What is a Hammertoe?

Hammertoes are a common foot condition that can cause discomfort, difficulty walking, and deformity in the toes if left untreated. This article explains what hammertoes are, their causes, and how to recognize the signs early.

Whether you’re dealing with a bent toe already or hoping to prevent problems down the road, Bluebonnet Foot and Ankle Institute in Austin, Texas, is here to help guide you every step of the way. Contact us today to learn more.

Hammertoes Explained

A hammertoe is a deformity that affects the middle joint of one or more toes, causing it to bend abnormally downward—hence the name “hammer.” This bent toe posture can affect any of the other toes, but it’s most common in the second, third, or fourth toes.

While “hammertoe” is often used as a general term, there are related conditions, including mallet toe (which affects the joint closest to the toenail) and claw toes (where all three toe joints are bent). These conditions can cause foot pain, especially when wearing shoes with tight toe boxes.

What Causes Hammertoes?

The most common cause of hammertoes is muscle imbalance in the toe muscles, often due to poorly fitting shoes, especially high heels and narrow shoes that force the toes into unnatural positions. Wearing high heels regularly can push the big toe and other toes out of alignment, contributing to problems like bunions and hallux valgus, which may further shift pressure to smaller toes.

Other contributing factors include:

  • Genetics
  • Trauma to the toe joint
  • Arthritis
  • Poor circulation or nerve issues
  • Overuse or repeated stress to the affected toe
A man’s foot with hammertoes in Texas.

What Are Hammertoe Symptoms?

Early signs of a hammertoe are usually mild and may include a visible bent toe or mild discomfort. Over time, symptoms can worsen and may include:

  • Pain or irritation when wearing shoes
  • Redness, swelling, or inflammation around the middle joint
  • Corns or calluses where the toes rub against shoes or one another
  • Stiffness in the affected toe
  • Difficulty moving the toe or the toe joint
  • Increased foot pain during activity

How Are Hammertoes Diagnosed?

Diagnosis typically begins with a physical examination by a podiatrist. At Bluebonnet Foot and Ankle Institute, we evaluate the flexibility of the affected toe, review your medical history, and may use X-rays to examine the alignment and structure of the toe joint. We also consider any related conditions like bunions or hallux valgus that may contribute to the deformity.

What Are Common Hammertoe Treatment Options?

Early hammer toe treatment focuses on conservative care to relieve pain and prevent worsening deformity:

  • Shoe inserts or orthotics to realign the foot and reduce pain
  • Switching to shoes with a wider toe box to avoid shoes that aggravate the condition
  • Toe exercises to strengthen the toe muscles and improve flexibility
  • Padding or taping to reduce friction where toes rub
 

If conservative treatments don’t work, hammertoe surgery may be recommended to realign or remove part of the toe joint and correct the deformity. Surgical options depend on the severity and flexibility of the hammer toe.

How Can You Prevent Hammertoes?

Many cases of hammertoe can be prevented by choosing supportive footwear and paying attention to the way your toes function:

  • Avoid shoes with narrow toe boxes or high heels
  • Choose shoes with a wide, deep toe box
  • Perform toe exercises regularly to maintain strength and flexibility
  • Treat underlying issues like bunions, hallux valgus, or poor circulation early
  • Follow guidelines from the American Podiatric Medical Association on healthy footwear choices

Keep Your Toes Healthy with Help from Bluebonnet Foot and Ankle Institute

Hammertoes can go from a mild annoyance to a serious problem if not addressed early. Fortunately, with proper care and attention, you can ease discomfort, prevent progression, and in many cases, avoid surgery altogether. Whether you’re experiencing symptoms for the first time or looking for hammer toe treatment options tailored to your needs, our team at Bluebonnet Foot and Ankle Institute in Austin, Texas, is here to help.

Schedule an appointment today to receive expert evaluation and personalized care for your foot pain, bent toe, or toe joint concerns. Let us help you find relief and get back on your feet—comfortably and confidently.

Medically reviewed by Liza Chabokrow, DPM