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Seniors with crossover toe can keep active with surgical procedure

Crossover toe is a common foot problem that can inhibit physical activity for older Americans. Now there is an outpatient surgical procedure that can correct the deformity and keep seniors active.

Individuals with hammertoes, bunions or a second toe that extends beyond the big toe are most susceptible to developing crossover toe as they age, according to Dr. Joel Brook. 

“It’s a common problem among older people in which the second toe gradually moves across the big toe," says Dr. Brook. "It can be painful, and therefore, difficult to walk comfortably or pursue an active lifestyle.”

The first symptom of crossover toe is pain in the ball of the foot. A tear in the joint makes the second toe unstable. It falls out of alignment and eventually drifts.

Doctors normally check the ball of the foot for a possible plantar-plate tear when an older patient complains of pain in the area. Pre-existing forefoot problems, combined with normal wear and tear or possible trauma, can cause the plate to tear over time.

“If the pain persists and the toe starts to drift, surgery is recommended to suture the plantar plate or replace it through a tendon-transfer,” Dr. Brook says.

Surgery to correct crossover toe is an outpatient procedure performed with a local anesthesia.  Patients with bunions or hammertoes are advised to have those deformities corrected during the surgery as well. Recovery time is about six weeks.

"If you're an older adult with persistent pain in the ball of your foot, it's in your best interest to see a doctor," says Dr. Brook. "If your foot hurts, you aren't exercising, and your cardiovascular health can nosedive."