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Hello everyone,

Lately I have been hearing that botox can be used for the treatment of claw toes or hammer toes and i would like to know if there is any study regarding this matter.
Does anyone know something about it?

Many thanks

 

There are no studies on it.

There are several on its use for hyperihidrosis and heel pain, etc. See the other botox threads

 

And even whitout studies is there anyone using this method?

 

Lets think this one through...

If there is structural changes at the interphalangeal joints, it won't work.
If you inject into flexor digitorum brevis and or/ flexor digitorum longus and "block" them with botox, you're going to get a muscle imbalance (effectively an overpull) with the long and short digital extensors.
If you knock out flexor digitorum brevis, you'll lose one of the MTPJ plantarflexors/ arch stiffness modulators= other muscles with this role have to work harder.... plantar fasciitis etc?
If you block flexor digitorum longus, you'll lose one of the ankle plantarflexors/ MTPJ plantarflexors / arch stiffness modulators, other muscles with this role have to work harder..... achilles tendonopathy etc?
You'll need repeat injections every 3-4 months.

Any more...?

 

One of my pts had a course of botox therapy for limb dystonia, following stroke, at the Royal Leamington Spa Rehabilitation Hospital `botulinum toxin clinic`. There was slight improvement observed his fixed extended toes, but as Simon pointed out, the benefits were short lived and treatment was discontinued.

You might find this of interest; Botulinum toxin for treatment of dystonia

 

These studies may be of interest to you.:D


Gaber, T. A. Z. K., Basu, B., Shakespeare, D., Singh, R., Salam, S., & McFarlane, J. (2011). Botulinum Toxin in the management of hitchhiker's toe. NeuroRehabilitation, 28(4), 395-399.

Lee, J. H., Han, S. H., Ye, J. F., Lee, B. N., An, X., & Kwon, S. O. (2012). Effective zone of botulinum toxin a injections in hallux claw toe syndrome: An anatomical study. Muscle & Nerve, 45(2), 217-221. doi: 10.1002/mus.22263

Lim, E. C. H., Ong, B. K. C., & Seet, R. C. S. (2006). Botulinum toxin-A injections for spastic toe clawing. Parkinsonism & Related Disorders, 12(1), 43-47. doi: 10.1016/j.parkreldis.2005.06.008

Mitchell, P. D., Tisdall, M., & Zadeh, H. G. (2004). Selective botulinum toxin injection in the treatment of recurrent deformity following surgical correction of club foot. Acta Orthopaedica Scandinavica, 75(5), 630-633.

Radovic, P. A., & Shah, E. (2008). Nonsurgical treatment for hallux abducto valgus with botulinum toxin A. Journal of the American Podiatric Medical Association, 98(1), 61-65.



Mischa