towards the floor (appears claw-like).

What causes Toe Deformity?
There can be many factors responsible for toe deformities.

  1. Toe deformity in a person may be congenital (present from birth).
  2. It can also be an outcome of medical conditions such as arthritis (osteoarthritis, rheumatoid arthritis), stroke, heart attack, diabetes, an injury, an accident, or wearing wrong footwear.
  3. Toe deformity can also be hereditary.

Signs and symptoms:
The symptoms for Toe Deformity (hammer toe, claw toe, and mallet toe) include

  1. There is redness, pain, and swelling in the affected part of the toe. In claw toe, however, there may or may not be pain associated with the condition.
  2. A person faces difficulties in straightening the toe.
  3. In hammer toe, corns, and calluses appear on the middle joint (top) of the affected toe.
  4. In mallet toe, ulcers may occur on the toe (in diabetic patients).

Treatment:
Initially, toe deformity appears flexible, where movement around the affected joint is possible. However, if left unattended, the condition can become severe and rigid, thereby restricting the movement (in the affected area). Treatment for toe deformity depends on how severe the condition is.

  1. In most cases, the treatment involves wearing custom-made shoes, fitted with supports (cushions or pads) and wider toe box.
  2. Using of tapes and splints may be helpful in correcting and repositioning the deformed toe.
  3. Patients with excruciating pain benefit immensely from cortisone injections.
  4. Corn pads can be used to deal with corns and calluses better.
  5. Toe stretching exercises are highly effective.

If severe cases or extreme rigidity, doctors may opt for surgical treatments like arthrodesis, tendon transfer, arthroplasty, to name a few. If you wish to discuss about any specific problem, you can consult an Orthopedist.

2553 people found this helpful

Hammer Toe: Symptoms, Risk Factors & Treatment

Dr. Manav Luthra 92% (10 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Kanpur
Hammer Toe: Symptoms, Risk Factors & Treatment

Hammer toe is a condition where the toe of the patient becomes deformed. The appearance of the toe will bear a downward curl that will make it look abnormal. This condition can mostly be seen during one childhood itself, and it usually known to affect the second or third tow on the foot.

Let us find out more about the symptoms, risk factors and treatment for this condition.

Symptoms - The sheer discomfort of walking around with a hammer toe is one of the first symptoms of the condition. The permanent damage will be visible in the way the toe curls and becomes deformed. The formation of corn or calluses is also a common symptom of this condition, while some patients may also experience the growth of claw like toes. Most patients feel pain when they are walking or running even as inflexibility sets in, which makes it difficult to flex the foot or stretch and wiggle the toes properly.

Risk Factors - While the most common causes of the hammer toe remain an injury or even arthritis, it may be seen that those with a family history and prolonged use of high and pointed heels may be at risk more than others. This deformity can happen at birth or may progress as age catches on, depending on the risk factors at play. Also, when the patient suffers from the growth of calluses, corn and bunions that go untreated for a long time, it may manifest into a hammer toe eventually. This happens because these growths can make the layer of the skin thick and lead to a perpetual formation in the area due to the constant friction that also causes pain and discomfort. People with a high foot arch are also at risk of developing a hammer toe.

Treatment - The orthopaedic specialist is the best person who can help with the diagnosis and treatment of this condition. While the diagnosis consists of the conduct of an X ray to find the cause and extent of the damage, the doctor may also conduct nerve function tests to find out if any nerves have been damaged for the condition to have taken place. Also, the specialist will try to find causes like ligament injuries and other such things that could have led to the condition. Accordingly, the treatment method will be put forth. A mild hammer toe can be treated by wearing more comfortable footwear with pads to treat corns and other growths. For a severe condition, surgery is the only way out.

Ensure that you report the smallest and most persistent changes to your doctor so that treatment can take place well in time.

3676 people found this helpful

Hammertoes And Mallet Toes!

Dr. Radhika A (Md) 84% (10 ratings)
MD - Acupuncture, Diploma In Accupuncture, Advanced Diploma In Accupuncture
Acupuncturist, Delhi
Hammertoes And Mallet Toes!

Treatment of Hammer toes and Mallet Toes

Homeopathic Treatment of Hammer toes and Mallet Toes
Acupuncture & Acupressure Treatment of Hammer toes and Mallet Toes
Psychotherapy Treatment of Hammer toes and Mallet Toes
Conventional / Allopathic Treatment of Hammer toes and Mallet Toes
Surgical Treatment of Hammer toes and Mallet Toes
Dietary & Herbal Treatment of Hammer toes and Mallet Toes
Other Treatment of Hammer toes and Mallet Toes
What is Hammer toes and Mallet Toes
Symptoms of Hammer toes and Mallet Toes
Causes of Hammer toes and Mallet Toes
Risk factors of Hammer toes and Mallet Toes
Complications of Hammer toes and Mallet Toes
Lab Investigations and Diagnosis of Hammer toes and Mallet Toes
Precautions & Prevention of Hammer toes and Mallet Toes
Treatment of Hammer toes and Mallet Toes 

Homeopathic Treatment of Hammer Toes and Mallet Toes

Homeopathy is supportive. It treats the person as a whole. Treatment is constitutional. It means that homeopathic treatment focuses on the patient as a person, as well as his pathological condition. It balances the energy system, improves immunity and body functions. It naturally cures the root cause of disorder. Some of the homeopathic medicines for treatment of hammer toes and mallet toes are:

Calc
Graph
Lyco
Ruta
Caust 

Surgical Treatment of Hammer toes and Mallet Toes

Surgical treatment of hammer toes and mallet toes is recommended, if your toe has become tight and inflexible. Two types of surgeries are:

Making an incision in the toe and releasing the tendon
Your doctor may not only cut or realign tendons but also remove some pieces of bone to straighten your toe
Other Treatment of Hammer toes and Mallet Toes

Do exercises at home or at work to strengthen your toe muscles such as picking up marbles with your toes and stretching your toe muscles.

What is Hammer toes and Mallet Toes?

A hammertoe is a toe that’s curled due to a bend in the middle joint of a toe. Mallet toe is similar, but affects the upper joint of a toe. Both hammertoe and mallet toe are commonly caused by shoes that are too tight or shoes that have high heels.

Symptoms of Hammer toes and Mallet Toes

A hammer-like or a mallet-like appearance
Pain in the toe
Corns and calluses resulting from the toe rubbing against the inside of your footwear
Difficulty in moving the toe

Causes of Hammer toes and Mallet Toes

Wearing improper footwear
Inherited
An injury in which you jam or break your toe
Arthritis or stroke 

Diagnosis of Hammer toes and Mallet Toes

Your doctor can diagnose hammertoe or mallet toe by physically examining your foot.

Precautions & Prevention of Hammer toes and Mallet Toes

Avoid high heels
Avoid vinyl and plastic shoes
Avoid shoes with pointed toes
Select comfortable shoes or strapped sandals

Caring for Nails

Dr. Amitoj Garg 89% (402 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Mohali
Caring for Nails

For 5-10 minutes, dip your toe nails in a warm salt water solution if they have become too difficult or thick to cut.

1 person found this helpful
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