When your problem requires surgery, you can rest assured that you are in the hands of a competent and highly trained surgeon. Dr. Silverberg has been called the best foot surgeon in NYC and the best bunion surgeon in NYC. The doctor performs all foot and ankle surgery including traditional open surgery, minimally invasive surgery, laser surgery, radio frequency surgery and extra-corporeal shock wave therapy. Dr. Silverberg is an expert in all aspects of foot surgery. He is very detail oriented from start to finish. A good surgical outcome starts prior to entering the operating room. After expertly diagnosing patients’ conditions, he plans out his procedures with great skill. An exercise I try but find difficult (my toes are very stiff) is to grip my fingers with my toes to keep them more pliable. You place your right foot over your knee and interlock your left hand's fingers in-between your toes and then squeeze them by squeezing your toes together. It's like putting your fingers and toes in a praying position. I can do this easier with my left foot than my right (simply change to left foot and right hand to change feet) since my toes on the left foot are more flexible. Again, if you have painful toes then you need to be gentle on yourself. In addition to seeking medical attention, there are a few home care measures you can take to ease your child's discomfort, according to American Podiatric Medical Association. To decrease pressure on the hammer toe, affix a commercial nonmedicated pad to the top of the toe. Encourage your child to wear loose-fitting shoes or shoes with a deep toe box. Apply ice packs to your child's foot to help reduce pain and swelling. Prevention During an arthroplasty, part of the bones on both sides of the middle toe joint may be removed. This will allow the toe to uncurl. The most important step in treating claw toe is to change the type of shoe worn. Make sure the shoe has a toe box that is high and broad and can accommodate the claw toes so there is less friction against the toes. Mallet toe results when the joint at the end of the toe cannot straighten out. The end of the toe rubs against the top of the shoe leading to pain and the development of a corn. The tip of the toe often turns downward against the shoe causing great discomfort and pressure. Hammertoes occurs when toes are curled as a result of a bend in the middle joint of the toe It usually happens at the second, third or fourth toes and is sometimes referred to as contracted toe or rotated toe , or misnamed as claw toe , which is a different condition. It usually happens as the tendons at the top and bottom of the toes become imbalanced and pull the toe (s) into the hammer position. When the toes are bent in this way, the result resembles a hammer shape, giving the name hammertoe. A variety of biomechanical issues in the feet can cause tendon imbalance. Hammertoe is not always preventable, but you can take some measures to reduce your chances of developing it. For example, instead of wearing high heels every single day, only wear heels for special occasions. You can also adopt smart shopping habits when you look for shoes. For example, do not assume that you can always buy the same size of shoes without trying them on and walking through the store with them. You can also ask for help from the store’s employees to ensure that you get the best fit for your feet. Any shoe that forces your toes to ball up can increase your risk of hammertoe. If you want to keep your favorite shoes, you could use a stretcher to accommodate the joint change and to prevent additional pressure that can worsen the deformity. As long as the toe box is long enough and deep enough to prevent bending the toe , stretching the shoes should work. A similar condition is called mallet toe The difference has to do with which joint is affected. If the swelling or deformity affects the joint furthest away from the main part of the foot, nearest to the end of the toe , then it is mallet toe Next, think of your foot like a five digit basket ball team with one player, (Toeny) unable to play because of an injury. Over the course of a lifetime, playing a five toe game with a 4 toe team isn’t going to go end well. The four toes are over worked trying to do an impossible job, accomplishing what 5 guys were designed to do. The game breaks down quickly. Just one toe not functioning (for up to decades) is a major compounding factor in weakness and decline of the entire musculo-skelatel system’s capabilities and safety. “For want of a nail the kingdom was lost” ( google it ).