Not if you did not want one. All of these procedures are done perfectly safe while your awake, under local anestetic. Some patients worry that they may feel pain during the operation but it would not be possible to perform the operation if this were the case. We often perform these procedures at our surgical suite over at the Gridley Building location, where often times these procedures are done within 30 minutes, and you leave right then in a surgical shoe with the dressing applied immediately after the procedure is completed. If you are on a really tight budget, and already have standard insoles, you can gain some relief by cutting out an aperture underneath the base of the big toe, which will help to ease the pressure when walking, although its best to purchase metatarsal pads, which are available for under $10. Lynco insoles with metatarsal pads will set you back around $60. Hammertoe is a bending of the toe, making it curl like the end of ahammer. It can occur in any toe other than the big toe but mostfrequently inflicts the second toe. Hammertoes can be flexible or, ifmore serious, rigid. What causes hammertoe? If you notice that your toe looks odd or hurts, talk to your doctor. You may be able to fix your toe with home treatment. If you don't treat the problem right away, you are more likely to need surgery. What causes hammer, claw, and mallet toes? Less often, these toe problems are linked with other conditions, such as diabetes , rheumatoid arthritis , stroke , or an injury to the foot or ankle. What are the symptoms? In more severe cases, these toe problems may affect your balance and make it hard to walk. How are hammer, claw, and mallet toes diagnosed? You can find additional information about hammertoe at web sites sponsored by government agencies, societies and healthcare institutions. It should perhaps be noted that the World Wide Web is open to many sources posting questionable information and promises, and you are encouraged to seek information from established, reputable organizations. Hammertoe is a contracture (bending) of one or both joints of the second, third, fourth, or fifth (little) toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop. In some cases, usually when the hammertoe has become more rigid and painful, or when an open sore has developed, surgery is needed. We also hypothesized that this sequence should be limited to swearing in a social context and should not happen when patients swear by themselves. And, indeed we found that swearing in the presence of others but not swearing when alone was related to decreases in emotional support, which in turn where related to increases in depressive symptoms over the course of the study period. The study had a small sample size but raised a number of questions he said will be addressed in a series of follow-up studies with funding from the National Cancer Institute.