The treatment options vary with the type and severity of each hammertoe, although identifying the deformity early in its development is important to avoid surgery. Podiatric medical attention should be sought at the first indication of pain and discomfort because, if left untreated, hammertoes tend to become rigid, making a nonsurgical treatment less of an option. Walking may become painful especially in tight narrow shoes, sandles are the best foot wear for women but of cause becomes tricky in winter. The foot becomes much wider at the toe end and looks deformed and no longer its normal appearance and buying footwear is difficult. I recommend wide extra-depth orthopedic shoes or even custom shoes for patients with bunions and hammer toes. Sometimes for older patients in nursing homes I will cut a hole in their shoe to make more room. Padding or taping sometimes helps mild to moderate deformities. Most drug stores have a foot care section with pads like tube foam or spacers available. Some patients find foot soaks in Epsom salt water solution helpful especially after a long day on your feet. When a surgeon cuts and repositions a bone, it is referred to as an osteotomy. There are two basic techniques used to perform an osteotomy to realign the first metatarsal. If you think you need something stronger than your typical drug store concoction, the podiatrists at South Florida Foot & Ankle Centers can provide some relief. “We offer a few different products which have prescription strength ‘UREA’ in them,” says Dr. Brett Fried. “These products work much better than what is available in stores. UREA is a prescription that is FDA-approved and used to soften hard, callused feet and allow the cracked, hard skin to heal. Use of a pumice stone and a skin softener can also help.” HOME REMEDIES TO SOFTEN FEET Doctors who practices podiatry can do it himself or may be also a team member of a medical group. There are podiatrists who work together with a band of doctors in different related medical specialty. For example, they will work in together with a doctor specializing in orthopedics or among multi-specialty group in dealing with podiatry requirements for patients with polygenic disorder. A podiatric practitioner may also evaluate the injuries of the foot or ankle. Some diagnostic center can help in the diagnosing and extent of injury so that a treatment plan set up is put into place. Treatment might include casting or splinting depending on the case at hand. You can treat hammer, claw, and mallet toes at home by wearing footwear with lots of room for your toes, using pads and supports in the shoe, and doing toe exercises. Doing these things will give the toe room to straighten, cushion the toe and hold it straight, and make the toe muscles stronger and more flexible. You can use over-the-counter medicine to treat pain. If your pain is too great or you cannot easily do daily activities, then surgery is possible. But there is not much research on surgeries for these toe problems. Talk to your doctor about the types of surgeries and how much they may help you. Other reasons one might get corns or calluses on their feet would be biomechanical. People with hammertoes often get pressure on the knuckle of the toe that is lifted up over the other. Wearing shoes that are too narrow for your feet is often the cause of hammertoes. Women are especially vulnerable developing hammertoes due to wearing narrow fitting high heels. Calluses on the bottoms of the feet can be caused by an abnormal gait when walking. Bunion Pads - also made of gel, and meant to protect the bunion and gently pull the toe back into position. Wearing sandals with no socks, walking in bare feet, canoeing and wading in the mud or sand, all lead to cracked heels and feet. You take your feet for granted until they cause you pain. Then you are desperate to find someone to help you. Infection and the lack of sensitivity are the main dangers. Keeping your feet clean is obvious but it really helps. A number of soldiers come to see me for help with their aches and injuries. The last SAS training involved 3 weeks of exercises. One day recently they had to walk for 40 miles carrying over 70 lb (32 Kg) packs and a rifle.