Foot and Ankle
For San Francisco (Orthopaedic Institute at Mission Bay) or Marin: 415-353-2808
For San Francisco (Orthopaedic Trauma Institute at Zuckerberg San Francisco General): 415-206-8812
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- Mild pain after exercise or running that gradually worsens.
- A noticeable sense of sluggishness in your leg.
- Episodes of diffuse or localized pain, sometimes severe, along the tendon during or a few hours after running.
- Morning tenderness about an inch and a half above the point where the Achilles tendon is attached to the heel bone.
- Stiffness that generally diminishes as the tendon warms up with use.
- Some swelling.
- A hammertoe is a deformity of the second, third or fourth toes in which the main toe joint is bent upward like a claw.
- Initially, hammertoes are flexible and can be corrected with simple measures.
- Left untreated, they can become fixed and require surgery.
- Hammertoe results from shoes that don’t fit properly or a muscle imbalance, usually in combination with one or more other factors.
- Muscles work in pairs to straighten and bend the toes.
- If the toe is bent and held in one position long enough, the muscles tighten and can’t stretch out.
- The skin over your big toe may be red and tender.
- Wearing any type of shoe may be painful.
- This joint flexes with every step you take. Your big toe may angle toward your second toe, or even move all the way under it.
- The skin on the bottom of your foot may become thicker and painful.
- Pressure from your big toe may force your second toe out of alignment, sometimes overlapping your third toe.
- If this condition gets severe, it may be difficult to walk.
- Your pain may become chronic and you may develop arthritis.
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