Hammer Toe

Hammer Toe is a type of foot deformity that causes your toe to curl and appear bent all the time.

What is hammer toe? 

Hammer toe is a type of foot deformity that occurs when the muscles and tendons in your toe tighten, causing your toe to stay in a curled position. 

Hammer toe usually affects the middle 3 toes and causes them to bend downwards at the middle joint, resembling a hammer. 

The condition develops over time due to factors such as injury or trauma, environmental factors, such as the shoes you wear, and your overall foot structure. 

In the early stages, hammer toe can often be treated with conservative measures such as changing your footwear; however, if the condition is impacting your daily life, your consultant may recommend surgery to correct the deformity. 

At our innovative Orthopaedic centre, our expert orthopaedic surgeons can diagnose and treat hammer toe. 

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The main symptoms of hammer toe are pain and visible deformity. You may feel pain on the top of your toes or the ball of your foot. Pain may be worse when moving your toes or walking. Your hammer toe may appear more curled than your other toes. 

Other symptoms of hammer toe include:

  • swelling

  • discolouration such as redness 

  • inability to move the affected toe

  • difficulty walking 

  • difficulty wearing normal footwear

  • corns and calluses on your affected toe

Hammer toe has several causes, including genetic and environmental factors. 

If your second toe is longer than your big toe, then you have a higher risk of developing hammer toe in that toe. 

The condition is more common in women, and the risk increases with age. If you have an underlying condition such as arthritis or diabetes, or a foot problem like bunions, flat feet, or high arches, you may have a higher risk of developing hammer toe. 

Some other causes of hammer toe include: 

  • wearing shoes that are too tight or too narrow, or high heels that push your toes forward

  • a muscle imbalance in your toes

At your Welbeck appointment, you’ll see a consultant orthopaedic surgeon, who will ask you about your symptoms, general health, family and medical history, and any medications you take regularly. They’ll also perform a physical examination of your toes and feet.


Your consultant can usually diagnose hammer toe with a physical examination, but they may order an X-ray to confirm the diagnosis and check for any other abnormalities.


There are several things you can do to prevent or reduce the risk of developing hammer toe, including: 

  • choosing appropriate footwear that’s the correct size, and ensuring your toes have enough room to move

  • avoiding shoes with high heels or pointed toes 

  • applying padding between your toes and strapping them into place to stop your shoes from rubbing

  • wearing custom-made insoles or special shoes to help take the pressure off any painful areas and prevent your toes from rubbing together

Hammer toe is usually treatable, and complications are rare; however, untreated hammer toe usually gets progressively worse and can lead to complications such as:

  • persistent pain

  • long-term deformity

  • corns, calluses, and blisters that can be painful 

  • difficulty walking

  • nerve damage

  • infection

Mild hammer toe can often be treated with nonsurgical options such as over-the-counter painkillers, wearing the correct footwear, shoe orthotics, and toe exercises. 

If your condition is more advanced, causing persistent pain or interfering with your daily life, your consultant may recommend surgery. 

Hammer toe surgery involves straightening your bent toe and sometimes the joint to correct the deformity. 

Your consultant may remove a piece of bone and/or lengthen your tendons and stabilise your toe with pins or screws. In some cases, the bones in your affected toe may be fused together.

Hammer toe surgery is typically carried out as an outpatient procedure, meaning you’ll be able to go home the same day.

At Welbeck, our orthopaedic surgeons are experts in their field and are dedicated to providing world-class care to every patient.

With access to colleagues across other specialities, our consultants are also able to refer within the Welbeck ecosystem if required to ensure you receive the treatment you need as quickly as possible, all under one roof.  

All appointments, testing, treatment, and follow-up appointments take place within our state-of-the-art facilities, enabling us to deliver accurate diagnostics and advanced treatments.

Your health is important to us, so we strive to offer same-day appointments whenever possible.

Our consultants are recognised by the major health insurance companies. If you have private health insurance, your treatment at Welbeck can begin once you have obtained authorisation. We also provide care to self-paying patients. Learn more about the different payment options at Welbeck.

Get in touch today to book an appointment.

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London

1 Welbeck Street
Marylebone
London
W1G 0AR

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Frequently asked questions

Hammer toe, claw toe, and mallet toe are all conditions that can cause deformities in your toe joints and make them bend abnormally. The difference is which toe joints are affected. 

  • hammer toes are a bend in the second (middle) toe joint

  • mallet toes are a bend in the third (end) toe joint

  • claw toes occur when there are bends in all 3 toe joints (base, middle and end)

Make an appointment with a consultant if your toe appears bent or deformed, or if you have pain, stiffness, or difficulty walking.

An untreated hammer toe normally gets worse, and the earlier the condition is diagnosed, the easier it usually is to treat.

How long it takes to recover from hammer toe surgery varies depending on the severity of your hammer toe, the type of surgery you had, your general health and your individual recovery process. 

On average, it takes around 8 to 12 weeks to recover from hammer toe surgery. 

You’ll probably notice an improvement in your symptoms after around 4 to 6 weeks, but full recovery can take several months.

No, your hammer toe will not get better on its own and is likely to get worse over time. Early treatment, such as wearing the correct footwear and preventing your toes from rubbing on your shoes, can help prevent the condition from progressing, but once your toe becomes rigid, you’ll likely need surgery to correct the deformity.

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