Name of the Procedure:

Toe Loop/Holder, Any Type (E0952)
Common name(s): Toe holder, Toe loop
Technical/Medical term: Digital toe splint

Summary

A toe loop or holder is a small device used to correct or support the alignment of toes. It typically wraps around the affected toe(s) and attaches to the foot to maintain proper positioning, alleviate pain, and improve functionality.

Purpose

The primary purpose of a toe loop or holder is to manage deformities or irregularities in the toes. This includes conditions such as hammer toes, claw toes, mallet toes, and bunions. By keeping the toes in a correct and stable position, these devices aim to:

• Reduce pain and discomfort
• Prevent further deformities
• Improve walking ability and overall foot function

Indications

• Hammer toes
• Claw toes
• Mallet toes
• Bunions
• Post-surgical toe alignment
• Conditions causing toe dislocation or deviation

Patient criteria:

• Adults and children with toe deformities
• Patients who have undergone foot surgery
• Individuals experiencing discomfort due to toe misalignment

Preparation

• No specific fasting or medication adjustments are usually required.
• An assessment by a healthcare provider to determine the appropriate size and type of toe holder.
• Possible imaging tests such as X-rays to evaluate the extent of the deformity.

Procedure Description

1. The healthcare provider selects the appropriate type and size of the toe loop or holder.
2. The device is positioned around the affected toe(s), ensuring comfort and effective alignment.
3. It is then secured to the foot to maintain the toe in the desired position.
4. Instructions are given on how to wear the device properly and maintain foot hygiene.

Tools and equipment:

• Various sizes and types of toe loops or holders

Anesthesia:

• Not required as this is a non-invasive procedure.

Duration

• The fitting process typically takes about 15-30 minutes.

Setting

• Outpatient clinic
• Podiatrist's office

Personnel

• Podiatrist
• Orthopedic specialist
• Trained medical assistant

Risks and Complications

Common:

• Skin irritation or blistering
• Initial discomfort

Rare:

• Allergic reaction to material
• Improper fit causing increased pain

Benefits

• Alleviates pain and discomfort
• Prevents worsening of toe deformities
• Improves mobility and function
• Immediate relief in many cases

Recovery

• Patients can generally resume normal activities immediately after fitting.
• Regular follow-ups may be required to monitor progress and make adjustments.
• Maintain foot hygiene and inspect the skin regularly for signs of irritation.
• Wear the device as per the healthcare provider's instructions.

Alternatives

• Orthotic insoles
• Toe spacers
• Physical therapy
• Surgical correction for severe cases

Pros and cons of alternatives:

• Orthotics and spacers are less invasive but may provide limited correction.
• Physical therapy can help but requires time and consistent effort.
• Surgery is more definitive but involves higher risks and longer recovery time.

Patient Experience

• Initial adjustment period with possible discomfort.
• The patient may feel mild pressure around the affected toe(s).
• Pain management typically involves over-the-counter analgesics if needed.
• The device should feel supportive but not overly tight.
• Proper footwear may need to be worn to accommodate the toe holder comfortably.