New York State Medical Treatment Guidelines for Hammer Toe in workers compensation patients

New York State Medical Treatment Guidelines for Hammer Toe in workers compensation patients

The New York State Workers Compensation Board has established guidelines to aid physicians, podiatrists, and healthcare professionals in delivering proper treatment for Hammer Toe. These guidelines are designed to assist healthcare professionals in determining the suitable level of care for patients with ankle and foot disorders.

It’s important to note that these guidelines should not replace clinical judgment or professional expertise. The final decision regarding care should be a collaborative one, made by the patient in consultation with their healthcare provider.


Hammer Toe

Hammer toe syndromes typically manifest in the sagittal plane, involving a dorsiflexed metatarsophalangeal joint and a plantarflexed proximal interphalangeal joint. The condition is most commonly observed in the second toe.


Treatment for Hammer Toe

Non-operative treatments for hammer toe include:

  1. Footwear Modifications: Adjusting footwear to improve toe box or room can alleviate pressure on the affected toes.
  2. Padding: The use of padding can help reduce friction and pressure on the toes.
  3. Corticosteroid Injections: Injections of corticosteroids may be used to manage inflammation and relieve pain.
  4. Orthoses: Custom or over-the-counter shoe inserts (orthoses) can provide support and help address biomechanical issues contributing to hammer toe.

Operative treatments for cases with insufficient results from nonoperative measures include various procedures such as:

  1. Arthroplasty: Surgical reconstruction or replacement of a joint.
  2. Flexor Tendon Transfer: Transferring a tendon to a different location to improve toe alignment.
  3. Flexor Tenotomy: Cutting of the flexor tendon to release tension.
  4. Extensor Tendon Lengthening and Metatarsophalangeal Joint Capsulotomy: Lengthening the extensor tendon and releasing the joint capsule.
  5. Fusion: Surgical fusion of the affected joint to correct deformity.
  6. Diaphysectomy: Removal of a portion of the toe bone to address deformity.

The choice between non-operative and operative treatments depends on the severity of the condition and the response to initial interventions. A healthcare professional will assess the individual case and recommend the most appropriate course of action.


What our office can do if you have Hammer Toe due to a workers compensation injury

We’ve got the expertise to assist you with your workers’ compensation injuries. We truly grasp the challenges you’re facing, and we’re committed to addressing your medical needs while adhering to the guidelines laid out by the New York State Workers Compensation Board.

Recognizing the significance of your workers’ compensation cases, we’re here to guide you through the intricacies of dealing with both the workers’ compensation insurance company and your employer.

We understand the stress you and your family are under during this time. If you’re considering scheduling an appointment, please reach out to us. We’re dedicated to making the process as smooth and hassle-free for you as possible.

Skip to content