Claw and hammer toes often occur together with bunions and can be treated in the same procedure. When it comes to a hammer toe contracture in the distal interphalangeal joint flex is usually the 2nd-4th toe. The distal interphalangeal joint is maximum flexed, stiff and very painful when walking. The claw toe in the base joint is hyper extended while the middle of the toe and the end joint are bent. Here too, the mobility in the final stage is totally restricted and the affected toe hurts mostly by the pressure of the diffracted joint rubbing against the shoe. Often a Clavus (corn) forms at that point, which can be extremely painful. The most widely used operation is the Hohmann technique in which a piece of bone from the base joint of the claw toe is removed and the toe is then brought back into a stretched position.
Hammer and claw toes are common, with hammer toes developing more frequently than claw toes. Both toe misalignments often occur with other foot deformities such as bunions or flat feet. Again, in the initial stage you can work well with an insole, however in the final stage surgery is the most effective choice.