Surgery Patients with severe cases of hammertoe may need surgery. If the toe is still flexible, only a simple procedure that releases the tendon may be involved. Such procedures sometimes require only a single stitch and a Band-Aid. If the toe has become rigid, surgery on the bone is necessary, but it can still be performed in the doctor's office. A procedure called PIP arthroplasty involves releasing the ligaments at the joint and removing a small piece of toe bone, which restores the toe to its normal position. The toe is held in this position with a pin for about 3 weeks, and then the pin is removed. Hammertoes. A hammertoe is a permanent deformity of the toe joint in which the toe bends up slightly and then curls downward, resting on its tip; when forced into this position long enough, the tendons of the toe contract and it stiffens into a hammer- or claw-like shape. Hammertoe is most common in the second toe but may develop in any or all of the three middle toes if they are pushed forward and do not have enough room to lie flat in the shoe. The risk is increased when the toes are already crowded by the pressure of a bunion. Another cause of Ball of Foot Pain is over-pronation. Over-pronation (or excess pronation) occurs in a lot of people, especially as they get older. The arches drop and feet and ankles tend to roll inwards. Excessive pronation is a major contributing cause to heel pain and heel spurs, but it also can lead to Metatarsalgia. As the longitidunal arch collapses so does the transverse arch. The transverse arch is the arch that runs across the forefoot and is formed by the 5 metatarsal bones. The bones in the foot drop and the structure of the foot is severely weakened. The plantar fascia supports the bones of the heels and maintains the arch of the heel. The is a bony projection that leads away from the plantar fascia into the surrounding tissues of the body. More often than not, heel spurs and plantar fasciitis together cause sharp pain in the foot. The severe foot pain experienced by you, when you put your weight on your foot, while taking first step, is because of the heel spur poking into the surrounding living mass of tissues, nerves, tendons and muscles. Your doctor may advise you to take an X-ray of the feet to detect the heel spur. There are a variety of symptoms for flat feet, and not everyone will experience all of them. Symptoms might include tired, sore feet (particularly on the bottom); lower back pain; pain in the arch; or tired legs. Your feet probably feel better when you roll your feet toward the outside. To confirm whether you have flat feet, press on the arch at the highest point. If you have weak foot, you will find this fairly painful. Another test is simply to look at your feet. When standing, you pronate; your weight falls toward the inside of your foot, and your arch almost disappears entirely. For this you need to go to a podiatrist a podiatrist is a foot specialist who gets the knowledge and experience after years of studies. A podiatrist can tell you about the problem of and the type of pain you are suffering from by checking your foot. The most common questions a podiatrist can ask you could be; what type of shoes you normally wear and what type of physical activities you perform that might be resulting in foot pain It is not necessary that the podiatrist can tell you about the problem just by looking at your foot sometimes several equipments utilize for this job to be done. Foot pain can be divided into three main categories. The most common one is the Biomechanical Pain which is caused by functionality disorder in the foot. In this type of pain, all increased activities may cause the foot condition to worsen over time. It may take other symptoms such as knee pain or body misalignment. There are many reasons why biomechanical pain happens such as foot misalignment. Foot misalignment is caused by excessive weights, which can put a lot of pressure on the foot; especially the heels. Wearing tight shoes or high heels is not recommended for those who suffer from foot pain.