Toe Surgery FAQs

Answers to the questions patients ask most often about toe surgery. Every foot is different, so Mr Nazir will go through what applies to you at your consultation.

About toe problems

What is the difference between a hammer toe, claw toe and mallet toe?

They differ by which joint is bent. A hammer toe bends at the middle joint, a mallet toe at the joint nearest the nail, and a claw toe curls at several joints, often in more than one toe. See claw toe vs hammer toe vs mallet toe.

Can a bent toe be straightened without surgery?

Wider, deeper shoes, toe protectors, padding and insoles can ease pain and may slow a flexible toe from getting worse, but they do not permanently straighten it. Surgery is the only way to correct the deformity.

What is Morton’s toe, and can a long toe be shortened?

Morton’s toe is a second toe that is longer than the big toe. A long toe can be shortened by removing a small section of bone so it sits in line with its neighbours. See toe shortening surgery.

When should I consider surgery?

When pain continues despite sensible footwear, the toe has become stiff, corns keep returning, or the deformity is getting worse. Correcting a toe while it is still flexible often allows a smaller operation.

The operation

Will I be put to sleep?

Most toe surgery is carried out under local anaesthetic, with sedation if you prefer. It is day surgery, so you go home the same day.

What is keyhole toe surgery?

The toe is corrected through incisions of a few millimetres under X-ray guidance, which means smaller scars and often no wires protruding from the toe. It suits many, but not all, toes. See keyhole toe surgery.

Will I have wires sticking out of my toe?

Not always. Some toes are best held with a fine temporary wire, which is removed in clinic at four to six weeks. Many can be corrected with a small internal implant or keyhole techniques, so nothing protrudes.

Can my toes be done at the same time as bunion surgery?

Yes. A bunion often pushes the second toe out of position, and correcting both together usually gives the most lasting result. Mr Nazir regularly combines keyhole bunion and toe correction in one operation.

Can both feet be operated on together?

Often, yes. Some patients prefer one foot at a time so they have a comfortable foot to walk on during the first weeks. Mr Nazir will discuss what suits your work and home life.

What are the risks?

Risks include infection, prolonged swelling, stiffness, recurrence, a toe that sits slightly raised, numbness near the scar, delayed bone healing and, rarely, problems with blood supply to the toe or blood clots. These are explained fully at consultation.

Recovery

Can I walk after toe surgery?

Yes. You walk on the foot the same day in a protective post-operative shoe. Resting with the foot raised for the first two weeks gives the best result.

How long will I need off work?

Desk-based work is often possible from about two weeks. Jobs that keep you on your feet may need four to six weeks.

When can I drive?

Once you are out of the post-operative shoe and can perform an emergency stop safely. Surgery on the left foot in an automatic car may allow an earlier return. Always check with your insurer.

How long does swelling last?

Some swelling, especially at the end of the day, is normal for three to six months. The final shape of the toe is usually clear at around four to six months. See the recovery guide.

Cost and booking

Is toe surgery covered by private medical insurance?

Surgery to correct a painful toe deformity is generally covered by UK private medical insurers. Purely cosmetic procedures are not usually covered. Check your policy and obtain pre-authorisation before your consultation.

How much does toe surgery cost?

It depends on the number of toes, one or both feet and the technique. You receive a written estimate after assessment, and monthly payment plans are available. See costs and insurance.

I live outside London. Can I have a consultation?

Yes. Video consultations are available for patients across the UK, and many patients travel to London for surgery and return home the same day.

How do I book?

Book a consultation online, use the enquiry form below, or call the practice on 0207 820 8007.

Make an enquiry

Leave your details and the team will get back to you, usually within one working day. Or book a consultation online.

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