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Orthotics for the Treatment of Lesser Toe Deformities.

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Orthotics for the Treatment of Lesser Toe Deformities.

Manuel Monteagudo1, Ángel M Orejana2

  • 1Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, IOTAM, Hospital Universitario Quirónsalud Madrid, Spain; Faculty Medicine UEM Madrid, Spain.

Foot and Ankle Clinics
|October 24, 2024
PubMed
Summary

Conservative treatments for lesser toe deformities are understudied. This study reviews shoe modifications and orthotics for pain relief, supporting conservative management as a primary treatment option before surgery.

Keywords:
ConservativeDeformityHammertoeLesser toeMalletOrthoticsShoewear

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Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanics

Background:

  • Lesser toe deformities are common and impact locomotion.
  • Conservative treatment options for these conditions are not well-documented.
  • Non-operative management is often underutilized.

Purpose of the Study:

  • To provide an overview of conservative treatments for lesser toe deformities.
  • To detail shoe modifications and orthotics used in non-operative care.
  • To discuss the rationale for prioritizing conservative management.

Main Methods:

  • Literature review of conservative interventions for lesser toe deformities.
  • Analysis of shoe modifications and orthotic devices.
  • Evaluation of pain relief and functional improvement associated with these treatments.

Main Results:

  • Various shoe modifications and orthotics can effectively manage lesser toe deformities.
  • Specific devices are indicated for different types of deformities.
  • Conservative management can significantly reduce pain and improve function.

Conclusions:

  • Conservative management, including shoe modifications and orthotics, is a viable first-line treatment for lesser toe deformities.
  • Non-operative strategies can potentially prevent the need for surgical intervention.
  • Further research is needed to establish evidence-based guidelines for conservative care.