{"id":8066,"date":"2022-07-15T14:38:00","date_gmt":"2022-07-15T13:38:00","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=8066"},"modified":"2024-12-27T13:19:50","modified_gmt":"2024-12-27T13:19:50","slug":"disorders-of-the-lesser-toes","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/podiatry\/msk-podiatry\/disorders-of-the-lesser-toes\/","title":{"rendered":"Disorders of the lesser toes"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Information<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Various Disorders can affect the lesser toes joint including:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hammer toes<\/li>\n\n\n\n<li>Mallet toe<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Hammer toes &#8211; This is a fixed flexion deformity of the proximal phalanx of the lesser toes (2nd\u00a0\u2013 5th). Often seen as a secondary presentation to a\u00a0hallux valgus (bunion). \u00a0Incidence of 2 \u2013 20% of the population can develop a hammer toe. They may become symptomatic normally as a result of poorly fitting footwear. Corns and callous can develop over the prominent joint and become symptomatic.\u00a0\u00a0<br>Mallet toe\u2013 This is referred to as a fixed flexion deformity of the distal phalanx. Often seen as a result of direct pressure from ill fitting shoes. It can often be associated with skin lesions on the tip of the toe and nail damage.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A. &amp; L.S. 17-05-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">\u200bWho to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone regardless of age with pain in the lesser toes joints<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Refer urgently anyone with skin breakdown or infection.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients who have adjusted their footwear but are still in pain<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Patients who are undergoing management for this condition with another service.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">General Advice<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Appropriate footwear advice<\/li>\n\n\n\n<li>Advise patient to try protective padding available from pharmacists \/ online<\/li>\n<\/ul>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><strong>For Patients<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NHS Lothian Foot and Ankle Orthopaedic patient information leaflet:&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/policyonline.nhslothian.scot\/Policies\/PatientInformation\/Hammer_toe.pdf\" target=\"_blank\">Hammer toe (nhslothian.scot)<\/a>&nbsp;&nbsp;<\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information Various Disorders can affect the lesser toes joint including: Hammer toes &ndash; This is a fixed flexion deformity of the proximal phalanx of the lesser toes (2nd&nbsp;&ndash; 5th). Often seen as a secondary presentation to a&nbsp;hallux valgus (bunion). &nbsp;Incidence of 2 &ndash; 20% of the population can develop a hammer toe. They may become<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":8438,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[704],"class_list":["post-8066","page","type-page","status-publish","hentry","category-disorders-of-the-lesser-toes"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/podiatry\/msk-podiatry\/disorders-of-the-lesser-toes\/\" rel=\"tag\">Disorders of the lesser toes<\/a>","rttpg_excerpt":"Information Various Disorders can affect the lesser toes joint including: Hammer toes &ndash; This is a fixed flexion deformity of the proximal phalanx of the lesser toes (2nd&nbsp;&ndash; 5th). Often seen as a secondary presentation to a&nbsp;hallux valgus (bunion). &nbsp;Incidence of 2 &ndash; 20% of the population can develop a hammer toe. They may become","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8066","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=8066"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8066\/revisions"}],"predecessor-version":[{"id":22220,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8066\/revisions\/22220"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8438"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=8066"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=8066"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}