Hammertoes are an unnatural bending upward of the joints in the smaller toes, usually the second and third toe, causing the toe to resemble an upside down V.

This puts pressure on the toe and the center of the foot, especially when wearing shoes, which can lead to pain in the ball of the foot, calluses and cramps.

Like most foot conditions, hammertoes will get worse over time, so it’s important to seek treatment to avoid long-term deformity.

Hammertoe Causes

While several factors can contribute to hammertoes like arthritis, heredity and old age, most often they can be traced back to poor shoe choices.

When you continually wear shoes that are too tight, too short or overly pointy, your toes have to compensate for the lack of space. If they can’t go down or out, their only choice is up. 

Not surprisingly, hammertoes are much more common among women.

(We suffer for our beauty, don’t we girls?)

Hammertoe Prevention

The good news is that your body will usually send several warnings that hammertoes are forming. Your toes might start hurting when you put shoes on.

Or you’ll notice corns, calluses or sometimes even sores forming from the friction your shoes cause.

Often, this will lead to redness, inflammation and pain. As the deformity progresses, the toes will start to point upward at the joint, even when you’re not wearing shoes. 

If you notice any of these symptoms, call our office for an appointment. We can usually reverse the damage and deformity if we catch it in time.

Hammertoe Conservative Treatments

When you come to our office, we’ll carefully examine your feet and might take X-rays to see how much damage has been done.  Then we have several options for treating hammertoes, depending on the severity:

  • Changing your shoes to give your toes a little more room to move around
  • Orthotic devices (Don’t worry, ladies. Orthotics have become so advanced that we can often slip them into very attractive shoes.  No one will notice!)
  • Exercise and stretching
  • Anti-inflammatory medications or injections to relieve the pain and inflammation
  • Wearing splints to realign the toes
In-Office Surgery With No Time Off Work

In- office surgery might be necessary in more advanced cases, especially if the hammertoe has become rigid or painful.

This involves making a small incision so we can either file away a small area to relax the toe. You’ll need a few days to let the toe rest after that, and we’ll give you a splint to hold the toe in place as it heals.

This BEFORE and AFTER image is of a patient with a dislocated hammertoe and ulcer (caused by the toe rubbing on shoes).

The AFTER photo is one week post-op. The patient had a minimally invasive surgery, right in the office and was able to walk out on their own with a surgical shoe the very same day.

If you are experiencing foot pain, call our office or make an online appointment


Staff was extremely friendly and professional. They took us back immediately and no waiting for doctor to come in. Dr Settles-Carter was amazing with my little girl. She took her time and explained every detail to my daughter. As we were leaving my little girl said Dr Settles-Carter was the best doctor ever. Coming from a 10yr old.

Bert King

It took some work, and patience, but my feet are much better now. Dr. Freels worked with me to find exercises, and more importantly, the right shoe to wear. So nice not to dread going into work, for the pain of simply walking. Despite what another review here says, they've never tried to sell me any shoes there, have always left the choice up to me.

Robert Griffith

The staff was very courteous. However, the care provided by Dr. Carter and the staff in the back was exceptional! I finally had answers for my health concerns and issues and a course or plan of treatment including the costs of the services they provide. I especially liked the hours of operation...I can see a doctor for the treatment I need without having to use my personal and sick days! Love the flexibility. Lastly, the ambiance esthetics were relaxing and beautiful.

Bonnie Ogle Taylor

The entire staff at Lexington Podiatry was very welcoming and friendly. Jill went out of her way to make sure my daughter was taken care of. We appreciate being seen so quickly (it would have taken weeks to have seen an orthopedist for her foot injury). Now, she is on the road to recovery! Great office, thanks everyone!

Team Wade 24

Had a great experience! Everyone was very nice, it was clean, the doctor took time to listen to me. She showed me my x-rays and explained them to me. I would recommend them to family and friends.

Heather Purvis

Accepted Insurance Providers

There may be providers, plans and coverage not included on this list. We will help you with navigating the options for coverage and costs. We also accept HSA, Flex accounts, Care Credit and prompt pay pricing for treatment at the clinic and surgical procedures. We do not accept Medicaid or CareSource plans at this time. Visit our New Patient page for more details.