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How Orthotics for Hammer Toes Can Help You With the Pain

Are hammer toes making your life a misery? Pain with every step, trouble finding shoes that fit? Orthotics could be the answer you've been searching for.

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By Janik Sundstrom
Jovan Mijailovic
Edited by Jovan Mijailovic

Published December 21, 2024.

A man sitting on a couch with his foot propped up.

Are you finding it increasingly difficult to walk or even stand comfortably because of the persistent pain in your bent toes? If you're suffering from hammer toe, you know this discomfort all too well. It's a painful condition that can significantly impact your daily life.

Every step can feel like a painful reminder of your condition. You might be avoiding activities you once loved, like walking, running, or even just standing for extended periods.

Fortunately, there's a solution that can help alleviate your hammer toe pain and get you back on your feet: orthotics. These specially designed shoe inserts can provide the support, cushioning, and alignment your feet need to reduce pressure on your toes and improve overall comfort.

» Find relief from hammer toe pain with individually-made orthotics

What Are Hammer Toes?

Hammer toes are a common foot condition. It causes the toes to bend in an unnaturally, resembling a claw. This happens because the joint at the base of the toe bends too far back, forcing the other joints in the toe to curl downwards.

The main cause of hammer toe is a bunion, which is a bump at the base of the big toe. They push the big toe towards the smaller toes, crowding them and causing them to bend.

Other factors that can contribute to hammer toe include:

  • Age: The risk of developing hammer toe increases as we get older.
  • Poorly Fitting Shoes: Shoes that are too tight or too narrow can squeeze the toes and force them into a bent position.
  • Medical Conditions: Diabetes can affect the nerves and blood vessels in the feet, increasing the risk of foot deformities.

Hammer toe can make it difficult to walk and maintain balance. This is because the toes can no longer distribute weight properly when standing or moving.

» Check out the best exercises to relieve your hammer toe pain

Symptoms of Hammer Toes

  • Bent Toes: The toe bends downwards, looking like a hammer or claw.
  • Calluses and Corns: Thickened skin forms on the bottom of your foot and the top of the bent toe. This happens from the toe rubbing against your shoe.
  • Stiff Toe: The toe becomes difficult to straighten because the muscles and tendons shorten over time.
  • Pain: Walking or wearing shoes can become painful. Tight shoes and high heels make the pain worse.

How Bad Can It Get?

Hammer toe can cause no pain at all, mild discomfort, or severe pain. Many people find that the pain gets worse over time, especially when wearing shoes. Without proper care, hammer toe can lead to:

  • Permanent Toe Deformity: The toe can become stuck in the bent position.
  • Chronic Pain: You may experience constant pain in your foot.
  • Limited Mobility: Walking and moving around can become difficult.
  • Balance Problems: Calluses and corns can affect your balance and increase the risk of falls, especially for older adults.

» Find out if you should wear Birkenstocks if you have hammer toes

The Role of Footwear in Developing Hammer Toes

Your shoes play a big part in whether you get hammer toe. Here's why:

  • Tight Shoes: Shoes that are narrow or have a small toe box squeeze your toes. This can bend your big toe inwards, pushing on the smaller toes and making them bend, too.
  • High Heels: High heels force your toes into the front of the shoe, crowding them and increasing the pressure.

Who is at risk?

  • Women: Women are more likely to develop hammer toe because they often wear tight or high-heeled shoes.
  • Older adults: The risk of hammer toe increases with age. This is often linked to other conditions like arthritis, diabetes, or flat feet.

» Have Achilles tendonitis? Discover the worst shoes for your condition

How Orthotics Help With the Pain

1. Spreading Out the Pressure

Orthotics help by spreading the weight on your feet more evenly. This takes the pressure off painful or sensitive areas. For the hammer toe, this means there is less pressure on the front of your foot. Less pressure leads to less pain and prevents the condition from getting worse. The extra support and padding make it more comfortable to walk and stand.

2. Supporting Your Foot

Individually made orthotics give your feet extra support, which is particularly important for people with flat feet or high arches. They help with weight distribution, which, in turn, reduces pain and prevents the condition from worsening. Besides increased support, they also cushion your feet, adding comfort and helping with other foot problems.

3. Straightening Your Toe

Some orthotics are made specifically for the hammer toe. They have special features to support the front of your foot and keep your toes straight. This is especially helpful when you're standing or walking. Keeping your toe straight reduces pain and keeps it from bending more in your shoe.

4. Reducing Swelling

Swelling is a common cause of pain and is connected to your body's immune system. Orthotics ease the strain on your toe by improving support and spreading out pressure. Less strain means less swelling. Reducing the onset and degree of swelling helps manage and relieve pain.



Choosing the Right Material for Your Orthotics

The material used to make orthotics is crucial for their comfort, durability, and effectiveness. Here's a breakdown of common materials:

1. EVA Foam

EVA foam is a light and flexible material often used in orthotics. It's a popular choice because it's durable and absorbs shock well. EVA foam molds to the shape of your foot, maximizing contact between your foot and the orthotic.

This feature is beneficial because it helps distribute weight evenly and relieves areas with high pressure. For those with hammer toe, EVA foam can improve pain and comfort during daily wear or moderate physical activity.

2. Polypropylene

Polypropylene is a type of thermoplastic often used in orthotics worldwide. This material is easily molded to the exact shape of an individual's foot, providing personalized comfort and support.

It also combines the flexibility and durability found in other materials, offering moderate cushioning and support. Polypropylene is effective for those who require both support and flexibility to allow for the unrestricted movement needed for sports.

3. Carbon Fiber

Carbon fiber is a lightweight, strong, and rigid material commonly used to stabilize and support the arch and forefoot. This material is very durable, ensuring long-term correction of foot mechanics.

Maintaining arch height, limiting excessive bending of the big toe, and supporting high arches are important for reducing pressure on the forefoot, which is linked to the worsening of the hammer toe.

While carbon fiber provides less cushioning than other materials, its stabilizing and rigid qualities ensure the forefoot and hammer toe are not further aggravated.

4. Silicone Gel

Silicone gel provides exceptional shock absorption, limiting the strain and pressure on the forefoot and hammer toe during daily or moderate physical activity. Silicone gel also improves comfort by reducing areas of high pressure, which can lead to a lower chance of developing calluses or corns.

Some silicone orthotics also feature metatarsal pads for targeted forefoot comfort and pressure relief. This material is suitable for those seeking daily comfort and reduced pain due to hammer toes.



Over-the-Counter (OTC) Vs. Custom Orthotics for Hammer Toes

Both custom and over-the-counter (OTC) orthotics can help manage hammer toe. But, there are key differences to consider when choosing between them.

OTC Orthotics

Benefits:

  • Affordability: OTC orthotics are much cheaper than custom ones. Their lower price reflects their generic design. They are often made with lower-grade materials, which may wear out faster.
  • Immediate Use: You can buy and use them right away. They are a quick, budget-friendly option for those seeking immediate relief from hammer toe symptoms.
  • General Support: OTC orthotics offer general support and cushioning. They are not specially-made, but they still provide some pain relief and symptom management, though not as effectively as custom orthotics.

Limitations:

  • Less Durable: Due to the materials used in manufacturing, they may be less durable than custom orthotics. This means you might need to replace them more often. While cheaper initially, frequent replacements may make them less cost-effective in the long run.
  • Generic Fit: The generic design may offer some improvement for the hammer toe, but not as much as a custom orthotic. They might not adequately address your specific foot needs, potentially leading to discomfort after a while.

» Decide what's best for your feet: custom vs. OTC insoles

Custom Orthotics

Benefits:

  • Tailored Fit: Custom orthotics are specially designed for your foot shape, needs, and the severity of your hammer toe. They fit the exact contours of your foot, leading to better comfort and symptom relief.
  • Durability: They are made with high-quality materials, making them more durable than generic options. This means they provide longer-lasting support. Because they are tailored to your foot, the weight is distributed better, reducing wear and tear in specific areas.
  • Modifiable: They can be adjusted to meet specific needs. Features like metatarsal support, toe spacers, or extra cushioning can be added. The amount of forefoot cushioning to support the hammer toe can also be personalized for maximum comfort and pain relief.
  • Biomechanical Correction: Orthotics are designed to improve foot and toe alignment. They can address issues like overpronation (feet rolling inward), toe flexion, or supination (feet rolling outward). This helps relieve pressure and improve comfort.

Limitations:

  • Cost: Custom orthotics are more expensive than OTC options. This is due to the high-grade materials and personalized design.
  • Waiting Time: They take time to design and manufacture because they are made from custom molds of your feet. This can delay their availability. But, the superior quality and support they offer are often worth the wait.

Custom vs. OTC Orthotics: Verdict

Custom orthotics, with their tailored design and high-quality materials, are generally more effective and longer-lasting than OTC orthotics. For example, if your hammer toe is caused by flat feet or overpronation, you need specific arch support to correct your foot position.

Custom orthotics can achieve this more precisely than generic OTC options. While OTC orthotics may provide some arch support, they might not be enough to correct the underlying issue causing the hammer toe.



How Long Does it Take for Orthotics to Relieve Hammer Toe Pain?

It usually takes some time to feel pain relief with orthotics. This is because your foot needs to adjust to the new support and alignment the orthotics provide. Most people start to notice an improvement in their hammer toe pain after wearing orthotics for 1 to 2 weeks.

Several factors influence how quickly you'll feel relief:

  • Severity of Hammer Toe: If your hammer toe is mild, orthotics might help quickly. If it's more severe, it may take longer to feel a difference.
  • Activity Level: Your level of physical activity plays a role.
  • Inflammation: Swelling in the toe joints can slow down pain relief. More swelling means it will take longer for the orthotics to help as the inflammation needs time to reduce.
  • Overall Foot Health: Other foot problems, like uncorrected flat feet, bunions, or sores, can also slow down the process. Addressing these issues is important for faster hammer toe relief.

» Already have orthotics? Find out how long you should wear them

Get Back on Your Feet and Walk Pain-Free

Living with hammer toe pain doesn't have to be a constant struggle. As we've explored, orthotics offer a practical and effective solution for managing this condition and improving your quality of life.

By providing targeted support, cushioning, and alignment, orthotics can address the root causes of your pain, reduce inflammation, and help prevent further deformity.

» Got hammer toe pain? Get back on your feet with custom orthotics



Disclaimer: This blog provides general information for educational purposes only and is not a substitute for professional medical advice. Consult your healthcare provider for any foot concerns.