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Hammertoe

Acupuncture for Hammertoe | Big Easy Acupuncture, Metairie LAClose-up of a foot with a second toe hammertoe deformity showing the bent middle joint.

Natural treatment to reduce pain, improve toe mobility, and restore muscle balance

Hammertoes are often thought of as a permanent deformity that only gets worse over time. While severe cases may eventually require surgery, many people develop hammertoes because the muscles controlling the toes stop working together normally.

At Big Easy Acupuncture & Herbal Medicine, we evaluate the entire foot and lower leg to identify why the toe is being pulled into its abnormal position. Rather than only treating the toe itself, we focus on improving muscle balance, mobility, and foot function.

What Is a Hammertoe?

A hammertoe occurs when one of the smaller toes bends at the middle joint instead of remaining relatively straight.

Over time this can cause:

  • Pain while walking
  • Difficulty wearing shoes
  • Corns or calluses
  • Pressure under the ball of the foot
  • Reduced balance
  • Foot fatigue

Many people notice the toe becoming progressively stiffer over the years.


What Causes Hammertoes?

The muscles that move your toes actually begin much higher in your lower leg. Long tendons travel down into the foot and attach to each toe, allowing them to bend, straighten, and stabilize while you walk.

Normally, the muscles on the top and bottom of the foot work together to keep the toes balanced.

When that balance changes, one group of muscles can gradually overpower another, causing the toe to slowly bend into an abnormal position over time. Medical literature describes hammertoe as developing from an imbalance between the intrinsic muscles of the foot and the larger muscles coming from the lower leg.

Intrinsic vs. Extrinsic Foot Muscles

The muscles controlling your toes fall into two main groups.

Intrinsic muscles are the small muscles located entirely within the foot. These muscles help stabilize the toes, support the arches, and provide fine control during standing and walking.

Extrinsic muscles begin in the lower leg and send long tendons into the foot. These larger muscles generate much of the force needed to bend and straighten the toes.

Some of the primary muscles include:

  • Flexor Digitorum Longus (FDL): Bends the toes downward during walking.
  • Extensor Digitorum Longus (EDL): Straightens and lifts the toes.
  • Flexor Digitorum Brevis (FDB): Helps bend the middle joints of the toes.
  • Interossei and Lumbricals: Stabilize the toes and help maintain proper alignment during standing and walking.

When these muscles work together, the toes move smoothly and remain stable. If one group becomes weak, overactive, or begins compensating for another, abnormal forces can gradually change the position of the toe over time.

Contributing factors may include:

  • Muscle imbalance
  • Foot injuries
  • Arthritis
  • Diabetes
  • Bunions
  • Flat feet
  • Long toes
  • Tight shoes or high heels
  • Neurological conditions

Many patients develop hammertoes from several factors rather than a single cause.


Why Your Evaluation Includes More Than Your Toe 

The toe itself is often not where the problem begins.

Research recommends evaluating the entire foot and walking mechanics rather than focusing only on the bent toe.

During your evaluation we may assess:

  • Toe mobility
  • Foot mobility
  • Ankle mobility
  • Muscle strength
  • Walking mechanics
  • Balance
  • Areas of muscle tension
  • Joint mobility

Finding where movement has been lost often helps explain why the toe has gradually changed position.


Flexible vs. Rigid Hammertoes

Not every hammertoe is the same.

Some toes are still flexible and can be manually straightened. Others have become rigid after years of joint stiffness and tissue changes.

Flexible hammertoes –  generally respond better to conservative care

Rigid hammertoes – more likely to require surgical correction.

The sooner a hammertoe is evaluated, the more treatment options may be available.


How Acupuncture Helps Hammertoes

Acupuncture does not simply place needles around the affected toe.

Treatment is based on identifying which muscles and tissues may be contributing to the abnormal movement pattern. Treatment also considers the muscles, joints, and nerves above the foot. Healthy movement depends on normal communication between the lower leg and the muscles that control the toes, so we evaluate the entire movement system rather than focusing only on the toe itself. 

Depending on your evaluation, treatment may help:

  • Reduce muscle tension
  • Improve circulation
  • Decrease pain
  • Improve joint mobility
  • Improve muscle activation
  • Restore more balanced movement
  • Support healthier walking mechanics

Many patients also notice reduced stiffness throughout the foot after treatment.


Our Treatment Approach

Every patient receives an individualized evaluation.

Treatment may include:

Acupuncture

Targeted acupuncture helps reduce muscle tension while encouraging healthier muscle function.

Electro-Acupuncture

Gentle electrical stimulation may be used to improve muscle activation when weakened muscles are not contracting well.

Mobility & Strength Assessment

We evaluate how well the foot, ankle, and toes move to identify restrictions contributing to abnormal mechanics.

Manual Therapy

Hands-on treatment may help improve joint mobility and reduce soft tissue restrictions affecting normal movement.

Corrective Exercises

Exercises help reinforce improvements made during treatment and encourage better long-term foot function.


Can Acupuncture Straighten a Hammertoe?

That depends on how long the hammertoe has been present.

If the toe remains flexible and muscle imbalance is the primary problem, improving muscle function may help improve toe position and movement.

If the toe has become rigid because of long-standing joint changes, treatment may not fully straighten the toe.

However, many patients still seek treatment to:

  • Reduce pain
  • Improve walking comfort
  • Improve mobility
  • Reduce muscle tightness
  • Improve overall foot function

The earlier treatment begins, the more options are often available before permanent stiffness develops.


Frequently Asked Questions

Does acupuncture hurt?

Most patients experience very little discomfort. Many are surprised by how relaxing treatment becomes.

How many treatments will I need?

Treatment depends on how long the hammertoe has been present, whether the toe remains flexible, and the amount of muscle imbalance found during your evaluation.

Will I still need surgery?

Some severe hammertoes eventually require surgery. Our goal is to improve function, reduce pain, and help you make an informed decision based on your individual condition.

Should I continue wearing toe spacers or splints?

Many patients continue using devices recommended by their physician or podiatrist. During your evaluation, we can discuss how they fit into your overall treatment plan.


Preventing Hammertoes

Not every hammertoe can be prevented, but taking care of your feet early may help slow or reduce the progression of the deformity.

Consider the following:

  • Choose shoes with a wide toe box. Your toes should have enough room to lie comfortably without being squeezed together.
  • Limit high heels. High heels shift more pressure onto the front of the foot and may increase stress on the toes over time.
  • Wear supportive shoes. Shoes with adjustable laces or straps often provide a better fit and reduce unnecessary pressure on the forefoot.
  • Buy shoes that fit properly. Your feet naturally swell throughout the day, so try on shoes later in the afternoon or evening when they’re at their largest.
  • Measure your feet regularly. Foot size and width can change over time. Measure both feet and choose shoes that fit the larger foot.
  • Don’t rely on “breaking in” shoes. Shoes should feel comfortable when you first try them on. If they are too tight initially, they are unlikely to become comfortable with wear.
  • Address foot pain early. If you notice toe pain, stiffness, or changes in toe position, seeking evaluation before the toe becomes rigid may provide more conservative treatment options.

Why Choose Big Easy Acupuncture?

At Big Easy Acupuncture & Herbal Medicine, we don’t simply treat where the pain is located.

We don’t assume every hammertoe develops for the same reason. During your evaluation, we examine how your toes, foot, ankle, and lower leg work together. We also test mobility and muscle strength to identify which tissues may be overworking and which muscles may not be contributing enough during walking. 

By combining mobility assessment, muscle strength testing, acupuncture, electro-acupuncture, manual therapy, and corrective exercises, we create treatment plans focused on improving function rather than simply masking symptoms.

If a hammertoe is making walking uncomfortable or limiting your daily activities, we’d be happy to evaluate whether acupuncture may be an appropriate option.

 

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