Hammer toes are a common yet frustrating foot condition that can cause pain, discomfort, and difficulty finding properly fitting shoes. If you have been struggling with this condition, you may have heard about a minimally invasive procedure called percutaneous tenotomy. This innovative technique offers a quick and effective solution for correcting flexible hammer toes, often right in the comfort of your podiatrist’s office. In this blog, we will explore how the procedure works, its benefits, and the risks involved to help you make an informed decision.
What Is a Flexible Hammer Toe?
Hammer toes occur when the toe joint bends in an abnormal position, resembling a hammer. This can lead to irritation, corns, and pain, particularly when wearing shoes. Flexible hammer toes mean the affected toe can still be manually straightened, making it an ideal candidate for minimally invasive correction. If left untreated, flexible hammer toes can become rigid, requiring more complex surgical intervention.
What Is Percutaneous Tenotomy?
Percutaneous tenotomy is a minimally invasive surgical procedure designed to release the tendon causing the abnormal toe position.
How It Works:
Local Anesthesia: The area is numbed with a local anesthetic, ensuring you remain comfortable throughout the procedure.
Small Incision: Using a tiny incision (about the size of a pinhole), the podiatrist inserts a small surgical blade.
Tendon Release: The small surgical blade is used to gently release the contracted tendon, allowing the toe to return to a normal position. Additionally, it is a great way to treat calluses and wounds at the ends of the toes. No hardware, screws, or wires are needed for the surgery.
Quick Closure: The incision is so small that it typically doesn’t require stitches. A simple bandage is applied.
The entire procedure usually takes less than 30 minutes and can often be performed in an office setting.
Benefits of Percutaneous Tenotomy
Minimally Invasive:
The small incision minimizes trauma to surrounding tissues.
Patients experience less pain and swelling compared to traditional surgery.
Quick Recovery:
Most patients can resume normal activities within a few days.
There’s no need for extended downtime or lengthy rehabilitation.
In-Office Convenience:
No hospital stay or outpatient surgical center is required.
The procedure is efficient and cost-effective.
Improved Comfort and Mobility:
Relieving the tendon tension allows the toe to straighten, reducing pain and improving functionality.
Cosmetically Favorable:
The tiny incision leaves little to no visible scarring.
Risks and Considerations
As with any medical procedure, percutaneous tenotomy is not without risks. However, complications are rare when performed by a skilled podiatrist. Potential risks include:
Infection: Proper hygiene and post-procedure care significantly reduce this risk.
Nerve Damage: Although rare, there is a small chance of accidental nerve injury.
Overcorrection: Releasing the tendon too much could cause the toe to extend excessively.
Recurrence: If underlying causes like poor footwear or biomechanical issues aren’t addressed, the condition may return.
Is Percutaneous Tenotomy Right for You?
This procedure is best suited for patients with flexible hammer toes who want a quick and effective solution without the risks and recovery time of traditional surgery. During your consultation, your podiatrist will evaluate your condition, review your medical history, and discuss your goals to determine if you are a good candidate.
Take the First Step Toward Pain-Free Feet
If flexible hammer toes are interfering with your quality of life, percutaneous tenotomy could be the solution you’ve been searching for. As a minimally invasive, in-office procedure, it offers a safe and effective way to regain comfort and mobility.
Schedule a consultation today to learn more about this innovative treatment and take the first step toward healthier, happier feet!