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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

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There are no studies on it.

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

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Craig Payne
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God put me on this earth to accomplish a certain number of things - right now I am so far behind, I will never die.

And even whitout studies is there anyone using this method?

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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...?

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"My mission drive is to open up my eyes, 'cause the wicked lies and all the sh!te you say..." http://www.youtube.com/watch?v=V4NW5S1UTPQ

"Science is the antidote to the poison of enthusiasm and superstition."

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

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If...

These studies may be of interest to you.


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.



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