Can Hammertoes Be Corrected Without Surgery?

If you’ve noticed one or more toes starting to bend unnaturally at the middle joint, you may have a hammertoe. This common foot condition can cause pain, rubbing against shoes, corns, and difficulty walking. A question podiatrists hear all the time is:

“Can hammertoes be corrected without surgery?”

The short answer: Yes, sometimes — but it depends on how advanced the hammertoe is.

What Exactly Is a Hammertoe?

A hammertoe occurs when the muscles and tendons in the toe become imbalanced, causing the joint to bend downward instead of lying flat. This deformity most often affects the second, third, or fourth toes.

Common causes include:

• Wearing tight or narrow shoes that crowd the toes

• High heels that push weight forward onto the toes

• Genetics and inherited foot structure

• Bunions, which can push other toes out of alignment

• Arthritis, joint disease, or trauma

If untreated, hammertoes often progress from being flexible (movable with your fingers) to rigid (locked in place).

Non-Surgical Hammertoe Treatments

In the early, flexible stages, hammertoes often respond well to conservative care. These treatments won’t “reverse” the condition, but they can relieve pain, slow progression, and sometimes straighten the toe enough to avoid surgery.

1. Wearing Proper Shoes

Switch to shoes with a wide toe box, cushioned soles, and low heels. Avoid pointed shoes that force toes into unnatural positions.

2. Custom Orthotics

A podiatrist can prescribe orthotic inserts that support your arch, redistribute pressure, and keep toes in a healthier alignment.

3. Toe Exercises and Stretching

Simple movements can strengthen toe muscles and preserve flexibility, such as:

• Picking up marbles with your toes

• Gently pulling your toe into a straight position

• Stretching your calves and arches to reduce pressure

4. Splints, Pads, and Toe Caps

Non-surgical devices can cushion painful areas, reduce rubbing against shoes, and encourage straighter alignment.

5. Pain Relief Options

Ice packs, anti-inflammatory medications, or topical creams can reduce swelling and soreness associated with hammertoes.

When Is Hammertoe Surgery Needed?

If your hammertoe becomes rigid, painful, or interferes with walking, non-surgical care may no longer be effective. In these cases, podiatric surgery may be the best solution.

Modern hammertoe surgeries are often minimally invasive, meaning smaller incisions, less downtime, and quicker recovery than in the past. Your podiatrist will recommend the best option based on your condition.

Can Hammertoes Be Prevented?

While not every case can be avoided, you can reduce your risk by:

• Wearing shoes that fit properly

• Avoiding high heels and narrow toe boxes

• Using orthotics if you have flat feet or bunions

• Stretching and strengthening your toes regularly

Key Takeaway

Yes, hammertoes can sometimes be corrected without surgery — but only if treated early. With proper shoes, custom orthotics, toe exercises, and splints, you may be able to avoid surgery and keep your feet comfortable.

If your hammertoe has become rigid or painful, don’t wait — schedule an evaluation with a podiatrist. Early treatment is the key to preventing long-term damage and restoring healthy foot function.

At Restore Foot and Ankle Specialists, we specialize in diagnosing and treating hammertoes with both conservative and surgical options. Contact us today to learn how we can help you walk comfortably again. Contact our Plano office today with Dr. Gireesh Reddy or Dr. Sirisha Pokala by calling (469) 573-3427 or by booking an appointment online.