Diabetic neuropathy causes toes to form into hammertoes, which is a deformity that can cause ulcers to form at the tips of the toe. When this happens, they sometimes can be treated by offloading the insole. However, these ulcers are notorious for coming back or not healing therefore requiring surgery. There are various surgical procedures offered for these ulcers depending on the severity of deformity. I will show you my favorite surgical procedure for these types of ulcers, which is a flexor tenotomy. It is a very effective and minimally invasive procedure performed under local anesthesia in the clinic. The tenotomy is performed with the sharp end of a needle, which means that there are no incisions, no stitches, and basically no recovery time needed. Patients can go back to work immediately after the procedure.
This technique can be performed for similar ulcers on the great toe as well. It is a much larger tendon and requires more effort on the surgeon’s part but it is still an effective technique with excellent results.