Dr. Zach Egidi
Dr. Zac Egidi is excited to return to his home in the Pittsburgh area. His hometown is Monessen, PA. Dr. Egidi joined FAWCPA in September of 2019 and is seeing new patients at our Moon Township office.
He received his Bachelor of Science degree in biomedical engineering at Alfred University. He then went on to obtain a Master of Science in biotechnology from Duquesne University in Pittsburgh. During his college years, he spent a lot of time shadowing podiatric physicians and loved the patient interaction and services performed by these doctors. He then went on to complete his podiatric medical education at Kent State University College of Podiatric Medicine in Independence, OH. His 3 year medicine and surgical residency was completed at LECOM Health Millcreek Hospital in Erie, PA. During his residency, he completed a masters degree in medical education and served as chief resident of the podiatry program.
Dr. Egidi specializes in forefoot, midfoot and rearfoot reconstructive surgery and medicine.
Dr. Egidi is excited to provide foot and ankle care to the western PA community.
Anatomy Of Your Toes
Your toes and feet take you places. You use them to stand, walk, run, and dance.
Foot anatomy is complicated, and more than half of the bones in the human body are in your feet. Feet have three main sections – the forefoot, midfoot, and hindfoot. Your toes are in the forefoot.
In the forefoot are five toes, or phalanges, and five longer bones, or metatarsals, that connect the toes to the midfoot.
Each phalange consists of three phalanx bones – the proximal, middle, and distal – with the exception of the big toe, which has only has proximal and distal bones.
The joint between the metatarsals and phalanges is called the Metatarsophalangeal Joint, or MTP joint. These MTP joints form the ball of the foot and help your toes flex and extend. The joint between the proximal and middle phalanx is known as the Proximal Interphalangeal Joint, or PIP joint. The PIP joint helps toes curl and grip.
All toes except the big toe are know as lesser toes. Lesser toes and their joints flex and contract by the action of muscles, tendons, and ligaments on the top and bottom of your feet.
When forces such as tight shoes or high heels bend your toes, conditions such as hammertoe and claw toe can occur over time. Your toes are forced to work harder in less space, and the resulting muscle and tendon imbalance causes muscles to shorten and toes to curl, and may worsen the condition.
All information provided on this website is for information purposes only. Every patient’s case is unique and each patient should follow his or her doctor’s specific instructions. Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.
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Hammertoe is a condition caused by the joints of the metatarsal and phalanges contracting and bending the toe into an arched position that resembles a hammer. A common cause of hammertoe is a tight toe box in shoes, typically found with high heels that may be too small. The size, angle, and structure of the shoes force the toes into a compromised position, causing poor circulation, restricted movement, plus aggravation to the bones and ligaments in the foot and toes. Trauma is also a cause of hammertoes, and heredity may play a factor.
Early stages of hammertoe are mild, and the compromised joints are still flexible. At this stage, non-surgical treatment and appropriate footwear can help. Without treatment, however, the condition will worsen and joints will become stiff and inflexible. At that point, surgery is the only option.
Earliest stages are unsightly and uncomfortable but may not yet resemble the curved appearance of later stages. The appearance of hammertoe and its distinct shape is an indicator.
Symptoms of hammertoe include:
- Wearing shoes causes pain and irritation on toes.
- Corns and calluses appear between two toes, the ball of the foot, or on an affected toe that rubs against the shoe.
- Long-term friction also can cause open sores on toes.
- Burning sensation and a red, and inflammed appearance.
- Curved appearance that progresses if left untreated.
- Stiff, inflexible joints.