Surgery for Problems of the Small Toes

Your toes should be straighter, so your foot should fit more comfortably in a normal shoe.

Putting padding between your toes and strapping them in place can help give you relief from the pain caused by your toes rubbing.

Using soft shoes from a good-quality shoe shop may be enough. If not, the orthotics (surgical appliances) department at the hospital will be able to give you advice about insoles or special shoes.

Various anaesthetic techniques are possible.

The operation usually takes 15 minutes to an hour.

Your surgeon will discuss with you which of the following procedures the operation is likely to involve.

• Releasing or lengthening tendons
• Putting joints back into place
• Straightening a toe by removing some bone
• Stiffening one of your toe joints
• Cutting and realigning the bones of your toes

You should be able to go home the same day or the day after.

Spend most of the time during the first week with your leg raised so that the swelling settles.

After that, you can usually start to be a little more active.

It can take 6 weeks or longer before the swelling has gone down enough for you to wear a normal soft shoe.

The healthcare team will tell you when you can return to normal activities. Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

The swelling often takes up to 6 months to go down completely.

Some complications can be serious and can even cause death.

General complications of any operation

• Pain
• Bleeding
• Infection of the surgical site (wound)
• Unsightly scarring of your skin
• Difficulty passing urine
• Blood clot in your leg
• Blood clot in your lung

Specific complications of this operation

• Damage to nerves
• Damage to blood vessels
• Infection in your toe
• Problems with bone healing
• Loss of movement in your toes
• Severe pain, stiffness and loss of use of your foot
• Pain in the ball of your foot
• The deformity coming back