Foot Focus Podiatry

Mon - Fri : 08:30 - 5:30   |   reception@footfocuspodiatry.com.au
08 9258 4152 |
Google Review
logo foot focus
foot focus podiatry
logo foot focus
logo foot focus

Hammer Toes Surgery/ Treatment in Perth

Do you suffer from painful toes, bent or curly toes, or just can’t fit into your favorite shoes?  Please read how we can help you.

Hammer toe (claw toe) is a term used to describe a crooked, deviated or contracted toe. Hammertoes usually start out as mild deformities and get progressively worse over time.  In the earlier stages, hammertoes are flexible and the symptoms can often be managed with non-invasive measures or in case of surgery with minimum incision surgeries.  Conservative treatments include, changing your shoes, using forefoot products designed to relieve pain, such as hammertoe props or toe splints, and physical therapy. These devices help to hold the toe down in a straight position and provide relief to the forefoot.  Gel toe shields and gel toe caps are also recommended to eliminate friction between the shoe and the toe while providing comfort and lubrication.

Surgery is an option when all conservative treatments have failed.  The procedure chosen depends on the stage and extent of the deformity.  In selecting the procedure or combination of procedures for your particular case, Dr Reza Naraghi, our podiatric surgeon, will consider the extent of the deformity, your age, activity level and other factors.  The recovery period varies depending on the procedure necessary.  All this will be discussed with you in detail during your pre-operative consultation.

Dr. Reza Naraghi recently presented this presentation to the Podiatry WA association regarding the general overview of the various digital toe deformities with a particular focus on flexor tenotomy procedures. Please click here for this presentation.

Images of Hammertoe Surgery:

Pre-surgery and post-surgery for overlapping 5th toe:

toebefore-e1590715284304-248x300 Hammer Toes / Crooked Toestoeafter1-e1590715828693-244x300 Hammer Toes / Crooked Toestoeafter2-e1590715769850-287x300 Hammer Toes / Crooked Toes

Pre-surgery and 2 weeks post-surgery 2nd Metatarsal Shortening and Plantar Plate Repair:

beforeplantarplate2nd-e1601539236581-211x300 Hammer Toes / Crooked Toes            afterplantarplaterepair2nd-e1601539199957-202x300 Hammer Toes / Crooked Toes

2nd hammertoe with dorsal corn



  • Winograd procedure- This procedure will be done in hospital setting under local and or general anaesthesia and it is reserved upon failure of the phenolization or if there is significant amount of skin overlapping the nail with soft tissue growth. This procedure involves removing a portion of the skin along with the nail down to the level of the bone. Sutures (stitches) will be applied to close the surgical site. The procedure takes about 10-15 minutes to be performed and your foot will be bandaged. You will be seen within first 5 days and then the sutures will be removed in 10-14 days. Currently this procedure can only be performed by Reza Naraghi (podiatric surgeon).  He will prescribe appropriate pain medication for your post-operative pain management. You will be in open sandal and or post op shoe for 2 weeks. This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a Winograd then please click here.
  • Zadik Procedure- This procedure is used with permanent total nail removal is desired. The indications for the procedure are significant ingrowing nail on both borders, thickened and painful nails and bony growth under the nailbed. This procedure can be done under local with sedation and or under general anaesthesia at a hospital and or day surgery centre. Sutures will be applied and will be removed 14 days post surgery. You can not get your foot wet and your foot will be in a sterile bandage for 2-3 weeks. You may need pain medication post surgery. On average it will take six weeks for your nail bed area to heal. Following that you can wear most close shoes.

Matrixectomy with phenolization- This procedure involves removing the nail partially or totally and ablating (destroying) the root using a weak acid called phenol. This will cause permanent ablation of the root of the offending nail and prevent ingrown nail recurrence. This procedure is successful 95% of the time. The procedure takes about 10-15 minutes and can be performed in our rooms using local anaesthesia with or without sedation. Post operatively you will be required to soak your toe and apply a daily dressing. Wearing open toe shoes for at least 3-4 days is recommended. You maybe required to take oral antibiotics. Most patients do not require pain medication following the procedure, and if needed Panadol is sufficient for pain management. You can go back to regular shoes after one week.  This is not for everyone (especially if you don’t like seeing surgical procedures) but should you be keen to see a step by step process involved in a partial nail matrixectomy with phenolisation then please click here.